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Beyond the drive to satisfy needs: in the context of health care

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Abstract

In the context of health care the aim of the article is to bring another meaning to the concept “need” that goes beyond the human activity; the drive to satisfy needs. Another meaning incorporates an ethical and existential nature of life phenomena. An example from empirical research on living with a chronic disease as seen from the patient’s point of view provides the basis for arguing another meaning of the concept “need”. The meanings and nuances in the life phenomena of hope, doubt and life courage are exemplified in qualitative interviews with chronic sufferers. A combination of empirical research and Danish life philosophy. Research has shown that the interaction between the professional health care provider and the patient and family may lead to a more or less unconscious and inappropriate administration of power. Research also indicates that by overlooking or ignoring the existential qualities in human life and suffering, the professional health care provider may deprive the patient and family of their room for action. To add a deeper understanding of the existential meaning of being a person with an illness, the article shows the different human dimensions concerning life phenomena and needs. Developing sensitive, situation-specific attention offers a response to the challenge faced by health care providers in collaboration with the patient: How can we open our eyes to the most significant features of the situation which arise on the onset of illness.

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References

  • Carter, M.A. 2009. Trust, power, and vulnerability: A discourse on helping in nursing. Nursing Clinics of North America 44(4): 393–405.

    Article  PubMed  Google Scholar 

  • Delmar, C., T. Bøje, D. Dylmer, L. Forup, C. Jakobsen, M. Møller, H. Sønder, and B.D. Pedersen. 2006. Independence/dependence—A contradictory relationship: Life with a chronic illness. Scandinavian Journal of Caring Sciences 20(3): 261–268.

    Article  PubMed  Google Scholar 

  • Delmar, C., T. Bøje, D. Dylmer, L. Forup, C. Jakobsen, M. Møller, H. Sønder, and B.D. Pedersen. 2005. Achieving harmony with oneself: Life with a chronic illness. Scandinavian Journal of Caring Sciences 19(3): 204–212.

    Article  PubMed  Google Scholar 

  • Delmar, C. 2002a. Omsorgsetik–også et spørgsmål om vidensudvikling [Care ethics is also a question of expanding knowledge]. Klinisk Sygepleje 16(2): 35–40.

    Google Scholar 

  • Delmar, C. 2002b. Den besværlige patient—flere forståelsesmuligheder [The difficult patient: Multiple ways of understanding]. Tidsskrift for Sygeplejeforskning 18(1): 11–15.

    Google Scholar 

  • Delmar, C. 1999. Tillid og Magt–En moralsk udfordring [Trust and power: A moral challenge]. Copenhagen: Munksgaard.

    Google Scholar 

  • Feilberg, L. 1949. Verker [Works]. Copenhagen: Gyldendal.

  • Giske, T., E. Gjengedal, and B. Artinian. 2009. The silent demand in the diagnostic phase. Scandinavian Journal of Caring Sciences 23(1): 100–106.

    Article  PubMed  Google Scholar 

  • Ho, A.Y.K., I. Berggren, and E. Dahlborg-Lyckhage. 2010. Diabetes empowerment related to Pender’s health promotion model: A meta-synthesis. Nursing and Health Sciences 12(2): 259–267.

    Article  PubMed  Google Scholar 

  • Kardamanidis, K., L. Kemp, and V. Schmied. 2009. Uncovering psychosocial needs: Perspectives of Australian child and family health nurses in a sustained home visiting trial. Contemporary Nurse 33(1): 50–58.

    Article  PubMed  Google Scholar 

  • Lindseth, A., and A. Norberg. 2004. A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal of Caring Sciences 18: 145–153.

    Article  PubMed  Google Scholar 

  • Løgstrup, K.E. 1988. Udfordringer [Challenges]. Hadsten: Forlaget Mimer.

  • Løgstrup, K.E. (1956) 1986. Den etiske fordring [The ethical demand]. Copenhagen: Gyldendal.

  • Martinsen, K. 2006. Omsorg i sygeplejen—en moralsk udfordring [Care in nursing: a moral challenge]. In Samtalen skønnet og evidensen [Conversation, understanding and evidence], ed. K. Martinsen, 143–176. Copenhagen: Gads Forlag.

  • Martinsen, K. 1993. Fra Marx til Løgstrup. Om moral, samfunnskritik og sanselighet i sykepleien [From Marx to Løgstrup. On morality, societal critique and sensitivity in nursing]. Oslo: A/S Tano.

  • Martinsen, K. 1991. Under kærlig forskning. Fænomenologiens åbning for den levede erfaring i sygeplejen [Under loving research. Phenomenology’s opening for living experience in nursing]. Tiltrædelsesforelæsning [Inaugural lecture]. Perspektiv. Tillæg til Tidsskrift for sygeplejersker 36: 2–15.

  • Moore Schaefer, K. 1995. Women living in paradox: Loss and discovery in chronic illness. Holistic Nursing Practice 9(3): 63–74.

    Google Scholar 

  • Pahuus, M. (1994) 1995. Livsfilosofi. Lykke og lidelse i eksistens og litteratur [Life philosophy. Happiness and suffering in existence and literature], 2nd ed. Århus: Philosophia.

  • Pahuus, M. 1994. Spændingen mellem den eksistensfilosofiske og den skabelsesteologiske tænkemåde i Løgstrups æstetik [The tension between existentialist philosophy and creationist theology in Løgstrup’s aesthetics]. In Skabelse og etik. Motiver i K.E. Løgstrups filosofi [Creation and ethics. Motives in K.E. Løgstrup’s philosophy], ed. D. T. Andersson, F. R. Johannessen, A. Lindseth. Hadsten: Forlaget Mimer.

  • Pahuus, M. 1993. Den enkelte og de andre. Om at være sig selv uden at være sig selv nok [The individual and the others. On being oneself without being self-satisfied]. Copenhagen: Gyldendal.

  • Ramjan, L.M. 2004. Nurses and the “therapeutic relationship”: Caring for adolescents with anorexia nervosa. Journal of Advanced Nursing 45(5): 495–503.

    Article  PubMed  Google Scholar 

  • Ricoeur, P. 1979. Fortolkningsteori [The theory of interpretation]. Copenhagen: Vintens Forlag.

  • Sekse, R.J.T., M. Raaheim, G. Blaaka, and E. Gjengedal. 2009. Cancer as a life-changing process: Women’s experiences five years after treatment for gynaecological cancer. International Journal of Qualitative Studies on Health and Well-being 4: 288–298.

    Article  Google Scholar 

  • Tarlier, D.S. 2004. Beyond caring: The moral and ethical bases of responsive nurse-patient relationships. Nursing Philosophy 5(3): 230–241.

    Article  PubMed  Google Scholar 

  • Thomassen, N. 2001. Ulykke og lykke [Unhappiness and happiness]. Copenhagen: Gyldendal.

  • Wright, B.W. 2004. Trust and power in adults: An investigation using Rogers’ science of unitary human beings. Nursing Science Quarterly 17(2): 139–146.

    Article  PubMed  Google Scholar 

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Correspondence to Charlotte Delmar.

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Delmar, C. Beyond the drive to satisfy needs: in the context of health care. Med Health Care and Philos 16, 141–149 (2013). https://doi.org/10.1007/s11019-011-9362-8

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