“一天一次”

Pub Date : 2019-03-01 DOI:10.3167/CJA.2019.370106
D. Flaherty
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引用次数: 4

摘要

在这篇文章中,我探讨了当死亡可能就在附近时,预期作为道德体验和道德意志的场所。通过对美属维尔京群岛圣克罗伊岛一位临终关怀患者妻子的叙述的研究,我发现她承诺不预测丈夫的病程是一个道德项目,与生物医学预测模式相比微不足道。在临终关怀是许多健康状况不佳的老年人唯一的选择的背景下,我讨论了这一立场与临终关怀的预期范围之间的可比性:患者即将死亡。我主张对这位女性的经历采取一种方法,考虑到当死亡可能就在附近时,时间取向会发生变化,而不会将她不预期的承诺减少为仅仅的回避或“否认”。
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‘Takin’ It One Day at a Time’
In this article, I explore anticipation as a site of moral experience and moral willing when death may be nearby. Through an examination of the narratives of the wife of a hospice patient in St. Croix, US Virgin Islands, I show that her commitment to not anticipate the course of her husband’s illness is a moral project pitted against biomedical modes of prognostication. In a context in which hospice care is the only option available for many older adults in poor health, I discuss the incommensurability between this position and the anticipatory horizon on which hospice care is predicated: the patient’s imminent death. I argue for an approach to this woman’s experience that takes into account the tendency for temporal orientations to be thrown into flux when death might be nearby, without reducing her commitment to not anticipate to mere avoidance or ‘denial’.
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