「病いの知」の可能性 : プロフェッショナリズムを超えて

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概要

• 論文の詳細を見る

• The purpose of this paper is to give a new perspective to human illness. A good deal of discussion has been held on the difference between "illness" and "disease", especially from the viewpoints of medical anthropology and medicine for total health. However, no perspective yet adequately describes and appreciates "illness" as a complete experience forming part of human life. One problem with developing such a perspective is the concept of "illness" itself. It is well known that we sometimes achieve mental or spiritual growth through our experience of illness. But we usually say we "grow through our struggle with illness", instead of saying we "grow through our illness". When we use the first expression, illness is considered something to be overcome. But illness has another aspect, which Gabriel Marcel called "mystere", in contrast to "probleme". "Probleme" is that which we can analyze, answer to, and take measures to deal with from outside. In contrast, we can only "live" mystere by ourselves, and in mystere, questing itself is at the same time a kind of answer to it. So, as we can learn from Buddhism, we must view illness as an essential human life-experience having a secret treasure. A second problem concerns the limitation of the frameworks of medical professions that use the term "illness". From the perspective set out above, these frameworks are too narrow to fully describe and appreciate our experiences of illness. In other words, these frameworks tend to reduce the "mystere" of illness to the "probleme" of it. We must therefore focus carefully on the narratives of patients who live their own mystere of illness and endeavor to understand them from the viewpoint of "wisdom of illness", which means going beyond the framework offered by medical professionalism.

• 日本医学哲学・倫理学会の論文
• 2005-10-26

著者

• 安藤 泰至

  鳥取大学医学部

関連論文

• 話題提供1.心理療法とスピリチュアリティ : 宗教と心理学をめぐる宗教学的考察(宗教心理学を考える,テーマセッション2,2008年度学術大会・テーマセッション記録)
• 越境するスピリチュアリティ : 諸領域におけるその理解の開けへ向けて(生命・死・医療)
• 趣旨説明(宗教と心理療法の相互内在性-宗教哲学的・思想史的観点から-,テーマセッション3,2005年度学術大会・テーマセッション記録)
• 「病いの知」の可能性 : プロフェッショナリズムを超えて
• 「人間の生の尊厳」への問い直し
• セッションの趣旨(臓器移植と人間文化-医学・医療vs宗教文化という二元論を超えて,テーマセッション4,2010年度学術大会・テーマセッション記録)
• 報告1 臓器移植と宗教文化 : 本当の問題はどこにあるのか?(臓器移植と人間文化-医学・医療vs宗教文化という二元論を超えて,テーマセッション4,2010年度学術大会・テーマセッション記録)
• 清水哲郎監修, 岡部健・竹之内裕文編, 『どう生き どう死ぬか-現場から考える死生学-』, 弓箭書院, 2009年5月刊, B6判, 279頁, 2,100円(書評とリプライ)

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