Reflections on the heart: medicine, emotion and history.
Reflections on the heart: medicine, emotion and history.
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对心的反思：医学、情感和历史。
DOI：
10.1136/medhum-2020-012087
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发表时间：
2020
影响因子：
1.2
通讯作者：
Bound Alberti F
中科院分区：
文献类型：
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作者：
Bound Alberti F
在《心灵的问题：历史、医学、情感》（Bound Alberti, 2010）一书中，我认为文化的核心和科学的核心在19世纪脱节了；几个世纪以来，心脏一直是生活、情感和人格的中心，它已经让位于大脑，不再是最优秀的自我器官。这一过程并不明确或明确。早在古代，人们就对以大脑为中心的自我版本很感兴趣。乔希·霍登（Josh Hordern）的文章就通过利物浦奥尔德希儿童医院（Alder Hey Children’s Hospital）的器官丑闻等例子进行了探讨，在今天，人们继续强调情感之心。那么，心脏，这个特殊的，充满情感和感官的器官，一直与自我的某些本质联系在一起，到底是怎么回事呢？毕竟，在医学术语中，它只是一个泵。除了心脏泵开始失宠之外。不是在教学或主流大众对话中，泵的比喻已经变得无处不在，来解释心脏的运动，并作为一种连接身体“备用零件”模型的方式。将身体视为一系列的备用部件，对于器官捐赠的原则和实践至关重要。这并不是说这个过程必须是不带感情色彩的；器官捐赠主要基于“礼物”的概念，即一个人与另一个人之间的无私交换。然而，这也引发了关于身体所有权的问题，特别是考虑到英国和许多其他国家一样，通过“选择退出”移植制度，假定同意的发展。
In Matters of the Heart: History, Medicine, Emotion (Bound Alberti, 2010),, I posited that the heart of culture and the heart of science became disconnected in the nineteenth century; that the heart which had for centuries been the centre of life, emotions and personhood lost out to the brain as the organ par excellence of selfhood. This process was not clear-cut or definitive. There had been interest in craniocentric versions of the self in the ancient world, and there is continued emphasis in the emotional heart in the present day, as Josh Hordern’s article explores through such examples as the organ scandal at Alder Hey Children’s Hospital in Liverpool. So, what is it about the heart, that peculiar, emotive and sensorially charged organ, that continues to be associated with some essence of the self? After all, in medical terms, it is a mere pump.Except that the heart-as-pump is beginning to lose favour. Not in teaching or mainstream popular dialogue, where the pump metaphor has become ubiquitous, to explain the movement of the heart, and as a way of connecting to the ‘spare parts’ model of the body. Viewing the body as a series of spare parts is critical to the principles and practice of organ donation. That is not to say that the process must be an unemotional one; organ donation rests principally on the idea of the ‘gift’, of an altruistic exchange from one person to another. It also raises questions about bodily ownership, however, especially given the development of presumed consent via the ‘opt-out’system of transplantation in the UK as in many other countries.