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The Meaning of Illness : A Phenomenological Account of the Different Perspectives of Physician and Patient - S.Kay Toombs

The Meaning of Illness

A Phenomenological Account of the Different Perspectives of Physician and Patient

Hardcover Published: 31st May 1992
ISBN: 9780792315704
Number Of Pages: 165

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This work provides a phenomenological account of the experience of illness and the manner in which meaning is constituted by the patient and the physician. Rather than representing a shared reality between doctor and patient, illness represents two quite distinct realities - the meaning of one being significantly and qualitatively different from the meaning of the other. Drawing upon insights derived from psychological phenomenology, the author explores this difference and provides a detailed account of the way in which illness and body are apprehended differently by doctor and patient.
The author considers the implications for medical practice, particularly in terms of achieving successful communication between doctor and patient, providing a comprehensive account of illness, alleviating suffering, and devising maximally effective therapeutic interventions. Consideration is given to ways of developing a shared world of meaning through the use of clinical narrative, empathic understanding and an explicit focus on the lifeworld interpretation of illness.
Awarded the first Edwin Goodwin Ballard Prize in Phenomenology.

Introduction: A Phenomenological Approach
The Separate Worlds of Physician and Patientp. 1
Own Worldp. 1
Common Worldp. 8
Different Perspectives of Physician and Patientp. 10
Implications for Medical Practicep. 25
Illnessp. 31
Levels of Constitution of Meaningp. 31
The Patient's Apprehension of Illnessp. 33
The Physician's Apprehension of the Patient's Illnessp. 39
Implications for Medical Practicep. 42
The Bodyp. 51
The Lived Bodyp. 51
Body as Objectp. 58
Lived Body in Illnessp. 62
Body as Object in Illnessp. 70
The Body-as-Scientific-Objectp. 76
Implications for Medical Practicep. 81
The Healing Relationshipp. 89
Illness-as-Livedp. 90
Empathic Understandingp. 98
Clinical Narrativep. 103
The Healing Relationshipp. 110
Notesp. 121
Bibliographyp. 149
Indexp. 159
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9780792315704
ISBN-10: 0792315707
Series: Philosophy and Medicine
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 165
Published: 31st May 1992
Publisher: Springer
Country of Publication: NL
Dimensions (cm): 22.9 x 15.2  x 1.91
Weight (kg): 0.38