スピリチュアルケアの諸相 (1) : 窪寺理論をめぐって (北川紀男教授退任記念号)

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概要

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• In this paper, theory of spiritual care by Toshiyuki Kubotera, in conjunction with his concepts of spiritual pain, and of spiritualitys discussed. In the first section, Kubotera's theoretical distinction between spiritual pain, on the one hand, and religious and psychological pain, on the other, is critically examined. It is present author's opinion, from his clinical experiences as professional spiritual care provider in Buddhist tradition, that the patient's inner experiences cannot be divided. In clinical care setting we may need to free ourselves from Kubotera's framework. Kubotera argues that "crisis of death" leads to the awakening of the spirituality. He pointed out two foci of the awakening, namely "Transcendental others" and "the ultimate self". Shin Buddhism, however, teaches us that these foci are not mutually exclusive. By knowing one, the other emerges.. In the second section, Kubotera's two types of spiritual care are discussed: they are "problem solving-type" and "support-type". He empathizes "acceptance/listening/empathy" as the skills required for the spiritual care providers. It seems to be more appropriate to have substantial discussion of psychological and spiritual burden on the part of the care provider who works with those skills. The third section deals with spiritual care practices in Japanese medicine. Educational program for professional spiritual care providers, which is led by Kubotera and his colleagues, is introduced. Because non-religious hospital (Fuchu Hospital) and hospital of municipal government (Sakai Municipal Hospital) are the training sites for this program, his efforts are regarded as models through which spiritual care practice will increase in general hospitals in Japan in the future. It is this paper's intention to examine Kubotera's theory in order to clarify its potentiality for the development of spiritual care in Japan. Although the present author was able to put some critical comments, there is no doubt that Kubotera is one of Japan's frontier practitioners and theorists of spiritual care.

• 2011-03-28

著者

• 打本 弘祐

  桃山学院大学社会学研究科

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