4.1 Article

The phenomenon of vulnerability in clinical encounters

期刊

HUMAN STUDIES
卷 29, 期 3, 页码 283-294

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SPRINGER
DOI: 10.1007/s10746-006-9028-3

关键词

clinical encounter; asymmetry; power; vulnerability; method; evidence

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After a brief, personal reflection on Aron Gurwitsch's life and his many influences on my career, I devote this lecture to some of the central themes of a phenomenology of medicine. Its core is the clinical encounter, which displays a certain structure I term the asymmetry of power (physician) and vulnerability (patient, family)-a complex contextual imbalance characterized by multiple points of view, hence points for reflective entrance. These are then interpreted phenomenologically in terms of epoche and reduction (practical distantiation), evidence, reflection, and other related themes. I conclude with a suggestion about the fundamental method of phenomenology, free fantasy variation.

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