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Psychosomatic medicine and the philosophy of life

机译:心身医学与生活哲学

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摘要

Basing ourselves on the writings of Hans Jonas, we offer to psychosomatic medicine a philosophy of life that surmounts the mind-body dualism which has plagued Western thought since the origins of modern science in seventeenth century Europe. Any present-day account of reality must draw upon everything we know about the living and the non-living. Since we are living beings ourselves, we know what it means to be alive from our own first-hand experience. Therefore, our philosophy of life, in addition to starting with what empirical science tells us about inorganic and organic reality, must also begin from our own direct experience of life in ourselves and in others; it can then show how the two meet in the living being. Since life is ultimately one reality, our theory must reintegrate psyche with soma such that no component of the whole is short-changed, neither the objective nor the subjective. In this essay, we lay out the foundational components of such a theory by clarifying the defining features of living beings as polarities. We describe three such polarities:1) Being vs. non-being: Always threatened by non-being, the organism must constantly re-assert its being through its own activity.2) World-relatedness vs. self-enclosure: Living beings are both enclosed with themselves, defined by the boundaries that separate them from their environment, while they are also ceaselessly reaching out to their environment and engaging in transactions with it.3) Dependence vs. independence: Living beings are both dependent on the material components that constitute them at any given moment and independent of any particular groupings of these components over time.We then discuss important features of the polarities of life: Metabolism; organic structure; enclosure by a semi-permeable membrane; distinction between "self" and "other"; autonomy; neediness; teleology; sensitivity; values. Moral needs and values already arise at the most basic levels of life, even if only human beings can recognize such values as moral requirements and develop responses to them.
机译:我们以汉斯·乔纳斯(Hans Jonas)的著作为基础,为心身医学提供一种超越心身二元论的生活哲学,自十七世纪欧洲现代科学问世以来,二元论一直困扰着西方思想。当今对现实的任何描述都必须利用我们所了解的关于有生命和无生命的一切。由于我们自己是生物,因此从我们的第一手经验中我们知道活着意味着什么。因此,我们的生活哲学,除了从经验科学告诉我们有关无机和有机现实的内容开始之外,还必须从我们自己对自己和他人的生活直接体验中开始;然后可以显示两者如何在生物中相遇。由于生命最终是一种现实,因此我们的理论必须使心理与躯体重新融合,以使整体的任何组成部分都不会短缩,无论是客观的还是主观的。在本文中,我们通过阐明生物作为极性的定义特征,为这一理论奠定了基础。我们描述了三种这样的极性:1)存在与非存在:生物总是受到非存在的威胁,因此生物必须通过自身的活动不断地重新确立其存在。2)与世界相关与自我封闭:生物是两者都被自身包围着,由将它们与周围环境分隔开来的边界所定义,同时它们也不断地与周围环境接触并与周围环境进行交易。3)依赖与独立:生物都依赖于物质组成部分然后在任何给定时刻将它们组成,并且与这些成分的任何特定组无关。然后,我们讨论了生活两极分化的重要特征:新陈代谢;有机结构用半透膜包封; “自我”与“他人”之间的区别;自治;需求目的论灵敏度;价值观。道德需求和价值观已经出现在生活的最基本层面上,即使只有人类才能将这种价值观视为道德需求并对其做出回应。

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