著者

松島 哲久

出版者

関西倫理学会

雑誌

倫理学研究 (ISSN:03877485)

巻号頁・発行日

vol.47, pp.54, 2017 (Released:2018-03-15)

著者

松島 哲久

出版者

大阪薬科大学

雑誌

大阪薬科大学紀要 = Bulletin of Osaka University of Pharmaceutical Sciences

巻号頁・発行日

no.1, pp.65-73, 2007

著者

松島 哲久

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.18, pp.182-188, 2000-12-15 (Released:2018-02-01)

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In this paper, I first argue from the viewpoint of philosophy that the patient's body cannot be sufficiently comprehended by the logic of the biological mechanism. In order to make this point clear, I criticize the philosophical stand of the biological mechanism. Firstly, the position of the biological mechanism views a patient's body as an object of the world, so it cannot comprehend the reality lived by the body of patient. The patient's body, the biological mechanism reveals, is an anonymous body, not the proper living body of the patient. The biological mechanism lacks the perspective of individuality. Secondly, the understanding of disease of the biological mechanism is that of being-already-objectified, so it always remains in the past aspect of time. It lacks historicity and timeness and thus ignores the life history of the patient. Following the critical argument of the biological mechanism in modern medicine I propose a new comprehension of illness. It considers the patient's body as the milieu of the auto-expression of the patient's existential suffering. The comprehension of the patient's body should be that from the viewpoint of the unity of mind and body. Moreover, taking into consideration the relationship between medical staff and the patient, the patient's body should be understood as the body-aspair (interbodility). The patient's body reflects the body of medical staff, and reciprocally the latter reflects the former. They both form the intersubjectivity and then make themselves open into the world. So we should also understand the patient's body in the socio-cultural context. Thirdly, I propose the understanding of the body as sign/metaphor. It represents the semantics of illness. I insist upon the necessity of the hermeneutics of illness to understand the meaning the patient's body auto-expresses. The metaphor of the body bears both the meaning of discrimination and the religious-symbolic meaning. So the medical staff should transcend the discriminative meaning of the patient's body to its sacred meaning. Lastly, I argue the importance of the stand of ethics. The medical staff should constantly come face to face with the patient. We need to realize the patient's rights in accordance with the patient's actual body.

著者

松島 哲久

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.16, pp.186-187, 1998-10-01 (Released:2018-02-01)

著者

松島 哲久

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.10, pp.46-56, 1992-10-23 (Released:2018-02-01)

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The aim of this paper is to look for the ways the medicine of today might take root in the fundamentals of life, that is, in terms of environmental ethics. Highly technological medicine should be grounded in such fundamentals if it wants to be medicine for human beings. But in order to reach this goal we must consider the ambiguity that is intrinsic in bioethics. On the one hand, the historical current of ethics, according to R. F. Nash, is irreversibly expanding, taking the relevance of ethics out of itself and beyond its egocentric viewpoint. Bioethics should be also placed in this stream, so as to admit the rights of nonhuman beings. On the other hand, applications of high medical technologies cause us to restrict the boundaries of our humanity, and this brings about various difficult problems for bioethics. We should attempt to get over these difficulties by proposing a new medical system based on a self-organizing system. It must be open to all other social systems and would make possible the fundamental communication between the self and the other. To realize this system, I think, it is necessary to establish a new ontology that requires us to transcend anthropocentric ethics and to discover the continuity between nature and humanity.

著者

松島 哲久

出版者

大阪薬科大学

雑誌

大阪薬科大学紀要

巻号頁・発行日

no.1, pp.65-73, 2007