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The Uses Of Dying: Ethics, Politics And The End Of Life In Buddhist Thailand
著者 Stonington, Scott (著)
出版年月日2009.01
ページ13
出版者ProQuest LLC
出版サイト https://www.proquest.com/
出版地Ann Arbor, MI, US [安娜堡, 密西根州, 美國]
資料の種類博碩士論文=Thesis and Dissertation
言語英文=English
学位博士
学校University of California, San Francisco
学部・学科名Medical Anthropology
指導教官Sharon Kaufman
キーワードHealth and environmental sciences; Social sciences; Bioethics; Buddhadasa; Death and dying; Dying; Palliative care; Thailand
抄録In Thailand, a series of global and local political events has destabilized the concept of dying and begun to replace it with a competing concept known as “the end of life.” As a result, the ethical frameworks governing the Thai deathbed have become disjointed. This dissertation is about the origin of these frameworks and how individuals, families and care providers navigate them. In Northern Thailand, dying has traditionally been conceived in two phases. First, from diagnosis until the hours before death, family members are driven by an imperative to pay back a “debt of life” to their relative by giving them “heart power” – support based on a unique model of the relationship between heart/mind, body and social world. The imperative to give “heart power” sets up an ambiguous relationship to truth-telling, which can drain heart power and hasten death. Second, the last hours of life are governed by an imperative to optimize the separation of body and spirit at the moment of death, best achieved in the familiarity of home rather than the metaphysically polluted hospital. It is into this ethical environment of these two phases that the new object “end of life” has arrived. In the 1990s, a military massacre of pro-democracy protesters and a scandal in the Buddhist clergy caused an opening in the traditional structures of Thai power. During this opening, the famous activist monk Buddhadasa died in the intensive care unit, against his wish for a natural death. Political and religious reform groups rallied around the Saint’s death as the focus of their interventions for Thai society. They proposed a set of new ethical figures: the figure of the dying patient as a rights-wielding citizen, and the figure of the dying patient as seeker of wisdom. These ethical figures require a knowing subject and stretch the moment of death into a prolonged “end of life” that can be used for subject formation. These figures clash with the existing frameworks at the deathbed, which require an ignorant subject and conceive death as a moment. Individuals must navigate among these politicized ethical frameworks to make decisions about dying.
ヒット数426
作成日2023.04.10
更新日期2023.04.10



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