Literature DB >> 27826684

Victims of disaster: can ethical debriefings be of help to care for their suffering?

Ignaas Devisch1, Stijn Vanheule2, Myriam Deveugele3, Iskra Nola4, Murat Civaner5, Peter Pype3.   

Abstract

Victims of disaster suffer, not only at the very moment of the disaster, but also years after the disaster has taken place, they are still in an emotional journey. While many moral perspectives focus on the moment of the disaster itself, a lot of work is to be done years after the disaster. How do people go through their suffering and how can we take care of them? Research on human suffering after a major catastrophe, using an ethics of care perspective, is scarce. People suffering from disasters are often called to be in distress and their emotional difficulties 'medicalised'. This brings them often into a situation of long term use of medication, and one can wonder if medication is of help to them in the long run. In our paper, we will explore another moral perspective, focusing on the importance of the victims' narrative and their lived experiences. We will use Paul Ricoeur's phenomenological reflections from 'Suffering is not the same as pain' for conceptualizing human suffering and how to apply it to victims of disaster. Ricoeur suggests that suffering is not a quantity that can be measured, but a characteristic that should be studied qualitatively in interpersonal and narrative contexts. Above all, the perspective of care and listening could offer an opportunity to reconcile people from their loss and suffering.

Entities:  

Keywords:  Concept of mental health; Disaster ethics; Patient perspective; Paul Ricoeur; Philosophical ethics; Quality/value of life/personhood

Mesh:

Year:  2017        PMID: 27826684     DOI: 10.1007/s11019-016-9742-1

Source DB:  PubMed          Journal:  Med Health Care Philos        ISSN: 1386-7423


  39 in total

1.  Toward a praxis theory of suffering.

Authors:  Janice M Morse
Journal:  ANS Adv Nurs Sci       Date:  2003 Jan-Mar       Impact factor: 1.824

2.  Conversations about challenging end-of-life cases: ethics debriefing in the medical surgical intensive care unit.

Authors:  Cecilia Santiago; Steve Abdool
Journal:  Dynamics       Date:  2011

Review 3.  Family suffering related to war experiences: an interpretative synopsis review of the literature from a caring science perspective.

Authors:  Sten Isovaara; Maria Arman; Arne Rehnsfeldt
Journal:  Scand J Caring Sci       Date:  2006-09

4.  Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation.

Authors:  Pia Sander Dreyer; Birthe D Pedersen
Journal:  Nurs Inq       Date:  2009-03       Impact factor: 2.393

5.  Does Early Psychological Intervention Promote Recovery From Posttraumatic Stress?

Authors:  Richard J McNally; Richard A Bryant; Anke Ehlers
Journal:  Psychol Sci Public Interest       Date:  2003-11-01

6.  Literature and Medicine; narratives of mental illness.

Authors:  A H Jones
Journal:  Lancet       Date:  1997-08-02       Impact factor: 79.321

7.  Phenomenology as a resource for patients.

Authors:  Havi Carel
Journal:  J Med Philos       Date:  2012-04-02

8.  "How do you feel?": oscillating perspectives in the clinic.

Authors:  Havi Carel; Jane Macnaughton
Journal:  Lancet       Date:  2012-06-23       Impact factor: 79.321

9.  The nature of suffering and the goals of medicine.

Authors:  E J Cassel
Journal:  N Engl J Med       Date:  1982-03-18       Impact factor: 91.245

10.  Moral distress in the resuscitation of extremely premature infants.

Authors:  Jennifer Molloy; Marilyn Evans; Kevin Coughlin
Journal:  Nurs Ethics       Date:  2014-04-08       Impact factor: 2.874

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