命名我们所做的事情

B. Broom
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引用次数: 2

摘要

大多数人在生病时,都希望得到一种尊重他们身体需求的治疗,更重要的是,尊重他们是谁、来自哪里的方方面面。但在一个基本上只关注身体、诊断、最佳实践算法、强大的技术、时间短缺和成本上升的时代,“全人”治疗病人的方法既难以想象,对许多临床医生来说也是一项艰巨的任务。但许多临床运动都在努力提供治疗和护理,而不仅仅是针对身体。这些运动有不同的名称,研究这些运动可以帮助我们理解当我们试图以适合整个人的方式对待人时出现的深刻而复杂的问题。必须指出,任何命名过程本质上都是简化的。我们在名字的选择上意味着某件事(或许多事)。如果我们这样命名它,我们就不会那样命名它。命名的人会给这个过程带来一些假设,这些假设可能是公开的,也可能是不公开的,甚至是显而易见的。为了说明这一点,我将在这里通过批评那些被应用于临床工作类型的名称来说明这一点,这些临床工作类型试图解决的不仅仅是生物身体。
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Naming What We Do
Most human beings, when ill, want to be treated in a way that is deeply respectful of their bodily needs and, more than that, of all aspects of who they are and where they come from. But in an era dominated by an essentially singular focus on the physical body, diagnosis, best practice algorithms, powerful technologies, time poverty and cost escalation, ‘whole person’ approaches to patients are both hardly imaginable and a tall order for many clinicians. But numerous clinical movements have grappled with providing treatments and care that address more than the physical body. These movements have different names and examining these provides an understanding of the deep and complex issues that emerge when we try to treat people in a manner befitting whole persons. It must be said that any process of naming is essentially reductive. We mean something (or many things) in the choice of name. If we name it in this way, then we are not naming it in that way. And the people who do the naming bring to the process certain assumptions, which may or may not be declared or even obvious. I will seek to illustrate this here by critiquing names that have been applied to types of clinical work that constitute attempts to address more than the biological body.
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