(生命结束时)紧张的时间

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alex Broom , Katherine Kenny , Nadine Ehlers , Henrietta Byrne , Phillip Good
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引用次数: 0

摘要

也许在我们的文化想象中最宝贵的资产是时间。然而,这种“时间即资产”的观念会加剧,会受到质疑,而且往往会在生命的尽头偏离轨道。当面对死亡时,时间可以变成很多东西,包括个人和人际的资产和负债。将时间和死亡的概念纳入重点,本文借鉴了定性访谈15人接近死亡在澳大利亚专科姑息治疗单位。我们研究了时间的规范期望及其在他们的生活经历中的解开,这些发现是至关重要的,因为接近死亡的时间尚未得到广泛研究。我们考虑了五个关键主题,“随时间推移的代理和身体衰退”,“协商死亡时间”,“等待的关系支持”,“抵制预测时间”和“等待的成本”,所有与时间和时间的关系,都以不同的方式编织在人们对生命终结的叙述中。这些主题强调了时间和代理之间的联系,快速和有时无休止的缓慢的并列,以及忙碌和麻痹如何在死亡实践中发挥关键作用。与将时间视为一种“好东西”的典型表现形成鲜明对比的是,尤其是在接近死亡的时候,更多关于“及时死亡”的细致描述出现了,突出了我们所有人共同面对(生命/时间)终结时的紧张、麻烦和活力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tensions of time at the end (of life)
Perhaps the most valuable asset in our cultural imaginary is time. Yet, this notion of time-as-asset intensifies, is contested, and is often derailed at the end of life. When faced with death, time can become many things, including both personal and interpersonal asset and liability. Bringing the concept of time and dying into focus, this paper draws on qualitative interviews with 15 people nearing death in an Australian specialist palliative care unit. We examine the normative expectations of time and its unravellings in their lived experiences, findings which are critical given time near death has not been extensively studied. We consider five key themes, ‘agency and physical decline across time’, ‘negotiating the time of death’, ‘the relational affordances of waiting’, ‘resisting prognostic time’, and ‘the cost of waiting’, all relations to and in time, that were variously woven through people's accounts of the end of life. These themes highlight connections between time and agency, juxtapositions of swiftness and sometimes interminable slowness, and how busyness and paralysis play crucial roles in the practices of dying. Sitting in stark contrast to the rather typical representation of time as a ‘good’ to be protected or used ‘well’, especially close to death, more nuanced accounts of dying-in-time emerge, highlighting tensions, troubles, and vitalities as we all collectively confront the end (of life/time).
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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