疼痛是一种主观体验:哲学与生物医学对话的综合方法

Maria Teresa Russo
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摘要

本文旨在说明疼痛的主客观不可分割性如何使其成为一种复杂的现象,从而对生物医学和哲学都构成挑战。神经生理学确定了损伤与疼痛之间关系的多变性,表明疼痛是人类感官和情感-情绪成分相互作用的结果。然而,对 "痛苦 "这一临床概念进行定义的过程似乎是全面的、费力的和持续的。哲学虽然宣称不可能确定痛苦的本质,但却通过 "病人 "现象学为发现痛苦体验的独特性做出了宝贵的贡献。最后,我们探讨了关于叙述和评价痛苦的可能性和不同方式的辩论,鉴于许多医疗条件的长期性,在护理领域越来越多地认识到这一需求具有明显的伦理意义。
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Pain as a Subjective Experience: An Integrated Approach for a Dialogue between Philosophy and Biomedical Sciences
The aim of this article is to show how the inseparability of its objective and subjective dimensions renders pain such a complex phenomenon that it poses a challenge for both the biomedical sciences and philosophy. Neurophysiology has ascertained the variability of the relationship between damage and pain, showing that it is the result of interaction between the sensory and affective-emotional constituents of the human being. However, the process of defining the clinical concept of suffering appears comprehensively laborious and ongoing. Philosophy, while declaring the impossibility of identifying the essence of pain, makes a valuable contribution to the discovery of the singularity of the experience, thanks to the phenomenology of the homo patiens . Finally, we examine the debate on the possibility and the different ways of narrating and appraising suffering, a need with obvious ethical implications, perceived more and more within the field of care, also given the chronicity of many medical conditions.
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