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Why do we talk to the patient? - challenging medical consultation from the point of view of modern philosophy

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BOHRER T., SCHMIDT M., KOENIGSHAUSEN J.
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EN
The medical consultation - the basis for the physician-patient relationship - is often nothing more than a brief medical history interview and receives no sufficient attention: Thus, the focus today is on providing brief information and obtaining the patient’s consent. In this paper we search for an independent approach to assessing the significance of the consultation for physicians. Today, philosophy recognizes two major approaches: modern anthropology as the science of human beings and media theory. If a physician does not “embed” the information, i.e. if he does not give it a meaning through transferring it onto the patient’s specific situation, the physician consequently treats the person like a veterinarian would, that is only focusing on the biological organism and irrespective of his characteristic view of the world. Thus, and provided that it is a therapeutical and conciliatory conversation, the consultation must primarily be “tailored to the addressee”. The information, the theoretical, purely topical content must be integrated into the patient’s actual life situation. This is of fundamental importance for patients safety.
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Why we need intercultural medical ethics today – pleading for intercultural reflexion and discussion of ethical norms after the earthquake in Haiti 2010

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BOHRER T., CHARLES A., GODSON WICHERLY WHITECOMB J.-L., CARL LINK P.
Medicina Internacia Revuo
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2014
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vol. 26
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issue 103
117-121
EN
Intercultural medical ethics are a new, necessary approach in ethics, as the example of Haiti dramatically showed during the aftermath of the catastrophic earthquake in 2010. For the search term « intercultural ethics » no hits are found in Google. Intercultural ethics are not meant to be a new kind of specialized or universal ethics, but are considered to be an immanent part of general ethical thinking and cover both systematical thoughtful reflexion and analysis of significant ethical subjects in medicine. At the same time it acknowledges and highly esteems interculturally different starting points, ways of thinking and living forms. Intercultural medical ethics respect explicitly a pluralism of moral values and counteracts moral relativism. The central reference is instead represented by anthropology and therefore the individual human being. It’s main instrument is communication (discourse ethics) on the same level. Intercultural medical ethics proceed from the participation of all in human existence and human dignity and do not call for one-sided reflexion, but positively, for responsible action.
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What is human being? the essential philosophical question as a supplementation of the natural scientifical medical education

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BOHRER T., LINK P.-C., SCHMIDT M., KÖNIGSHAUSEN J.-H.
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2016
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vol. 27
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issue 106
47-50
EN
The work of a physician is based on two pillars: scientific knowledge and technical expertise being one of them, the humanities, ethics and philosophy the other. The former is taught at medical school, the latter is often neglected. Of fundamental importance are the classical philosophical questions about what is life and what is human being. Those cannot be answered by a natural scientific approach alone. For this reason and in view of the preponderance of technology in the daily routine in clinics, many medical students and physicians would like to be offered an optional subject which focuses on those philosophical problems: a training in anthropology and philosophy, called Philosophicum. To meet this demand, the University Hospital of Würzburg has been offering a Philosophicum ever since 2010 (www.philosophicum.ukw.de).
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