痛苦的存在范围:用于评估强度和耐受性的概念和道德评价
1Human Flourishing Program, Harvard University Institute for Quantitative Social Science, Cambridge, Massachusetts, USA charlotteduffee@fas.harvard.edu.
Journal of medical ethics
|July 20, 2023
概括
这项研究介绍了暴力经历之外的更广泛的痛苦范围,为了解和测量临床环境中患者的痛苦提供了一个新的框架.
科学领域:
- 医学哲学 医学哲学
- 临床心理学 临床心理学
- 痛苦的现象学 痛苦的现象学
背景情况:
- 领先的痛苦医学理论往往只关注暴力经历.
- 最近的一篇批评强调了这种狭的重点,但缺乏具体的反例.
- 了解痛苦的全部范围对于有效的临床评估至关重要.
研究的目的:
- 捍卫对领先的医学痛苦理论中狭的关注的批评.
- 为了提供一个被忽视的痛苦经验的反例.
- 将这个反例扩展到痛苦的范围及其可容忍性.
主要方法:
- 对最近的临床病例进行分析.
- 对痛苦的智力历史的检查.
- 根据受影响的自我和目的,开发一个概念上的痛苦谱.
主要成果:
- 提出了对医学领先的痛苦理论的一个反例.
- 提出了一系列的痛苦,根据受影响的自我和目的而有所不同.
- 痛苦的承受能力与情感强度有所区别.
结论:
- 拟议的光谱提供了对痛苦的更全面的理解.
- 从强度区分耐受性对临床评估有影响.
- 这些发现可以提高痛苦测量仪器的心理测量可靠性.
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