Ricœur’s Practical Philosophy of Suffering in Medicine: a Contextualization of “Suffering is Not Pain” with Other Peripheral Works

Autores

  • Astrid Chevance Université Paris Cité ; Assistance Publique-Hôpitaux de Paris

DOI:

https://doi.org/10.5195/errs.2024.669

Palavras-chave:

psychiatry, pain, Suffering, practical philosophy, medical ethics

Resumo

Contextualizing Ricœur’s lecture “Suffering is Not Pain” alongside his other peripheral works on the matter uncovers a “practical philosophy,” that could provide new perspectives for clinicians faced with suffering. The analysis unfolds in four stages. First, it examines Ricœur’s interest in dialoguing with psychiatry to nourish his philosophical work. Second, it highlights Ricœur’s contributions as a third party to help psychiatrists overcome some major issues at that time. Third, it contextualizes the topic of suffering within the prevailing medical views at that time, and their corresponding issues in clinical practice. Finally, it delineates three principles for an applied ethics of suffering; namely, the need to dissociate suffering from any moral justification, approaching the therapeutic relationship as an alliance, and a minimal recognition that patients endure despite the damages suffering inflict on the self-other axis, to preserve their dignity.

Referências

American Psychiatric Association, Diagnostic and statistical manual of mental disorders, 3rd ed. (Washington, D. C.: The American Psychiatric Association, 1980).

Eric J. Cassel, “The Nature of Suffering and the Goals of Medicine,” New England Journal of Medicine, vol. 306, no 11 (1982). https://doi.org/10.1056/nejm198203183061104

Jacques Chazaud and Lucien Bonnafé, La Folie au Naturel, le premier colloque de Bonneval comme moment décisif de l’histoire de la psychiatrie (Paris: L’Harmattan, 2006).

Léa Domenach and Hugo Domenach, Les Murs blancs (Paris: Grasset, 2021).

François Dosse, Paul Ricœur. Le sens d’une vie (1913-2005) (Paris:La Découverte, 2008).

Henry Ey ed., L’Inconscient. VIe Colloque de Bonneval (Paris: Desclée de Brouwer, 1966).

Henry Ey, Paul Bernard and Charles Brisset, Manuel de psychiatrie, 7th ed. (Paris: Masson, 1978).

Serge Gauthier and Bernard Durand, Philippe Paumelle, un psychiatre dans la cité. La force du soin (Arcueil: John Libbey Eurotext, 2021).

Kenneth S Kendler, “Melancholia as Psychalgia: The Integration of psychophysiological Theory and psychopathologic Observation in the mid-19th Century,” Molecular Psychiatry, vol. 28, no 1 (2023), 230–235. https://doi.org/10.1038/s41380-022-01894-z

Jean-Jacques Kress, “Les rapports subjectifs du psychiatre avec ses théories,” Psychiatrie française, special issue Entre théorie et pratique. Fonctions de la pensée théorique (1986), 35–47.

Jean-Jacques Kress, “L’efficacité de la plainte,” Psychologie médicale, vol. 21, no 3 (1989), 305–307.

Jean-Jacques Kress, “Introduction,” Psychiatrie française, special issue Le Psychiatre devant la souffrance (1992), 7.

Philippe Langlade (pseudonym of Philippe Paumelle), “Qui sommes-nous ?,” Esprit, vol. 197 (1952), 797–800.

Javier Moscoso, Pain: a Cultural History (London: Palgrave Macmillan, 2012).

“Si dure la douleur,” ed. Caroline Philibert (Dijon: Université de Bourgogne, Les films du Village, 1996) http://www.carolinephilibert.fr/filmogene/1Sidure.html.

“Les douleurs rebelles,” ed. Caroline Philibert (Dijon: Université de Bourgogne, 1996).

Jérôme Porée, La philosophie à l’épreuve du mal : pour une phénoménologie de la souffrance (Paris: Vrin, 1993).

Jacques Postel and Claude Quetel, Nouvelle histoire de la psychiatrie (Paris: Dunod, 2012).

Srinivasa N. Raja, Daniel B. Carr, Milton Cohen, Nanna B. Finnerup, Herta Flor, Stephen Gibson, Francis J. Keefe, Jeffrey S. Mogil, Matthias Ringkamp, Kathleen A. Sluka, Xue-Jun Song, Bonnie Stevens, Mark D. Sullivan, Perri R. Tutelman, Takahiro Ushida and Kyle Vader, “The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises,” Pain, vol. 161, no 9 (2020), 1976–1982. https://doi.org/10.1097/j.pain.0000000000001939

Michel Renaud, “Après la « Petite Éthique » de Paul Ricœur (1990), le sens de sa révision (2001)”, Études Ricœuriennes/Ricœur Studies, vol. 15, no 1 (2024), 7–25.

Roselyne Rey, The History of Pain, trans. Louise Elliott Walalce, J. A. Cadden and S. W. Cadden (Cambridge, MA: Harvard University Press, 1998).

Paul Ricœur, “Ouverture du VIe colloque de Bonneval sur l’inconscient,” in L’Inconscient. VIe Colloque de Bonneval, ed. Henry Ey (Paris: Desclée de Brouwer, 1966).

Paul Ricœur, “La psychanalyse confrontée à l’épistémologie,” Psychiatrie française, special issue, Entre théorie et pratique. Fonctions de la pensée théorique (1986), 11–23.

Paul Ricœur, “Foreword,” in Médecins tortionnaires, médecins résistants, ed. Commission médicale de la section française d’Amnesty International and Valérie Marange (Paris: La Découverte, 1989).

Paul Ricœur, “La souffrance n’est pas la douleur,” Psychiatrie française, special issue, Le psychiatre devant la souffrance (1992), 9–18.

Paul Ricœur, “La souffrance n’est pas la douleur,” Souffrances, corps et âmes, épreuves partagées, ed. Jean-Marie Kaenem (Paris: Autrement, 1994), 58.

Paul Ricœur, “Foreword,” in Code de déontologie médicale (Paris: Seuil, 1996).

Paul Ricœur, “Paul Ricœur, itinéraires,” Part 4, “Éthique,” Entretiens patrimoniaux (Paris: Institut national de l’audiovisuel, 1999). https://entretiens.ina.fr/itineraires/Ricoeur/paul-ricoeur

Paul Ricœur, “Suffering is Not Pain,” trans. Luz Ascarate and Astrid Chevance, Études Ricœurienne/Ricœur Studies, vol. 15, no 2 (2024), 14–27.

Paul Ricœur, Oneself as Another (Chicago: The University of Chicago Press, 1990).

Paul Ricœur, “Paul Ricœur, le sens du dialogue,” À voie nue, (Paris: France Culture, 1993). https://www.radiofrance.fr/franceculture/podcasts/serie-paul-ricoeur-le-sens-du-dialogue.

Paul Ricœur, “Endurer,” interview by Caroline Philibert (1995). http://www.carolinephilibert.fr/filmogene/archric1.html

Paul Ricœur, “La relation thérapeutique,” interview by Caroline Philibert (1995), http://www.carolinephilibert.fr/filmogene/archric2.html

Paul Ricœur, “De la morale à l’éthique et aux éthiques,” Le Juste, vol. 2 (Paris: Points, 2001), 55–68.

Paul Ricœur and David Pellauer, “Evil, a Challenge to Philosophy and Theology,” Journal of the American Academy of Religion, vol. 53, no 4 (1985), 635–648. https://doi.org/10.1093/jaarel/LIII.4.635

“Paul Ricœur, philosophe de tous les dialogues,” ed. Caroline Reussner (Paris: Les éditions Montparnasse, 2007). https://regardsprotestants.com/video/culture/paul-ricoeur-philosophe-de-tous-les-dialogues/.

Elisabeth Roudinesco and Michel Plon, “Lucien Israël (1925-1996),” in Dictionnaire de la psychanalyse (Paris: Fayard, 2006).

Cicely Saunders, “The Symptomatic Treatment of Incurable Malignant Disease,” Prescriber’s Journal, vol. 4, no 4 (1964), 68–73. https://doi.org/10.1177/014107680109400904

George Taylor, “Introduction to Michel Renaud, ‘After Paul Ricœur’s “Little Ethics”’,” Études Ricœuriennes/Ricœur Studies, vol. 15, no 1 (2024), 1–7.

Ernst Wolff, Lire Ricœur depuis la périphérie. Décolonisation, modernité, herméneutique (Bruxelles : Université Bruxelles, 2021), 9–10.

Downloads

Publicado

2024-12-20

Edição

Secção

Articles