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Published in: Medicine, Health Care and Philosophy 3/2018

01-09-2018 | Scientific Contribution

Heidegger, communication, and healthcare

Author: Casey Rentmeester

Published in: Medicine, Health Care and Philosophy | Issue 3/2018

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Abstract

Communication between medical professionals and patients is an important aspect of therapy and patient satisfaction. Common barriers that get in the way of effective communication in this sphere include: (1) gender, age, and cultural differences; (2) physical or psychological discomfort or pain; (3) medical literacy; and (4) distraction due to technological factors or simply being overworked. The author examines these communicative barriers from a philosophical lens and then utilizes Martin Heidegger’s phenomenology and hermeneutics to provide guidance for medical professional–patient interactions. The phenomenological approach espoused emphasizes the particular, contextual nature of such interactions, and thus is opposed to abstract, theoretical principles. Heidegger’s hermeneutics provides a philosophical approach to communication that may guide the back-and-forth interpretation that should happen between medical professionals and patients to achieve effective communication.
Footnotes
1
For an excellent commentary on Plato’s thoughts on medical practice, see Stempsey (2001).
 
2
For Gadamerian approaches to the hermeneutics of medicine, see Svenaeus (2000b), Svenaeus (2003), and Landes (2015).
 
3
As Porter (1998) notes, however, nursing research under the title “interpretive phenomenology” often pays lip service to Husserl and Heidegger without actually engaging in their philosophies at any depth. Indeed, Crotty (1996) has argued that much of this research misinterprets the philosophy.
 
4
Those who are quick to accuse Heidegger of racism due to his connection with National Socialism (Faye 2009) or of sexism due to his treatment of women (Maier-Katkin 2010) should keep in mind that failures in a philosopher’s personal life do not take away from the legitimacy of his or her philosophy.
 
Literature
go back to reference Ackerman, T.F. 1982. Why doctors should intervene. The Hastings Center Report 12 (4): 14–17.CrossRef Ackerman, T.F. 1982. Why doctors should intervene. The Hastings Center Report 12 (4): 14–17.CrossRef
go back to reference Agosta, L. 2014. A rumor of empathy: Reconstructing Heidegger’s contribution to empathy and empathic clinical practice. Medicine, Health Care, and Philosophy 17 (2): 281–292.CrossRef Agosta, L. 2014. A rumor of empathy: Reconstructing Heidegger’s contribution to empathy and empathic clinical practice. Medicine, Health Care, and Philosophy 17 (2): 281–292.CrossRef
go back to reference Aho, K. 2008. Medicalizing mental health: A phenomenological alternative. Journal of Medical Humanities 29 (4): 243–259.CrossRef Aho, K. 2008. Medicalizing mental health: A phenomenological alternative. Journal of Medical Humanities 29 (4): 243–259.CrossRef
go back to reference Aho, K. 2013. Depression and embodiment: Phenomenological reflections on motility, affectivity, and transcendence. Medicine, Health Care, and Philosophy 16 (4): 751–759.CrossRef Aho, K. 2013. Depression and embodiment: Phenomenological reflections on motility, affectivity, and transcendence. Medicine, Health Care, and Philosophy 16 (4): 751–759.CrossRef
go back to reference Aho, J., and K. Aho. 2008. Body matters: A phenomenology of sickness, disease, and illness. Lanham: Lexington Books. Aho, J., and K. Aho. 2008. Body matters: A phenomenology of sickness, disease, and illness. Lanham: Lexington Books.
go back to reference Beauvoir, S. 1996. The coming of age. New York: W. W. Norton & Company (original work published in 1970). Beauvoir, S. 1996. The coming of age. New York: W. W. Norton & Company (original work published in 1970).
go back to reference Benner, P. 1984. From novice to expert. Menlo Park: Addison-Wesley. Benner, P. 1984. From novice to expert. Menlo Park: Addison-Wesley.
go back to reference Benner, P. 1994. Interpretive phenomenology: Embodiment, caring, and ethics in health and illness. Thousand Oaks: Sage. Benner, P. 1994. Interpretive phenomenology: Embodiment, caring, and ethics in health and illness. Thousand Oaks: Sage.
go back to reference Bentham, J. 2005. The collected works of Jeremy Bentham: An introduction to the principles of morals and legislation. Eds. Burns, J.H., and H.L.A. Hart. Oxford: Oxford University Press (original work published in 1780). Bentham, J. 2005. The collected works of Jeremy Bentham: An introduction to the principles of morals and legislation. Eds. Burns, J.H., and H.L.A. Hart. Oxford: Oxford University Press (original work published in 1780).
go back to reference Bittner, A., A. Jonietz, J. Bittner, L. Beickert, and S. Harendza. 2015. Translating medical documents into plain language enhances communication skills in medical students—A pilot study. Patient Education and Counseling 98 (9): 1137–1141.CrossRef Bittner, A., A. Jonietz, J. Bittner, L. Beickert, and S. Harendza. 2015. Translating medical documents into plain language enhances communication skills in medical students—A pilot study. Patient Education and Counseling 98 (9): 1137–1141.CrossRef
go back to reference Blattner, W. 2006. Heidegger’s being and time. London: Continuum. Blattner, W. 2006. Heidegger’s being and time. London: Continuum.
go back to reference Butler, J. 1990/1999. Gender trouble: Feminism and the subversion of identity. New York: Routledge. Butler, J. 1990/1999. Gender trouble: Feminism and the subversion of identity. New York: Routledge.
go back to reference Chan, G., K. Brykczynski, R. Malone, and P. Benner. 2010. Interpretive phenomenology in health care research. Indianapolis: Sigma Theta Tau International. Chan, G., K. Brykczynski, R. Malone, and P. Benner. 2010. Interpretive phenomenology in health care research. Indianapolis: Sigma Theta Tau International.
go back to reference Crotty, M. 1996. Phenomenology and nursing research. Melbourne: Churchill Livingstone. Crotty, M. 1996. Phenomenology and nursing research. Melbourne: Churchill Livingstone.
go back to reference Dahlstrom, D.O. 2010. Hermeneutic ontology. In Theory and applications of ontology: Philosophical perspectives. Eds. Poli, R., and J. Seibt, Dordrecht: Springer. Dahlstrom, D.O. 2010. Hermeneutic ontology. In Theory and applications of ontology: Philosophical perspectives. Eds. Poli, R., and J. Seibt, Dordrecht: Springer.
go back to reference Descartes, R. 1988. The philosophical writings of Descartes. Eds. Cottingham, J., Stoothoff, R., and D. Murdoch. Cambridge: Cambridge University Press (original work published in 1637).CrossRef Descartes, R. 1988. The philosophical writings of Descartes. Eds. Cottingham, J., Stoothoff, R., and D. Murdoch. Cambridge: Cambridge University Press (original work published in 1637).CrossRef
go back to reference Dreyfus, H.L. 1991. Being-in-the-world: A commentary on Heidegger’s being and time, division 1. Cambridge: MIT Press. Dreyfus, H.L. 1991. Being-in-the-world: A commentary on Heidegger’s being and time, division 1. Cambridge: MIT Press.
go back to reference Emmanuel, E.J., and L.L. Emmanuel. 1992. Four models of the physician-patient relationship. Journal of American Medicine 267 (16): 1–13. Emmanuel, E.J., and L.L. Emmanuel. 1992. Four models of the physician-patient relationship. Journal of American Medicine 267 (16): 1–13.
go back to reference Faye, E. 2009. Heidegger: The introduction of Nazism into philosophy in light of the unpublished seminars of 1933–1935 (trans: Smith, M.B.). New Haven: Yale University Press. Faye, E. 2009. Heidegger: The introduction of Nazism into philosophy in light of the unpublished seminars of 1933–1935 (trans: Smith, M.B.). New Haven: Yale University Press.
go back to reference Fernandez-Ballesteros, R., R. Olmos, M. Santacreu, A. Bustillos, and M.A. Molina. 2017. The role of perceived discrimination on active aging. Archives of Gerontology and Geriatrics 71: 14–20.CrossRef Fernandez-Ballesteros, R., R. Olmos, M. Santacreu, A. Bustillos, and M.A. Molina. 2017. The role of perceived discrimination on active aging. Archives of Gerontology and Geriatrics 71: 14–20.CrossRef
go back to reference Gadamer, H. 1976. Philosophical hermeneutics (Linge, D.E., Ed. & Trans.). Berkeley: University of California Press. Gadamer, H. 1976. Philosophical hermeneutics (Linge, D.E., Ed. & Trans.). Berkeley: University of California Press.
go back to reference Gadamer, H.G. 1996. The enigma of health (trans: Gaiger, J., and N. Walker). Stanford: Stanford University Press. (original work published in 1993). Gadamer, H.G. 1996. The enigma of health (trans: Gaiger, J., and N. Walker). Stanford: Stanford University Press. (original work published in 1993).
go back to reference Gadamer, H.G. 2006. Truth and method (trans: Weinsheimer, J., and D.G. Marshall). New York: Continuum (original work published in 1960). Gadamer, H.G. 2006. Truth and method (trans: Weinsheimer, J., and D.G. Marshall). New York: Continuum (original work published in 1960).
go back to reference Goldman, A.H. 1980. The moral foundations of professional ethics. New York: Rowman & Littlefield. Goldman, A.H. 1980. The moral foundations of professional ethics. New York: Rowman & Littlefield.
go back to reference Guignon, C.B. 1983. Heidegger and the problem of knowledge. Indianapolis: Hackett. Guignon, C.B. 1983. Heidegger and the problem of knowledge. Indianapolis: Hackett.
go back to reference Gupta, A. 2015. The importance of good communication in treating patients’ pain. AMA Journal of Ethics 17 (3): 265–267.CrossRef Gupta, A. 2015. The importance of good communication in treating patients’ pain. AMA Journal of Ethics 17 (3): 265–267.CrossRef
go back to reference Haraldsdottir, E. 2011. The constraints of the ordinary: ‘Being-with’ in the context of end-of-life nursing care. International Journal of Palliative Nursing 17 (5): 245–250.CrossRef Haraldsdottir, E. 2011. The constraints of the ordinary: ‘Being-with’ in the context of end-of-life nursing care. International Journal of Palliative Nursing 17 (5): 245–250.CrossRef
go back to reference Heidegger, M. 1962. Being and time (trans: Macquarrie, J., and E. Robinson). San Francisco: Harper & Row (original work published in 1927). Heidegger, M. 1962. Being and time (trans: Macquarrie, J., and E. Robinson). San Francisco: Harper & Row (original work published in 1927).
go back to reference Heidegger, M. 1977. The question concerning technology and other essays (trans: Lovitt, W.). New York: Harper & Row (original work published in 1954). Heidegger, M. 1977. The question concerning technology and other essays (trans: Lovitt, W.). New York: Harper & Row (original work published in 1954).
go back to reference Heidegger, M. 1996. Being and time (trans: Stambaugh, J.). New York: State University of New York Press (original work published in 1927). Heidegger, M. 1996. Being and time (trans: Stambaugh, J.). New York: State University of New York Press (original work published in 1927).
go back to reference Heidegger, M. 2000. Towards the definition of philosophy (trans: Sadler, T.). London: Continuum (original work written in 1919). Heidegger, M. 2000. Towards the definition of philosophy (trans: Sadler, T.). London: Continuum (original work written in 1919).
go back to reference Heidegger, M. 2001. Zollikon seminars: Protocols-conversations-letters (trans: Mayr, F., and R. Askay). Evanston: Northwestern University Press (original work published in 1987). Heidegger, M. 2001. Zollikon seminars: Protocols-conversations-letters (trans: Mayr, F., and R. Askay). Evanston: Northwestern University Press (original work published in 1987).
go back to reference Husserl, E. 2001. Logical investigations, Vol. 1 (trans: Moran, D.). London: Routledge (original work published in 1900). Husserl, E. 2001. Logical investigations, Vol. 1 (trans: Moran, D.). London: Routledge (original work published in 1900).
go back to reference Jaspers, K. 1989. The physician in the technological age. Theoretical Medicine 10: 251–267 (original work published in 1959).CrossRef Jaspers, K. 1989. The physician in the technological age. Theoretical Medicine 10: 251–267 (original work published in 1959).CrossRef
go back to reference Kant, I. 2002. Groundwork for the metaphysics of morals (trans: Wood, A.W.). New Haven: Yale University Press (original work published in 1785). Kant, I. 2002. Groundwork for the metaphysics of morals (trans: Wood, A.W.). New Haven: Yale University Press (original work published in 1785).
go back to reference Landes, D.A. 2015. Phronesis and the art of healing: Gadamer, Merleau-Ponty, and the phenomenology of equilibrium in health. Human Studies 38: 261–279.CrossRef Landes, D.A. 2015. Phronesis and the art of healing: Gadamer, Merleau-Ponty, and the phenomenology of equilibrium in health. Human Studies 38: 261–279.CrossRef
go back to reference Levinas, E. 1979. Totality and infinity: An essay on exteriority (trans: Lingis, A.). The Hague: Martinus Nijhoff Publishers (original work published in 1961). Levinas, E. 1979. Totality and infinity: An essay on exteriority (trans: Lingis, A.). The Hague: Martinus Nijhoff Publishers (original work published in 1961).
go back to reference Liddell, H.G., and R. Scott. 2003. An intermediate Greek-English lexicon. Oxford: Oxford University Press. Liddell, H.G., and R. Scott. 2003. An intermediate Greek-English lexicon. Oxford: Oxford University Press.
go back to reference Mackey, S. 2005. Phenomenological nursing research: Methodological insights derived from Heidegger’s interpretive phenomenology. International Journal of Nursing Studies 42: 179–186.CrossRef Mackey, S. 2005. Phenomenological nursing research: Methodological insights derived from Heidegger’s interpretive phenomenology. International Journal of Nursing Studies 42: 179–186.CrossRef
go back to reference Maier-Katkin, D. 2010. Stranger from abroad: Hannah Arendt, Martin Heidegger, friendship and forgiveness. New York: W. W. Norton & Company. Maier-Katkin, D. 2010. Stranger from abroad: Hannah Arendt, Martin Heidegger, friendship and forgiveness. New York: W. W. Norton & Company.
go back to reference Marder, M. 2011. Phenomenology of distraction, or attention in the fissuring of time and space. Research in Phenomenology 41 (3): 396–419.CrossRef Marder, M. 2011. Phenomenology of distraction, or attention in the fissuring of time and space. Research in Phenomenology 41 (3): 396–419.CrossRef
go back to reference Merleau-Ponty, M. 2002. Phenomenology of perception (trans: Smith, C.). London: Routledge (original work published in 1945). Merleau-Ponty, M. 2002. Phenomenology of perception (trans: Smith, C.). London: Routledge (original work published in 1945).
go back to reference Miles, M., Y. Chapman, K. Francis, and B. Taylor. 2013. Exploring Heideggerian hermeneutic phenomenology: A perfect fit for midwifery research. Woman and Birth 26 (4): 273–276.CrossRef Miles, M., Y. Chapman, K. Francis, and B. Taylor. 2013. Exploring Heideggerian hermeneutic phenomenology: A perfect fit for midwifery research. Woman and Birth 26 (4): 273–276.CrossRef
go back to reference Newman, C., A. Cashin, and C.D. Waters. 2010. A modified hermeneutic phenomenological approach toward individuals who have autism. Research in Nursing & Health 33 (3): 265–271. Newman, C., A. Cashin, and C.D. Waters. 2010. A modified hermeneutic phenomenological approach toward individuals who have autism. Research in Nursing & Health 33 (3): 265–271.
go back to reference Nietzsche, F. 1974. The gay science: With a prelude in rhymes and an appendix of songs (trans: Kaufmann, W.). New York: Random House (original work published in 1887). Nietzsche, F. 1974. The gay science: With a prelude in rhymes and an appendix of songs (trans: Kaufmann, W.). New York: Random House (original work published in 1887).
go back to reference Plato. 1961. Laws (trans: Bury, R.G.). Cambridge: Harvard University Press. Plato. 1961. Laws (trans: Bury, R.G.). Cambridge: Harvard University Press.
go back to reference Porter, E. 1998. On ‘being inspired’ by Husserl’s phenomenology: Reflections on Omery’s exposition of phenomenology as a method of nursing research. Advances in Nursing Science 21: 16–28.CrossRef Porter, E. 1998. On ‘being inspired’ by Husserl’s phenomenology: Reflections on Omery’s exposition of phenomenology as a method of nursing research. Advances in Nursing Science 21: 16–28.CrossRef
go back to reference Shanafelt, T.D., and J.H. Noseworthy. 2017. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings 92 (1): 129–146.CrossRef Shanafelt, T.D., and J.H. Noseworthy. 2017. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings 92 (1): 129–146.CrossRef
go back to reference Shirom, A., N. Nirel, and A.D. Vinokur. 2006. Overload, autonomy, and burnout as predictors of physicians’ quality of care. Journal of Occupational Health Psychology 11 (4): 328–342.CrossRef Shirom, A., N. Nirel, and A.D. Vinokur. 2006. Overload, autonomy, and burnout as predictors of physicians’ quality of care. Journal of Occupational Health Psychology 11 (4): 328–342.CrossRef
go back to reference Stempsey, W.E. 2001. Plato and holistic medicine. Medicine, Health Care and Philosophy 4: 201–209.CrossRef Stempsey, W.E. 2001. Plato and holistic medicine. Medicine, Health Care and Philosophy 4: 201–209.CrossRef
go back to reference Street, R.L. 2002. Gender differences in health care provider-patient communication: Are they due to style, stereotypes, or accommodation? Patient Education and Counseling 48 (3): 201–206.CrossRef Street, R.L. 2002. Gender differences in health care provider-patient communication: Are they due to style, stereotypes, or accommodation? Patient Education and Counseling 48 (3): 201–206.CrossRef
go back to reference Svenaeus, F. 2000a. Das unheimliche—Towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (1): 3–16.CrossRef Svenaeus, F. 2000a. Das unheimliche—Towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (1): 3–16.CrossRef
go back to reference Svenaeus, F. 2000b. Hermeneutics of clinical practice: The question of textuality. Theoretical Medicine and Bioethics 21: 171–189.CrossRef Svenaeus, F. 2000b. Hermeneutics of clinical practice: The question of textuality. Theoretical Medicine and Bioethics 21: 171–189.CrossRef
go back to reference Svenaeus, F. 2000c. The body uncanny—Further steps towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (2): 125–137.CrossRef Svenaeus, F. 2000c. The body uncanny—Further steps towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (2): 125–137.CrossRef
go back to reference Svenaeus, F. 2000d. The hermeneutics of medicine and the phenomenology of health. Dordrecht: Kluwer.CrossRef Svenaeus, F. 2000d. The hermeneutics of medicine and the phenomenology of health. Dordrecht: Kluwer.CrossRef
go back to reference Svenaeus, F. 2003. Hermenutics of medicine in the wake of Gadamer: The issue of phronesis. Theoretical Medicine 24: 407–431. Svenaeus, F. 2003. Hermenutics of medicine in the wake of Gadamer: The issue of phronesis. Theoretical Medicine 24: 407–431.
go back to reference Svenaeus, F. 2010a. The body as gift, resource or commodity? Heidegger and the ethics of organ transplantation. Journal of Bioethical Inquiry 7 (2): 163–172.CrossRef Svenaeus, F. 2010a. The body as gift, resource or commodity? Heidegger and the ethics of organ transplantation. Journal of Bioethical Inquiry 7 (2): 163–172.CrossRef
go back to reference Svenaeus, F. 2010b. The hermeneutics of medicine and the phenomenology of health: Steps towards a philosophy of medical practice. Dordrecht: Kluwer. Svenaeus, F. 2010b. The hermeneutics of medicine and the phenomenology of health: Steps towards a philosophy of medical practice. Dordrecht: Kluwer.
go back to reference Svenaeus, F. 2010c. What is an organ?: Heidegger and the phenomenology of organ transplantation. Theoretical Medicine and Bioethics 31 (3): 179–196.CrossRef Svenaeus, F. 2010c. What is an organ?: Heidegger and the phenomenology of organ transplantation. Theoretical Medicine and Bioethics 31 (3): 179–196.CrossRef
go back to reference Svenaeus, F. 2018. Phenomenological bioethics: Medical technologies, human suffering, and the meaning of being alive. New York: Routledge. Svenaeus, F. 2018. Phenomenological bioethics: Medical technologies, human suffering, and the meaning of being alive. New York: Routledge.
go back to reference Thompson, J. 1990. Hermeneutic inquiry. In Advancing nursing science through research, ed. L. Moody, 223–286. Newbury Park: Sage. Thompson, J. 1990. Hermeneutic inquiry. In Advancing nursing science through research, ed. L. Moody, 223–286. Newbury Park: Sage.
go back to reference Toombs, S.K., ed. 2001. Handbook of phenomenology and medicine. Dordrecht: Kluwer. Toombs, S.K., ed. 2001. Handbook of phenomenology and medicine. Dordrecht: Kluwer.
go back to reference Van Hooft, S. 2003. Pain and communication. Medicine, Health Care and Philosophy 6: 255–262.CrossRef Van Hooft, S. 2003. Pain and communication. Medicine, Health Care and Philosophy 6: 255–262.CrossRef
go back to reference Veatch, R.M. 1991. The patient-physician relation: The patient as partner, part 2. Indianapolis: Indiana University Press. Veatch, R.M. 1991. The patient-physician relation: The patient as partner, part 2. Indianapolis: Indiana University Press.
Metadata
Title
Heidegger, communication, and healthcare
Author
Casey Rentmeester
Publication date
01-09-2018
Publisher
Springer Netherlands
Published in
Medicine, Health Care and Philosophy / Issue 3/2018
Print ISSN: 1386-7423
Electronic ISSN: 1572-8633
DOI
https://doi.org/10.1007/s11019-018-9823-4

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