「患者中心」を越える実存的コミュニケーションの可能性

抄録

In the recent trend toward patient's rights, a patient-centered approach has replaced paternalism as a professional-patient relationship. Medical staff organize a care construction based on four moral principles, namely respect for autonomy, beneficence, non-malfeasance, and justice. In particular for terminal care, patients who face their own death exhibit philosophical and religious anxiety. In medical care, this feeling is called spiritual pain. It is an existential, holistic issue that occurs in medical care. Existential philosophers claim that death limits human life though fear and anxiety. But the act of facing death can help human's find subjective truth in their lives. Jaspers thought that to find subjective truth we need existential communication in which there is no restriction and restraint. Existential communication that has a human-human relationship can be a construct of spiritual care and an aid in leading life on an individual basis.