<p>Physician burnout has increasingly been associated not only with workload and administrative burden, but also with a perceived erosion of meaning and professional identity within contemporary medical practice. This article explores the potential of Hans-Georg Gadamer’s philosophical hermeneutics as a resource for reorienting physicians toward a more sustainable practice of medicine. The present argument does not propose hermeneutic awareness as a singular solution to burnout, but rather as a conceptual lens through which one important dimension of burnout — the experience of diminished meaning — may be understood. Key elements of Gadamer’s philosophy as outlined in <i>Truth and Method</i> Gadamer (Truth and method (2., rev. ed). Continuum 2003) and <i>The Enigma of Health</i> Gadamer (The enigma of health: The art of healing in a scientific age 1996) are presented here as a conceptual framework, inviting the doctor to reconsider the doctor-patient dialogue from a <i>new</i> horizon—one shaped by a curiosity to know more about the person sitting across from them. Existing scholarship in the phenomenology of medicine has emphasised the interpretive nature of clinical practice; the present article extends this discussion by considering how hermeneutic awareness may also support physician wellbeing through renewed attentiveness to relational and interpretive dimensions of care. Reflective exercises are offered as illustrative applications of Gadamerian concepts within contemporary clinical contexts. While structural causes of burnout require systemic solutions, a hermeneutic perspective highlights how meaning, dialogue, and interpretive attentiveness may remain accessible within everyday clinical encounters. In this way, Gadamer’s philosophy contributes to ongoing efforts within the health humanities to re-articulate medicine as both a scientific and interpretive practice.</p>

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Interpretation and the art of care— Gadamer’s hermeneutics and physician wellbeing

  • Peter Shannon

摘要

Physician burnout has increasingly been associated not only with workload and administrative burden, but also with a perceived erosion of meaning and professional identity within contemporary medical practice. This article explores the potential of Hans-Georg Gadamer’s philosophical hermeneutics as a resource for reorienting physicians toward a more sustainable practice of medicine. The present argument does not propose hermeneutic awareness as a singular solution to burnout, but rather as a conceptual lens through which one important dimension of burnout — the experience of diminished meaning — may be understood. Key elements of Gadamer’s philosophy as outlined in Truth and Method Gadamer (Truth and method (2., rev. ed). Continuum 2003) and The Enigma of Health Gadamer (The enigma of health: The art of healing in a scientific age 1996) are presented here as a conceptual framework, inviting the doctor to reconsider the doctor-patient dialogue from a new horizon—one shaped by a curiosity to know more about the person sitting across from them. Existing scholarship in the phenomenology of medicine has emphasised the interpretive nature of clinical practice; the present article extends this discussion by considering how hermeneutic awareness may also support physician wellbeing through renewed attentiveness to relational and interpretive dimensions of care. Reflective exercises are offered as illustrative applications of Gadamerian concepts within contemporary clinical contexts. While structural causes of burnout require systemic solutions, a hermeneutic perspective highlights how meaning, dialogue, and interpretive attentiveness may remain accessible within everyday clinical encounters. In this way, Gadamer’s philosophy contributes to ongoing efforts within the health humanities to re-articulate medicine as both a scientific and interpretive practice.