Understanding the Patient

Giovanni Maio

doi:10.5771/9783495817230

Summary

Das Krankwerden vermag den Menschen in eine existenzielle Krise zu stürzen. Die moderne Medizin reagiert darauf mit Naturwissenschaft und perfekter Technik, aber sie lässt den Menschen in seiner Lebenskrise oft allein. Giovanni Maio macht die Einseitigkeit einer naturwissenschaftlich orientierten Medizin deutlich und entwirft eine Ethik in der Medizin, die auf die Kraft der Zuwendung und der Begegnung setzt. Er belegt dies mit Beispielen aus der Praxis. In einer „kleinen Phänomenologie des Krankseins“ zeigt er, wie bei chronischem Schmerz, Krebserkrankungen, Demenz oder in der letzten Lebensphase bei sterbenskranken Patienten Haltungen der Gelassenheit und Demut, der Dankbarkeit und Zuversicht durch eine Medizin der Zwischenmenschlichkeit gefördert werden können.

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Bibliographic data

Copyright year: 2019
ISBN-Print: 978-3-495-48898-0
ISBN-Online: 978-3-495-81723-0
Publisher: Karl Alber, Baden-Baden
Language: English
Pages: 192
Product type: Book Titles

Titelei/Inhaltsverzeichnis No access Pages 1 - 4
Contents No access Pages 5 - 6
Preface No access Pages 7 - 8
Acknowledgments No access Pages 9 - 10
1. Medical practice as an industrial enterprise? No access
2. Good medical practice seeks singular solutions No access
3. Good medical practice demands sensitivity No access
4. Reflection and Synthesis No access
5. Experience and Judgment No access
6. Good Medical Practice: between the art of action and the art of understanding No access
1. 1. Pain as a link between sensory perception and emotion No access
  2. The Totalisation of Adverse Experience No access
  3. Pain as an isolating factor No access
  4. Subjective experience in a medical world of objectivisation No access
  5. A chronic pain patient as a counterexample to an entrepreneurial self No access
  6. Experiencing pain as a personal failure? No access
  7. Captive and yet free – pain as a task to be overcome No access
2. 1. 1. The Diagnosis of Cancer: an abrupt break from normality No access
  2. 2. Loss of control over one’s life No access
  3. 3. Loss of bodily security No access
  4. 4. Farewell to the Reliability of the Future No access
  5. 5. Metamorphosis No access
  6. 6. Recognising hidden resources No access
  7. 7. Re-establishing normality No access
3. 1. The obstructed approach to one’s own history No access
  2. The veil of unfamiliarity No access
  3. The shame of disappointing others No access
  4. The ability to resonate No access
  5. Life in Relation No access
  6. The bodily self No access
  7. Identity founded on relationship No access
4. 1. Autonomy as a creative interaction with dependence No access
  2. A seriously ill person also has potential No access
  3. A Lack of Belief in the Solidarity of Others No access
  4. The socially acknowledged worthlessness of life No access
  5. Conveying affirmation of life as an uncircumventable task of society No access
  6. Assisted suicide as an implicit abrogation of duty by society No access
  7. Privatisation of a social deficiency No access
  8. Towards a culture of recognition and reintegration of the critically ill into society No access
1. 1. What does destiny mean? No access
  2. The human being necessarily discovers what is already there No access
  3. Life means being exposed to what befalls us No access
  4. The modern inability to accept what is predetermined No access
  5. Fate as a task No access
  6. Freedom No access
  7. The Value of Self-Affirmation No access
2. 1. 1. Trust as an assumption of good motives No access
  2. 2. Trust as a blessing and a demand No access
  3. 3. An approach beyond the calculable No access
  4. 4. The Risk of Trust No access
  5. 5. Trust in contrast to a contractual relationship No access
  6. 6. The undermining of trust through economisation No access
  7. 7. The power of trust to foster community No access
3. 1. Hope as a realistic relation to the future No access
  2. Hope as an acknowledgment of the limits of our power to control No access
  3. Hope as not being fixated on something No access
  4. Hope as Patience No access
  5. Hope as an impetus for action No access
  6. Hope as acknowledgement of one’s own vulnerability No access
  7. Hope as trust and understanding of what is meaningful No access
  8. All hope is community No access
4. 1. The importance of understanding using schizophrenia as an example No access
  2. Understanding means seeing the other person No access
  3. Trying to understand from a distance No access
  4. Placing specifics in the context of the whole No access
  5. Understanding means exposing oneself No access
  6. Understanding means spending time No access
  7. Understanding means recognising direction No access
  8. Conclusions for medical practice No access
1. Encounters as the basis for healing No access
2. Overcoming instrumental rationality No access
3. Recognition No access
4. Caring enhances No access
5. Caring transforms No access
6. The significance of conversation No access
7. The significance of listening No access
8. Medical practice as the link between practicality and interpersonal relationship No access
Name Index No access Pages 191 - 192