Abstract
After a brief, personal reflection on Aron Gurwitsch’s life and his many influences on my career, I devote this lecture to some of the central themes of a phenomenology of medicine. Its core is the clinical encounter, which displays a certain structure I term the asymmetry of power (physician) and vulnerability (patient, family)—a complex contextual imbalance characterized by multiple points of view, hence points for reflective entrance. These are then interpreted phenomenologically in terms of epoché and reduction (practical distantiation), evidence, reflection, and other related themes. I conclude with a suggestion about “the fundamental method” of phenomenology, free fantasy variation.
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References
Bosch, G. (1970). Infantile autism: A clinical and phenomenological-anthropological investigation taking language as the guide. New York: G. Springer-Verlag.
Coulter, H. B. (1975). The divided legacy, vol. I. Washington, D.C.: Wehawken.
Edelstein, L. (1967). Ancient medicine. Baltimore: The Johns Hopkins University Press.
Goldstein, K. (1942). Aftereffects of brain injuries in war. New York: Grune & Stratton.
Goldstein, K. (1948). Language and language disturbances. New York: Grune & Stratton.
Grathoff, R. (1989). Philosophers in exile: The correspondence of Alfred Schutz and Aron Gurwitsch, 1939–1959. Bloomington: University of Indiana Press.
Husserl, E. (1950/1960). Cartesian meditations (D. Cairns, Trans.). The Hague: Martinus Nijhoff.
Husserl, E. (1969). Formal and transcendental logic (D. Cairns, Trans.). The Hague: Martinus Nijhoff.
Husserl, E. (1982). General introduction to pure phenomenology. Collected works, vol. 2 (Fred Kersten, Trans.). The Hague: Martinus Nijhoff.
MacIntyre, A. (1981). After virtue. Notre Dame: University of Notre Dame Press.
Marcel, G. (1940/1964). Du refus à l’invocation. Paris: Gallimard. English trans. Marcel, G. Creative fidelity (Robert Rosthal, Trans.). New York: Farrar, Strauss.
Marcel, G. (1951/1951). Le Mystère de l’être, tome I. Paris: Éditions Montaigne. English trans. Marcel, G. The mystery of being, vol. 1 (G. S. Fraser, Trans.). London: Harvill Press.
Pellegrino, E. D. (1983). The healing relationship: The architectonics of clinical medicine. In E. A. Shelp (Ed.), The clinical encounter: The moral fabric of the physician-patient relationship. Boston: D. Reidel Publishing Co.
Polkinghorne, D. (1983). Methodology for the human sciences: Systems of inquiry. Albany: SUNY Press.
Schutz, A., & Luckmann, T. (1973). Structures of the life-world, two vols. Evanston: Northwestern University Press.
Straus, E. (1966). Phenomenological psychology. New York: Basic Books.
Zaner, R. M. (1973). Examples and possibles: A criticism of Husserl’s theory of free-phantasy variation. Research in Phenomenology, 3, 29–43.
Zaner, R. M. (1975). On the sense of method in phenomenology. In E. Pivcevic (Ed.), Phenomenology and philosophical understanding. London: Cambridge University Press.
Zaner, R. M. (1981). The context of self. Athens: Ohio University Press.
Zaner, R. M. (1988/2002). Ethics and the clinical encounter. Englewood Cliffs: Prentice-Hall, Inc. Reprinted Lima: Academic Renewal Press.
Zaner, R. M. (1995a). Envisioning power, revisioning life: Prominent issues for a phenomenology of medicine. In S. G. Crowell et al. (Eds.), The reach of reflection: Issues for phenonomenology’s second century. Dordrecht: Kluwer Academic Pubs.
Zaner, R. M. (1995b). Interpretation and dialogue: Medicine as a moral discipline. In S. G. Crowell (Ed.), The prism of self: Essays in honor of Maurice Natanson. Dordrecht: Kluwer Academic Pubs.
Zaner, R. M. (1999). Performance, talk, reflection: What is going on in clinical ethics consultation. Human Studies, 22, 99–116.
Zaner, R. M. (2000). Integrity and vulnerability in clinical medicine: The dialectic of appeal and response. In P. Kemp et al. (Eds.), Bioethics and biolaw, vol. II: Four ethical principles. Copenhagen: Rhodos International Science and Art Publishers and Centre for Ethics and Law.
Zaner, R. M. (2001). Thinking about medicine. In A. K. Toombs (Ed.), Handbook of phenomenology and medicine. Dordrecht: Kluwer Academic Pubs.
Zaner, R. M. (2003). Finessing nature. In V. Gehring (Ed.), Genetic prospects: Essays on biotechnology, ethics and public policy. New York: Rowman, Littlefield Pub. Inc.
Zaner, R. M. (2005). Visions and re-visions: Life and the accident of birth. In H. W. Baillie, & T. K. Casey (Eds.), Is human nature obsolete? Genetics, bioengineering, and the future of the human condition. Boston: MIT Press.
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Zaner, R.M. The phenomenon of vulnerability in clinical encounters. Hum Stud 29, 283–294 (2006). https://doi.org/10.1007/s10746-006-9028-3
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DOI: https://doi.org/10.1007/s10746-006-9028-3