相互依存的宣言。

M. Carroll
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That to help ill people return to the whole, hospitals and health care systems are instituted among communities, deriving their sacred authority from the confidence of the sick; that whenever any hospital or health care system recklessly segregates the sick, it is the obligation of healers to change or abandon it, and to organize new centers and systems of healing that remain faithful to the basic precepts of compassionate caring and interdependence. Convention and financial comfort, no doubt, will prevent the radical revision of ailing medical systems without just cause. Nonetheless, when a record of spiritless policies clearly evidences apathy instead of empathy in the health care system, it is healers' moral duty to disavow such callous indifference, and refocus professional attention on the heart and soul of caring. Such has been the sad witness of contemporary physicians and healers from many traditions; and such are now the circumstances that press them to reassert the primary place of charity and kindness in the healing professions. \n \nThe recent history of the current health care system is one of repeated assaults against the commitment to compassion. To demonstrate this, let harsh realities be reviewed by a disillusioned world: \n \n \n \nThe health care system places money before people. Witness the emphasis on consumerism rather than caring, the refusal of some facilities to treat the indigent and the uninsured, the motivation of corporations to profit from illness and despair. \n \n \nThe health care system studies instead of believes. Notice how physicians invoke science to prove the worthiness of compassion, how researchers search for statistics that social support improves outcomes, how concerns over resource allocation have silenced the spirit of charity in contemporary healing. \n \n \nThe health care system seeks control over diverse traditions, not integration with them. Acknowledge that much interest to integrate “alternative” healing practices followed surveys showing widespread use of such practices, that some new clinics juxtapose healing traditions without considering whether different traditions should be integrated, that academicians subject alternative traditions to standard statistical analysis when assessing outcomes and efficacy. \n \n \nThe health care system embraces an ethic of selfish separation, not one of community and interdependence. See the distrust doctors harbor of “non-compliant” patients, the personal frustration physicians express when illnesses do not respond to prescribed treatments, the uncompromising drive of conventional medicine to label individuals diseased without due attention to other, more social senses of being. \n \n \n \n \n \n \nAlthough aware of these transgressions, we have, thus far, only feebly petitioned for change. Disaffection with the current system causes many healers to leave their professions rather than publicly advocate for improvement. This inability to stridently defend what we should hold most dear questions our commitment to sick people and healing. \n \nNor have we shown great vision in shaping a model of integrated care for ill people. We should have decried the incursion of business into alternative health care, asking our leaders, and ourselves, why sick people seek alternative health care instead of how much they are willing to spend on it. Our innate sense of compassion, not our learned savvy for consumer trends, must guide us in efforts to integrate our diverse histories. We have, for too long, grown deaf to the voice of suffering rising from the depths of illness. We must, if we are to aspire to good and honorable healing, relearn the art of listening, and reaffirm our fundamental commitment to caring. \n \nWe, therefore, representatives of the moral outrage of the healing professions, recognizing the urgent need to defend our histories of compassion and selflessness in healing, do solemnly publish and declare that sick people, healers, and healing traditions are interdependent; that kindness and charity are not hypotheses to be proven but values to be cherished; that healing rituals rooted in culture are not techniques to be integrated but heritages to be respected; that all people, no matter their financial fortunes, are entitled to compassion when they become sick; and, that all healers, no matter their traditions, are responsible for helping the sick in their journey to re-experience the whole. And, for the support of this declaration, with a resolute reverence for the presence of divine mystery in our lives, we pledge to those who are sick, and to each other, our hearts, our histories, and our sincere humility.","PeriodicalId":22925,"journal":{"name":"The Western journal of medicine","volume":"51 1","pages":"66"},"PeriodicalIF":0.0000,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"A declaration of interdependence.\",\"authors\":\"M. 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引用次数: 4

摘要

为了健康的利益,来自多种传统的治疗师有必要放弃侵蚀他们集体医疗保健的自恋,并在日益增长的人际贪婪中重新承担起大自然及其创造者召唤他们的无私和服务型工作站,对病人的深切同情迫使他们宣布他们共同的治疗愿景。我们认为这些真理是不言而喻的,所有的人都是一个相互依存的整体;这种疾病体现了与整体的隔绝;生病的人在追求重新体验整体的过程中有权得到善良、同情和无可指责的慈善。为了帮助病人回归整体,医院和卫生保健系统在社区中建立起来,它们的神圣权威来自于病人的信任;每当任何医院或医疗保健系统肆意隔离病人时,治疗师有义务改变或放弃这种做法,并组织新的治疗中心和治疗系统,这些中心和系统仍然忠实于慈悲关怀和相互依存的基本原则。毫无疑问,在没有正当理由的情况下,惯例和经济上的舒适将阻止对境况不佳的医疗体系进行激进的改革。尽管如此,当一份毫无生气的政策记录清楚地证明了医疗保健系统的冷漠而不是同情时,治疗师的道德责任是否认这种无情的冷漠,并将专业注意力重新集中在关怀的核心和灵魂上。这就是来自许多传统的当代医生和治疗师的悲惨见证;现在的情况迫使他们重申慈善和仁慈在治疗职业中的首要地位。当前医疗体系的近期历史是对同情承诺的一次又一次攻击。为了证明这一点,让一个幻想破灭的世界来审视严酷的现实:卫生保健系统把钱放在人的前面。我们见证了对消费主义而非关怀的强调,一些机构拒绝为穷人和没有保险的人提供治疗,企业从疾病和绝望中获利的动机。医疗保健系统研究而不是相信。请注意,医生如何援引科学来证明同情的价值,研究人员如何寻找社会支持改善结果的统计数据,对资源分配的担忧如何压制了当代治疗中的慈善精神。卫生保健系统寻求控制不同的传统,而不是与它们融合。承认在调查显示“替代”治疗方法被广泛使用之后,人们对整合这种治疗方法产生了浓厚的兴趣;承认一些新的诊所并没有考虑不同的治疗传统是否应该整合;承认在评估结果和疗效时,学者们对替代传统进行了标准的统计分析。医疗保健系统奉行的是自私分离的伦理,而不是社区和相互依存的伦理。看看医生对“不服从”病人的不信任,医生对处方治疗没有反应时的个人沮丧,传统医学不妥协地给病人贴上疾病的标签,而没有适当关注其他更社会的存在感。尽管我们意识到这些违法行为,但到目前为止,我们只是微弱地请求改变。对现行制度的不满导致许多治疗师离开他们的职业,而不是公开提倡改进。这种无法尖锐地捍卫我们最珍视的东西的无能质疑了我们对病人和治疗的承诺。我们在塑造病人综合护理模式方面也没有表现出伟大的远见。我们应该谴责企业对替代医疗保健的入侵,问问我们的领导人和我们自己,为什么病人要寻求替代医疗保健,而不是他们愿意花多少钱。我们与生俱来的同情心,而不是我们对消费趋势的了解,必须引导我们努力整合我们不同的历史。长久以来,我们对从疾病深处发出的痛苦的声音充耳不闻。如果我们渴望获得良好而光荣的治疗,我们必须重新学习倾听的艺术,并重申我们对关怀的基本承诺。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A declaration of interdependence.
When, in the interest of wellness, it becomes necessary for healers from multiple traditions to renounce the narcissism eroding their collective health care, and to re-assume, in the midst of growing interpersonal greed, the selfless and service-oriented station to which nature and its Creator call them, a deep empathy for sick people compels them to declare their shared vision of healing. We hold these truths to be self-evident, that all people are born to an interdependent whole; that illness embodies isolation from the whole; that ill people are entitled to kindness, compassion, and blameless charity in their pursuit to re-experience the whole. That to help ill people return to the whole, hospitals and health care systems are instituted among communities, deriving their sacred authority from the confidence of the sick; that whenever any hospital or health care system recklessly segregates the sick, it is the obligation of healers to change or abandon it, and to organize new centers and systems of healing that remain faithful to the basic precepts of compassionate caring and interdependence. Convention and financial comfort, no doubt, will prevent the radical revision of ailing medical systems without just cause. Nonetheless, when a record of spiritless policies clearly evidences apathy instead of empathy in the health care system, it is healers' moral duty to disavow such callous indifference, and refocus professional attention on the heart and soul of caring. Such has been the sad witness of contemporary physicians and healers from many traditions; and such are now the circumstances that press them to reassert the primary place of charity and kindness in the healing professions. The recent history of the current health care system is one of repeated assaults against the commitment to compassion. To demonstrate this, let harsh realities be reviewed by a disillusioned world: The health care system places money before people. Witness the emphasis on consumerism rather than caring, the refusal of some facilities to treat the indigent and the uninsured, the motivation of corporations to profit from illness and despair. The health care system studies instead of believes. Notice how physicians invoke science to prove the worthiness of compassion, how researchers search for statistics that social support improves outcomes, how concerns over resource allocation have silenced the spirit of charity in contemporary healing. The health care system seeks control over diverse traditions, not integration with them. Acknowledge that much interest to integrate “alternative” healing practices followed surveys showing widespread use of such practices, that some new clinics juxtapose healing traditions without considering whether different traditions should be integrated, that academicians subject alternative traditions to standard statistical analysis when assessing outcomes and efficacy. The health care system embraces an ethic of selfish separation, not one of community and interdependence. See the distrust doctors harbor of “non-compliant” patients, the personal frustration physicians express when illnesses do not respond to prescribed treatments, the uncompromising drive of conventional medicine to label individuals diseased without due attention to other, more social senses of being. Although aware of these transgressions, we have, thus far, only feebly petitioned for change. Disaffection with the current system causes many healers to leave their professions rather than publicly advocate for improvement. This inability to stridently defend what we should hold most dear questions our commitment to sick people and healing. Nor have we shown great vision in shaping a model of integrated care for ill people. We should have decried the incursion of business into alternative health care, asking our leaders, and ourselves, why sick people seek alternative health care instead of how much they are willing to spend on it. Our innate sense of compassion, not our learned savvy for consumer trends, must guide us in efforts to integrate our diverse histories. We have, for too long, grown deaf to the voice of suffering rising from the depths of illness. We must, if we are to aspire to good and honorable healing, relearn the art of listening, and reaffirm our fundamental commitment to caring. We, therefore, representatives of the moral outrage of the healing professions, recognizing the urgent need to defend our histories of compassion and selflessness in healing, do solemnly publish and declare that sick people, healers, and healing traditions are interdependent; that kindness and charity are not hypotheses to be proven but values to be cherished; that healing rituals rooted in culture are not techniques to be integrated but heritages to be respected; that all people, no matter their financial fortunes, are entitled to compassion when they become sick; and, that all healers, no matter their traditions, are responsible for helping the sick in their journey to re-experience the whole. And, for the support of this declaration, with a resolute reverence for the presence of divine mystery in our lives, we pledge to those who are sick, and to each other, our hearts, our histories, and our sincere humility.
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