This article offers a conceptual analysis of self-respect and self-esteem that informs the ethics of psychotherapy in palliative care. It is focused on Chochinov’s Dignity Therapy, an internationally recognized treatment offered to dying patients who express a need to bolster their sense of self-worth. Although Dignity Therapy aims to help such patients affirm their value through summarized life stories that are shared with their survivors, it is not grounded in a robust theory of self-respect. There is reason to be skeptical about deathbed narratives, and Dignity Therapy can unintentionally encourage distorted representations at odds with the self-respect it aims to affirm. Dignity therapy can also encourage distortions of self-esteem that are in conflict with self-respect. Although Chochinov does not address it, the distinction between self-respect and self-esteem is relevant to deathbed accounts. Dillon’s feminist revisioning of self-respect can inform the practice of Dignity Therapy by encouraging honest life stories through a reckoning with one’s moral complexity, especially in moral generativity cases where patients seek forgiveness, relate atonement, or present their lives as examples to be followed. Her concept of self-esteem allows for therapeutic benefits that are less demanding, but no less significant, than those derived from a moral reckoning. Appropriate affirmations of self-esteem can provide much-needed solace when self-respect is damaged beyond adequate repair. Dillon’s account of self-respect and self-esteem enables a richer understanding of the kinds of personal evaluation and disclosure that Dignity Therapy accommodates. As such, their place in Dignity Therapy needs more critical evaluation than it has received.

本文提供了自尊和自尊的概念分析，为姑息治疗中心理治疗的伦理提供了信息。它专注于 Chochinov 的尊严疗法，这是一种国际公认的治疗方法，提供给表达需要增强自我价值感的垂死患者。尽管尊严疗法旨在通过与幸存者分享的总结性生活故事来帮助这些患者肯定他们的价值，但它并没有建立在强大的自尊理论基础上。有理由对临终叙述持怀疑态度，而尊严疗法可能会无意中鼓励歪曲的表述，与其旨在肯定的自尊相矛盾。尊严疗法还可以鼓励与自尊相冲突的自尊扭曲。虽然乔奇诺夫没有解决这个问题，自尊和自尊之间的区别与临终记录有关。狄龙对自尊的女权主义修正可以通过考虑一个人的道德复杂性来鼓励诚实的生活故事，特别是在道德生成案例中，患者寻求宽恕、赎罪或将他们的生活作为榜样来效仿，从而为尊严疗法的实践提供信息。她的自尊概念允许的治疗益处比从道德推算中获得的益处要求更低，但同样重要。当自尊受到损害而无法充分修复时，适当地肯定自尊可以提供急需的安慰。狄龙对自尊和自尊的描述使人们能够更深入地了解尊严疗法所适应的个人评估和披露类型。像这样，