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Extra resources for The Nature of the Doctor-Patient Relationship: Health Care Principles through the phenomenology of relationships with patients
Why enter a relationship with a doctor? Is it only because the doctor possesses specialised knowledge? Or is it for something more? 48 Eric Cassell cleverly points out that the relationship does not require a doctor; nurse, shaman, or anyone in the role of healer can be substituted. , The Patient-Physician Relation, p. 2. , ‘‘Medicine, The Pursuit of Wealth’’, in The Hastings Centre Report, vol. 28, no. 1, Jan–Feb 1998, p. 11. 47 Idem. 48 Such admiration can be seen for example in that given to Mother Theresa, notwithstanding her religious position.
Man’s being-in-the-world is often appealed to. Man’s phenomenology is presented (to him), as it were, in the state he finds himself in the world. Heidegger,33 indeed, describes the existential fact of Dasein34 (the being which sees itself in itself) as Being-in-the-world. , All these ways of Being-in have concern35 as their kind of Being. The expression concern is used as an ontological term for ‘‘existentiale’’—the existential nature of Being-in-the-world is ‘concern’. ’’37 Dasein, when understood ontologically is care; since Being-in-the-world belongs essentially to Dasein, its Being towards the world is essentially concern.
P. 212. , ‘‘An Anglican View of the Four Principles’’, in Principles of Health Care Ethics, p. 61. 101 42 3 Phenomenological Roots of Principles describes a case of an old gentleman admitted with the diagnosis ‘‘sick old man’’. 105 Nonmaleficence is thus a consequence of the act of beneficence. 106 Although the nature of medicine has changed with the accumulation of scientific knowledge, the fact that someone approaches a physician with trust has not changed. 108 Nonmaleficence is a result of this virtue to act beneficently and is expressed more clearly in the virtue of trustworthiness.