Феномен пациента в условиях медикализации жизни: философско-антропологические аспекты проблемы

Abstract

Introduction. A man of today inevitably acquires the status of a patient in the context of preventive medicine, even when he is healthy. But at the same time, he or she becomes an object of influence both from medicine itself and from numerous social institutions and commercial structures, in addition to health institutions, which proclaimed their mission to ensure human well-being. The purpose of the study is to comprehend the philosophical and anthropological aspects of the patient’s phenomenon and clarify basic foundations of transforming a patient’s consciousness in the context of progressive life medicalization. Methods. The methodological basis of the research comprises sociocultural, hermeneutic, existentialphilosophical and phenomenological approaches. The research is based on M. Heidegger’s anthropological ontology, E. Giddens’ existential ontology; M. Foucault’s concept of life medicalization; P.D. Tishchenko’s concept of transforming bio-power in modern culture. Scientific novelty of the research. The author has developed a hypothesis for the principles of forming individual and mass patient consciousness, which determines a modern person’s way of being in the context of life medicalization. Results. Suffering from the fear of the existence finiteness becomes the existential foundation of the modern patient’s consciousness, while the existential and rational foundations of the patient consciousness of the modern enlightened individual are mutually mediated. The link in their mutual mediation is believing in the possibility of achieving the ideal health, formed in modern socio-cultural conditions. In the situation of total life medicalization, in which health is understood as a prosperous existence, a special way of human being is formed on the basis of the individual patient’s consciousness. The “effect” of the life medicalization is the emergence of a mass patient consciousness - the fear of losing health forms the ideology of a medicalized society in which every individual becomes a patient. Conclusions. The progress of biomedicine is able to determine the crisis of human identity. In this regard, it is important to clarify the philosophical concepts of health and illness in the context of the modern sociocultural situation, which allows to determine the possible ideal of health within the framework of medical interventions that are safe for the human essence and capable of providing “ontological safety” when healing an individual.