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Shades of hope: Marcel’s notion of hope in end-of-life care
Medicine, Health Care and Philosophy ( IF 2.3 ) Pub Date : 2021-06-25 , DOI: 10.1007/s11019-021-10036-1
Marta Szabat 1 , Jeanette Bresson Ladegaard Knox 2
Affiliation  

This article examines the compatibility and relevance of Gabriel Marcel’s phenomenology of hope in interdisciplinary research on the role of hope in end-of-life (EOL) care. Our analysis is divided into three thematic topics which examine the various shades of hope observed in Marcel’s phenomenology of hope and in the collection of 20 EOL studies on hope as experienced by adult palliative care (PC) patients, health care professionals (HCP) and parents of terminally ill children. The three topics defining the shades of hope are: the meaning of hope in its dynamic aspects, the dialectics of hope and despair, and the transcendent facets of hope. We analyse how Marcel’s understanding of hope is reflected in EOL studies, and how this perception can enrich the philosophy of PC and significantly deepen and broaden HCPs’ understanding of hope. Our findings prove that despite terminological differences between Marcelian phenomenology and the concepts of hope in the 20 EOL studies, hope emerges as a resourceful movement towards being. Implementing Marcelian hope within communication in EOL care could help in HCPs’ interpersonal approach to patients as his concept harbors a holistic perception of the existential situation of a person. Equally, introducing Marcel’s phenomenology of hope into the clinical encounter could play a beneficial role in improving the ability of patients to adapt to the difficult conditions of their disease and PC treatment.



中文翻译:

希望的阴影:马塞尔对临终关怀的希望概念

本文探讨了加布里埃尔·马塞尔的希望现象学在关于希望在临终 (EOL) 护理中的作用的跨学科研究中的兼容性和相关性。我们的分析分为三个主题,检查在马塞尔的希望现象学中观察到的各种希望,以及成人姑息治疗 (PC) 患者、医疗保健专业人员 (HCP) 和父母所经历的关于希望的 20 项 EOL 研究的集合身患绝症的儿童。定义希望阴影的三个主题是:希望在动态方面的意义,希望与绝望的辩证法,以及希望的超越方面。我们分析了 Marcel 对希望的理解如何反映在 EOL 研究中,以及这种理解如何丰富 PC 的哲学并显着加深和拓宽 HCP 对希望的理解。我们的研究结果证明,尽管在 20 项 EOL 研究中 Marcelian 现象学和希望概念之间存在术语差异,但希望作为一种资源丰富的运动走向存在。在 EOL 护理的沟通中实施 Marcelian 希望有助于 HCP 对患者的人际交往方式,因为他的概念包含对一个人生存状况的整体感知。同样,将 Marcel 的希望现象学引入临床可以在提高患者适应疾病和 PC 治疗困难条件的能力方面发挥有益作用。在 EOL 护理的沟通中实施 Marcelian 希望有助于 HCP 对患者的人际交往方式,因为他的概念包含对一个人生存状况的整体感知。同样,将 Marcel 的希望现象学引入临床可以在提高患者适应疾病和 PC 治疗困难条件的能力方面发挥有益作用。在 EOL 护理的沟通中实施 Marcelian 希望有助于 HCP 对患者的人际交往方式,因为他的概念包含对一个人生存状况的整体感知。同样,将 Marcel 的希望现象学引入临床可以在提高患者适应疾病和 PC 治疗困难条件的能力方面发挥有益作用。

更新日期:2021-06-28
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