By S. Kay Toombs
ISBN-10: 0792324439
ISBN-13: 9780792324430
ISBN-10: 9401126305
ISBN-13: 9789401126304
A PHENOMENOLOGICAL technique My curiosity in exploring the character of the patient's and the physician's knowing of disorder has grown out of my very own event as a a number of sclerosis sufferer. In discussing my affliction with physicians, it has frequently looked as if it would me that we have got been in some way conversing at pass reasons, discussing various things, by no means really achieving each other. This lack of ability to speak doesn't, for the main half, end result from inatten tiveness or insensitivity yet from a basic war of words concerning the nature of affliction. instead of representing a shared fact among us, sickness represents particularly unique realities - the that means of 1 being considerably and distinctively diversified from the that means of the opposite. during this paintings I shall recommend that mental phenomenology presents the skill to ascertain the character of this basic confrontation among doctor and sufferer in a rigorous fashion.! particularly, mental phenomenology discloses the style within which the of his or her event. person constitutes the that means In delivering a phenomenological description,2 the phenomenologist is dedicated to the trouble to start with what's given in rapid ex perience, to tum to the basic gains of what offers itself because it offers itself to cognizance, and thereby to elucidate the constitutive job of awareness and the sense-structure of experiencing.
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Extra resources for The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient
Example text
As has been noted, one of the difficulties inherent in patient-physician communication arises from the fact that illness in its immediacy is a subjective (inner) experience. Consequently, it is not easy for patients to communicate this experience to others. In particular, it is often hard for patients to give an account of their illness according to the units of the objective time scale. This difficulty leads to the distrust of the patient as a reliable narrator and the patient's experience is bypassed in favor of what is taken to be a more "objective" rendering of the disease state.
In revealing the primacy of lived experience over and above any subsequent theoretical scientific account of such experience, the phenomenological account discloses the validity of the patient's subjective experience of illness. Critics of modern medicine argue that such subjective experience on the part of the patient is often discounted as unreliable and treated as "soft data" to be essentially ignored in favor of the "hard," objective, quantitative data of laboratory tests, x-rays, and so forth (Schwartz and Wiggins, 1985; Engel, 1977b; Baron, 1985; Donnelly, 1986).
As a skeleton, brain, nerve endings, and so forth). It is only if I conceive of my body as an object (in Sartre's terms, as a "being-for-others") that I apprehend it as a malfunctioning physiological organism. "Disease" represents such objectification. " Furthermore, this conception of "disease" incorporates the knowledge of a certain objective nature possessed by the stomach: I know that it has the shape of a bagpipe, that it is a sack, that it produces juices and enzymes, that it is enclosed by a muscular tunica with smooth fibres, etc.
The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient by S. Kay Toombs
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