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なす多 What is holism()? The medical professional's view of human beings influences. the planning and care provided to patients. For years, the health 従事者 長いp て 提供れる。 care community considered bódy and mind as separate entities, er year Now, it is believed that caréPHOViders need to yiēw an individual s をのてaなす 明電 @ 体的に、ああを as a whole, complete person, not as an assémbly of distinct párts. Viewed in this light, any distúrbance in one part is a disturbance of the whole system, the whole being. Therefore, health care pro- の 体のれれ fessionals must consider how the part of an individual under た下にある concern) relátes to all others and also consider the inferaction 10 and relationship of the individual to the external environment. This view is called holism, a holistic view of humans. :生物じ理、社年的が Humans are an open biòpsychósocial systenm with many inter- めま 提供する: related subsystems. In'brder to ptovide appiopriate healthcare based on a patient's needs, healthcare professionals must focus 15 on the interrelated needs of body, mind, emotion, and spirit. Abraham Maslow's® theory It was Abraham Maslow's human needs théory that offered the frámework for holistic health care. His model includes both 、操供 る的 生理的 心鶏的 怪える 良々に」 physiologic) and psychologic needs, which he arfánges in Order of importance from those essential for phiysical sufVival to those necéssary to develop to the füllest human potential9 Lower-level 20 心体 週不可欠 needs must be met to some extent before higher-level needs can スリ組た、@か。 be addressedio An individual usually persists in trying to meet a 場たす need until it is met. If a need goes unmet, physical disòrders, 25 psychological“imbalance, or death can Maslow's five categories of needs, in hiefarchical order. O Physiologic needs: air, food, water, shelter, rest and sleep, and temperature maintenance) eSáfety and secúrity needs: the need to be safe and to feel 30 OCCur. Below are 野屋eカラーを 所 safe, both in the physical environment and in human rela- tionships; 8 Loye and belónging" needs: the need for giving and receiv- ing love and the need for feeling that one atains®) a place in 所属(優) (7) 脅け人れ a group; OSelf-esteem needs: self-esteem® (feelings of indépéndence, Cumpetence, and self-respect) and estéém from others Toidon 自等 35 独立性 身する
(recognition respect, and appteciation"); 6 Need for self-actualization.(12) At the highest level, the individual strives for'13) self-ácfualiza- tion. A self-actualized person is inner-directed and autúnomous, in contrast to being other-directed. 14) Self-actualization isa prod- 5 r8z定現 21 uct of maturity that comes about through relating to people in an 的 autonomous way. Aesthetic15) needs are also included in this は stage. Maslow discússes two additional needs: the need to know and the need to understand. He believes that these two needs are 10 always present and péfmit people to meet the other needs more efficiently. Patient's socioeconomic and cultural background ほかに、放えて Besides understanding bidpsychosocial needs, health care イ供結為 providers need to take into account the patient's soéioéeconomic 15 生物、心理、伝的な 公 的 and cultural background to understand the person as a whole. Humánistic approach to health care Holistic health care emphásizes humanism, choices, self-care activities, anda péer(o) relationship between the healthcare per- sonnel and the patient. Health care providers who work based i直付 人向性 10人 便給者 20 on this view are called holistic prálitioners!7 They acknówledge the intimate, direct, in3éparable relationship of the human mind and body. 親しい友 分為後できか。 Notes (1) holism「全体観的(全人的)治療」患者のすべての状態を把握して治療すること。 複雑な体系の全体は単に各部分の機能の総和ではなく、各部分を決定する統一体であ るとする全体論に由来する。語源はギリシャ語のholos ("whole")。 cern「関心下にある」 人間学的心理学の主唱者。 (2) under con- (3) Abraham Maslow [maezlou] (1908-70) 米国の心理学者。 (5) to the fullest (6) address (8) attain「獲得 (11) appreciation (13) strive for 「励む、 努力する」 (15) aesthetic [estétik] 「美的な」 (17) practitioner「開業者(特に開業医)」 (4) physiologic 「生理(学)的」 human potential 「人間としての可能性や潜在能力を十分に果たす」 (7) belonging「(集団に)帰属すること」 nb 「取り組む、向かう」 する」 「賞賛」 (14) other-directed 「他律的な、主体性のない」 (16) peer「同等(者)、対等(者)」 (9) self-esteem「自尊心」 (12) self-actualization 「自己実現」 (10) recognition 「承認」 P.1.イラスト解説: 右手に医術による再生を表わす蛇のまといつく棒、左手に薬入りのコップを持つ。左下には古代 エジプトの象形文字で医術を表わしたコウノトリ。右下には薬を造る少年天使たち。 右端は警戒、 用心を示す雄鶏。 左上は太陽の輝く健康の館。医術を象徴する女性は、月桂冠をかぶり、 A Holistic View of Humans 3

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