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1. Verfasser:	Isabel Morales Benito
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Asociación Española de Bioética y Ética Médica 2018
Schlagworte:	Medicina paciente narración relación médico educación médica fenomenología del dolor
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=87557374002 https://www.redalyc.org/journal/875/87557374002/ https://www.redalyc.org/journal/875/87557374002/html/ https://www.redalyc.org/journal/875/87557374002/87557374002.epub https://www.redalyc.org/journal/875/87557374002/movil
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EL DOLOR Y LA ENFERMEDAD COMO TRANSFORMACIÓN. UN ANÁLISIS DESDE LA FENOMENOLOGÍA Y LA NARRACIÓN Isabel Morales Benito Medicina paciente narración relación médico educación médica fenomenología del dolor El dolor y la enfermedad son fenómenos vivenciales que resultan difíciles de comprender por diversos motivos: porque permanecen dentro los límites de la subjetividad; porque el doliente se siente preso de su dolor y percibe una ruptura radical dentro sí mismo; y porque se siente solo frente a él, incapaz de comunicarse. Todo esto hace que el sufrir sea un elemento transformador en la vida. En la medicina científica moderna, el enfoque preponderante hacia el tratamiento del dolor es el fisiológico, quedando relegadas otras dimensiones intrínsecas de la persona, como la psíquica, la espiritual, la relacional o la identitaria. Las consecuencias éticas de esta reducción son una cosificación de la persona y una merma de su dignidad. Con el objetivo de contribuir a una visión más amplia del dolor y a una mejor atención al paciente, el presente artículo expone el resultado de cruzar dos discursos sobre el dolor: el relato que realiza un escritor sobre su enfermedad y los análisis fenomenológicos de Toombs y Carel. Se presentan cuatro categorías eidéticas del dolor: el carácter de otredad, la metamorfosis y la crisis de identidad, la instalación en el tiempo presente y la soledad y pérdida de relaciones. Se concluye proponiendo una definición de enfermedad que incluya estos elementos y se apuntan las vías de la narración y de la expresión como complementos al tratamiento farmacológico en orden a la curación y al cuidado. 2018 artículo científico 1132-1989 https://www.redalyc.org/articulo.oa?id=87557374002 https://www.redalyc.org/journal/875/87557374002/ https://www.redalyc.org/journal/875/87557374002/html/ https://www.redalyc.org/journal/875/87557374002/87557374002.epub https://www.redalyc.org/journal/875/87557374002/movil es http://www.redalyc.org/revista.oa?id=875 Cuadernos de Bioética application/pdf Asociación Española de Bioética y Ética Médica Cuadernos de Bioética (España) Num.97 Vol.XXIX

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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