碩士 / 臺北醫學大學 / 醫學研究所 / 94 / Medicine rose very early in the history of civilization, and another indispensable aspect of civilization is the interaction between mankind and the ecology of nature. But it was not until the 19th and 20th century when the scientific knowledge of ecology gradually took shape, has the concept of conservation and environmental protection become a concern to mankind. These concerns progressed further into a systemic way of thinking and become an integral part in the development of modern civilization. Today, in the time when the environmental issues are in critical stages, medicine, also, faces the challenge of how to incorporate these new ecological perspectives into practice. As a result, the concepts of “ecological medicine” which were rooted both in ecological and medical philosophies started to spring out leaves in western society.
This thesis used qualitative research to explore and depict the contour of local ideations of the interaction between medicine and ecology. Six doctors and dentists who have participated in environmental protection actions in environmental non-government organizations were engaged in depth interviews. To explore the initiatory contour of the local ecological medicine, the subjects were inquired of the ideas which were conceived as a result of joining ecological concepts and medical philosophies during their long-term personal experiences in medical practices and environmental actions.
After analyzing the verbatim and related texts with the spirit of grounded theory, some ideas of ecological medicine were found to start developing among these doctors, mainly:
1. The ideas on life and health: advocating a holistic view of health, that is to regard the health of body, mind, and spirit, and the collective well-being of individuals and the environment as a whole, and leading the life with humility, simplicity, and passion.
2. The ideas on disease: emphasizing the background context of the disease, taking the progress of civilization as an influencing factor on the disease pattern of human beings into consideration, and facing illness humbly in abiding the virtue of being a doctor.
3. The ideas on healing: respecting the power of self-healing in an organism, learning to wait adequately in order to avoid over-treating, being tolerant of different therapeutic models, caring about the disposition of medical wastes in order to ensure no further harm done, utilizing nature as a self-supporting and self-soothing resource for doctors themselves.
4. The ideas on medical ethics and doctor-patient relationship: advocating the establishment of a positive, harmonic doctor-patient relationship, maintaining an equal and mutual communication relationship with patients, respecting patients’ autonomy and decision making, meanwhile being passionate and utilizing the techniques adopted by interpreters in communication, and reflecting the problems underlying in the efficiency-oriented medical system.
The ecological medicine respecting simultaneously the health of individuals, populations, and ecosystems is to be constructed further. While the anti-anthropocentric discourse in ecologism deepens humanism, incorporating ecological medicine into medical humanism education can be very beneficial to all.
| Identifer | oai:union.ndltd.org:TW/094TMC00534016 |
| Date | January 2006 |
| Creators | Chen Chun-lin, 陳俊霖 |
| Contributors | Kao Meei-ying, 高美英 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 159 |
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