Embodiment and Chronic Pain: Implications for Rehabilitation Practice
Embodiment and Chronic Pain: Implications for Rehabilitation Practice
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DOI：
10.1007/s10728-008-0109-5
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发表时间：
2009-06-01
影响因子：
1.9
通讯作者：
Bullington, Jennifer
中科院分区：
文献类型：
--
作者：
Bullington, Jennifer
在整个西方世界，人们转向卫生保健系统寻求各种身心/心理健康问题的帮助。他们变成了“病人”，发现自己处于一个把自己的身体概念化为“客观”身体的系统中，把他们的健康状况当作机器故障来对待，把他们的生活经历划分为医学上解释的症状和潜在的生物功能障碍的迹象。本文的目的是提出一种替代的方式来描述不健康和康复使用的哲学梅洛庞蒂，以加深我们的理解康复过程。我将探讨慢性疼痛的体验如何破坏身体与世界之间的自然联系，以及康复过程如何被理解为身体重新插入到体验流中，身体“消失”到自然的沉默中，以便让世界再次展开。慢性疼痛的体验将痛苦的身体置于焦点，导致自我和世界的表达减弱。病人不仅遭受身体方面的痛苦和不适，而且还失去了身份，感到疏远和脱离了曾经赋予生命意义的事物。康复不仅要解决物质（医疗）身体，还要解决自我意识的减弱以及从痛苦身体之外的世界撤退。
Throughout the Western world people turn towards the health care system seeking help for a variety of psychosomatic/psychosocial health problems. They become "patients" and find themselves within a system of practises that conceptualizes their bodies as "objective" bodies, treats their ill health in terms of the malfunctioning machine, and compartmentalizes their lived experiences into medically interpreted symptoms and signs of underlying biological dysfunction. The aim of this article is to present an alternative way of describing ill health and rehabilitation using the philosophy of Maurice Merleau-Ponty in order to deepen our understanding of the rehabilitation process. I will explore how the experience of chronic pain ruptures the natural connection between body and world and how the rehabilitation process can be understood as the re-insertion of the body into the flow of experience, where the body "disappears" into its natural silence in order to allow the world to once again unfold. The experience of chronic pain places the painful body in focus, resulting in a diminished articulation of both self and world. Persons with illness suffer not only from the physical aspects of pain and discomfort but also from a loss of identity where one feels alienated and detached from things that used to give meaning to ones life. Rehabilitation must not only address the material (medical) body but also the diminished sense of self as well as the retreat from the world outside of the painful body.