HANDBOOK OF PHENOMENOLOGY AND MEDICINE

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1 HANDBOOK OF PHENOMENOLOGY AND MEDICINE

2 Philosophy and Medicine VOLUME 68 Founding Co-Editor Stuart F. Spicker Editor H. Tristram Engelhardt, Jr., Department ofphilosophy, Rice University, and Baylor College ofmedicine, Houston, Texas Associate Editor Kevin Wm. Wildes, S.1., Department ofphilosophy and Kennedy Institute ofethics, Georgetown University, Washington, D.C. Editorial Board George J. Agich, Department ofbioethics, The Cleveland Clinic Foundation, Cleveland, Ohio Nicholas Capaldi, Department ofphilosophy, University oftulsa, Tulsa, Oklahoma Edmund Erde, University ofmedicine and Dentistry ofnew Jersey, Stratford, New Jersey Eric T. Juengst, Centerfor Biomedical Ethics, Case Western Reserve University. Cleveland, Ohio Christopher Tollefsen, Department ofphilosophy, University ofsouth Carolina, Columbia, South Carolina Becky White, DepartmentofPhilosophy, California State University, Chico, California The titles publishedin this series are listed at the end ofthis volume.

3 HANDBOOKOF PHENOMENOLOGY AND MEDICINE Editedby S. KAY TOOMBS Philosophy Depa rtment, Baylor Vniversity, Waco, Texas, V.S.A. SPRINGER SCIENCE+BUSINESS MECIA, B.V.

4 A C.I.P. Catalogue record for this book is available from the Library of Congress. ISBN ISBN (ebook) DOI / Printed an acid-free paper AII Rights Reserved 200 l Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 2001 Softcover reprint ofthe hardcover 1st edition 200 l No part of this publication may be reproduced or utilized in any form or by any means, electronic, mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner.

5 T ABLE OF CONTENTS ACKNOWLEDGEMENTS ~ S. KAY TOOMBS / Introduction: Phenomenology and Medicine 1 SECTION ONE / PHENOMENOLOGY AND MEDICINE JOHN B. BROUGH / Temporality and Illness: A Phenomenological Perspective 29 PATRICK A. HEELAN / The Lifeworld and Scientific Interpretation 47 FRANCES CHAPUT W AKSLER / Medicine and the Phenomenological Method 67 FREDRIK SVENAEUS / The Phenomenology of Health and Illness 87 PER SUNDSTROM / Disease: The Phenomenological and Conceptual Center of Practical-Clinical Medicine 109 RIcHARD M. ZANER / Thinking About Medicine 127 SECTION TWO / THE BODY SHAUN GALLAGHER/ Dimensions of Embodiment: Body Image and Body Schema in Medical Contexts 147 MAUREEN CONNOLLY / Female Embodiment and Clinical Practice 177 GLEN A. MAZIS / Emotion and Embodiment Within the Medical World 197 BRUCE WILSHIRE / The Body, Music, and Healing 215 SECTION THREE / LIVED EXPERIENCE ARTHUR W. FRANK / Experiencing Illness Through Storytelling 229 S. KAy TOOMBS / Reflections on Bodily Change: The Lived Experience of Disability 247

6 VI TABLE OF CONTENTS IRENA MADJARi The Lived Experience of Pain in the Context of Clinical Practice 263 Jo ANN WALTON i The Lived Experience of Mental Illness 279 SECTION FOUR i CLINICAL PRACTICE CARL EDVARD RUDEBECK i Grasping the Existential Anatomy: The Role of Bodily Empathy in Clinical Communication 297 PAUL KOMESAROFF i The Many Faces of the Clinic: A Levinasian View 317 IAN R. MCWHINNEY i Focusing on Lived Experience: The Evolution of Clinical Method in Western Medicine 331 PATRICIA BENNER i The Phenomenon of Care 351 ERIC 1. CASSELL i The Phenomenon of Suffering and its Relationship to Pain 371 SECTION FIVE I MEDICAL ETHICS MARK 1. BLITON I Imagining a Fetus: Insights From Talking With Pregnant Women About Their Decisions To Undergo Open-Uterine Fetal Surgery 393 CATRIONA MACKENZIE IOn Bodily Autonomy 417 MICHAEL C. BRANNIGAN i Medical Feeding: Applying Husser! and Merleau-Ponty 441 SECTION SIX i RESEARCH MAX V AN MANEN I Professional Practice and 'Doing Phenomenology' 457 CHRISTINA PAPADIMITRIOU i From Dis-ability to Difference: Conceptual and Methodological Issues in the Study of Physical Disability 475 NOTES ON CONTRIBUTORS 493 INDEX 495

7 ACKNOWLEDGEMENTS I should like to express my deep appreciation to the many people who have assisted in the preparation of this volume. In particular, I would like to thank the Herbert H. and Joy C. Reynolds Endowment Fund for University Excellence, the Baylor University Philosophy Department, the College of Arts and Sciences and the Office of the Provost and Vice President for Academic Affairs of Baylor University for providing funding for a summer sabbatical that allowed me to work on the project. I am also deeply grateful to the authors in this volume who have contributed their time, expertise, and enthusiasm for phenomenology and medicine - and who have patiently gone through the process of review and revision in such a timely and gracious fashion. Not only have I learned a great deal from their work but I have enjoyed our "conversations" via and am very grateful for the opportunity to develop new and stimulating avenues for international discussions about ongoing work. H. Tristram Engelhardt, Jr. and Ruiping Fan first persuaded me to consider undertaking this project. In retrospect, I am very glad that I accepted their kind invitation - although "in the midst of things" I must admit I was a little less sure about my wisdom in doing so. The preparation of the manuscript would not have been possible without the assistance of Rodney Culpepper who coaxed the computer to perform all the necessary formatting tasks that it absolutely refused to do for me. I am also grateful to Anne Ultee, Publishing Editor, Humanities Division, Kluwer. She has been both an understanding editor and a delightful correspondent. Lastly, I want to thank my beloved husband, Dee. Throughout the preparation of this 'volume he has held me up (both literally and figuratively). My work - and my life - would simply not be possible without him. S. Kay Toombs Baylor University Waco, Texas U.S.A.

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