医者とナースと、男と女と
先日、友人と話をしました。
男と女の勘ってなにか違う、とずっとぼくは考え込んでいたのですが、友人に意
見をもらいました。
「女の勘は、視覚的なのでは?」
…なるほど、と思った次第で。
つまり、目で見えるものがふつうとちょっとずれていると敏感に気づく、と。
男の勘って論理とのずれを感じる力、だと思います。
過去から未来までの論理と道筋を、言葉として明確化できていないとしてもくみ
上げていて、それとのずれを感じるのが男の勘、だと思うのですよね。
だから、うだうだと昔のことを気にしたり、かなえられるのかよくわからない夢
にこだわったり、ということがある気がする。
対して女の勘って、上に書いた意見をちょっと進めて、普通・日常とのずれを感
じる力、と自分は感じています。
だから普通、というものへのアンテナの高さは男よりずっと高いし、あつまるこ
とや話すことは好きだし、ショッピングとかのように視覚的な大量の情報を処理
することができるなと感じます。
そう、未整理な大量の情報を処理する女性の能力って、すごいな、と思うのです
よね…。男はざっくり処理していくと思います。
まあ、あくまで平均値の話で、個々人ではかなり分散する話ではあると思います
が。
で、なんでそんなこと書いたかというと、医師と看護の違いは男と女の違いに通
じるところを感じるのです。
医者の本質は、診断と治療、とざっくりとは整理できる気がします。
でもそのどちらの本質も、「物語をつくる」ことだと感じます。
典型的な疾患、典型的な体、というのは理想の世界にしかない。つまりこの世に
は存在しないわけで。教科書には書いていないような非典型的な病気の状態しか
ないなかでその病気だと断定していく。それが、診断。そして、教科書どおりな
理想的なからだなどない中で、微妙にコントロールしていくのが治療。その極致
にあるのが手術なのでしょうね。
そこで重要になってくるのは、どちらも、物語をつくれる能力。
典型的な物語(教科書的疾患)とのずれを感じながら修正しながらどれだけ説得
力のある物語(その人の疾患物語)をつくれるのかが診断であり、ずれてしまっ
ている物語(病気の状態)をいかに元気な状態という物語に、微調整しながら無
理矢理に修正するかが、処置であり手術。
男の勘。
そう、研修しながら感じます。
対して、先日ナイチンゲールをやっと読みました(汗
そこで彼女が何度も繰り返すキーワードが、「観察」。
観察して観察して、よりよい方向に導くのが看護だと、彼女は書いていると感じ
ました。看護は愛だ、といった「与える」というイメージではなく、観察こそが
看護の本質だ、と書いているのだと僕は感じました。そう、五感を使って観察し、
きっちり変化に気づくことができなければ看護ではない。
女の勘を感じます。
現場でナースをみていても、女性の能力をシステムに組み込んでいるな、と思い
ます。身近なことだと、申し送り。看護師は3交代or2交代で病院で働いているわ
けですが、その交代のときは会話で申し送る。
…男だとそんな引継ぎできない、といつも見ていて思います。
医者は男であるべきだ、とか、
看護師は女であるべきだ、とはまったく思いませんが、
歴史的に、男女の違う能力が入り込んでいる気がするのですよね。
…どうなんですかね?
コメント
なるほど!!
面白いです!!
投稿者: ちぃ | 2006年09月20日 11:13
突然の割り込み、お許しを。
オンナの勘は視覚?
いえいえ…
オンナの勘は嗅覚です。
もちろん、観察するには
五感を使いますよ〜
一番敏感に感じるのは
何といっても嗅覚!
Ns&オンナのハナからの
一方的な意見ですが…
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