"总体疼痛":敬畏和重新考虑
1Lyle S. Hallman Faculty of Social Work, Wilfrid Laurier University, Kitchener, ON, Canada.
Frontiers in sociology
|December 11, 2023
概括
塞西莉·桑德斯女士在息治疗中对总疼痛的概念是多维的. 这篇论文重新探讨了患者对死亡的心理反应的作用,表明了患者和临床医生的潜在的无意病理化.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 心理社会瘤学
背景情况:
- 西西莉·桑德斯女士的"总疼痛" (或"总痛苦") 概念是息护理的基础.
- 桑德斯在社会工作,护理和医学方面有着独特的背景,他认为痛苦是多维的:身体,心理,情感,社会,精神和存在.
- 这个概念在当代息护理中仍然非常相关和受尊敬.
研究的目的:
- 重新考虑与患者对死亡的"心理反应"相关的"总体疼痛"方面.
- 检查对桑德斯作品这一方面的社会历史影响,包括她的基督教信仰和维克多·弗兰克尔.
- 探索这一方面的潜力,无意地病理化患有持续痛苦的患者和努力提供救济的临床医生.
主要方法:
- 对西西莉·桑德斯女士从20世纪50年代末到21世纪初的著作进行分析.
- 在10年的时间里,一个宿舍社会工作者的临床经验.
- 使用匿名患者故事的案例研究方法.
主要成果:
- 这篇论文详细介绍了将"精神反应"视为"总疼痛"的关键组成部分的历史发展和影响.
- 临床事表明,当痛苦难以治愈时,这种关注可能无意中使患者和临床医生病态化.
- 这表明需要对桑德斯模型的这个特定元素进行尊重的重新考虑.
结论:
- 虽然桑德斯的贡献是无价的,但在"总疼痛"中强调"心理反应"需要进行批判性的重新评估.
- 息护理理念和实践可能受益于一种细微的方法,避免病理化持续的痛苦.
- 对桑德斯遗产的崇敬与批判性调查的平衡对于促进息治疗的进步至关重要.
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