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AN00150430-00000097-0013.pdf
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Title |
Title |
現代医療・医学における希望問題 : デス・エデュケーション,ターミナル・ケア,精神神経免疫学
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Kana |
ゲンダイ イリョウ・イガク ニ オケル キボウ モンダイ : デス・エデュケーション, ターミナル・ケア, セイシン シンケイ メンエキガク
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Romanization |
Gendai iryo igaku ni okeru kibo mondai : desu edyukeshon, taminaru kea, seishin shinkei menekigaku
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Problem concerning hopes in medicine and medical care in the modern Japan
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西村, 義人
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ニシムラ, ヨシヒト
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Romanization |
Nishimura, Yoshihito
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Affiliation |
慶應義塾大学文学部
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三田哲學會
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ミタ テツガクカイ
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Romanization |
Mita tetsugakukai
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1994
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哲學
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97
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1994
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7
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Start page |
13
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End page |
40
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Abstract |
In this paper, the author review comments concerning hopes which are described in the literature (including Japanese-translated foreign literature) about the medicine and medical care in the modern Japan, and make it clear in the following two parts that hopes play a major role at every stage of diseases. (1) On the basis of the psychoneuroimmunological finding that hope has immunological effects, there is a therapy incorporating invoking patient's hopes. For example, in Simonton-approach, a therapist tries to share with a patient with cancer a hope that hoping recovery enhances recovery. In this approach, a mental imagery to visualize recovery plays an important role as a method for invoking hopes. However, of course, there is a slight possibility of disappointment, therefore mental care based on the following philosophy of hope is necessary. "An hope having no possibility of disappointment is not a true hope." (2) Elisabeth Kiibler-Ross says that when a patient's hope changes into a hope of life after death, those around the patients do their best to listen to and strengthen the patient's hope. Considering a hope for eternal life in heaven to be one of the subjects of death education, Alfons Deeken says 'that we can visualize heaven by means of imagination, as Jesus Christ did. Therefore, visualization would be one of the methods for strengthening patient's hopes. As seen from the two considerations above-mentioned, hopes accompanied by imagination prove their true merits on medical care work.
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Table of contents |
序
I. ターミナル・ケアとデス・エデュケーションにおける希望
I-1. 患者の希望の段階
I-2. 患者の希望への応答
I-3. 「死を超える希望」と想像力
II. 希望と精神神経免疫学(PNI)
II-1. キュアとしての「希望喚起」
II-2. キュアの基礎としての,希望の人生哲学的ケア
結語
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