"Aequanimitas" Redux: William Osler on detached concern versus humanistic empathy
- 1 June 2006
- journal article
- other
- Published by Project MUSE in Perspectives in Biology and Medicine
- Vol. 49 (3), 384-392
- https://doi.org/10.1353/pbm.2006.0038
Abstract
Recent critics make William Osler "the father of cool detachment" in medicine, largely because of his "Aequanimitas" address emphasizing objectivity and imperturbability. Closer analysis suggests that Osler's aequanimitas resembles more nearly the metriopatheia of later Stoic philosophy than the apatheia of the early Stoics. A previously unpublished memoir clarifies at least in part Osler's motive for teaching control of the "medullary centres" to minimize facial expression: he did not want to frighten patients, who typically had serious illnesses for which he lacked effective therapy. Twenty-first century challenges to medicine as a profession differ substantially from those of Osler's era. Physicians and educators must focus more closely on the tension between detached concern ("competence") and humanistic empathy ("caring") if medicine is to thrive as a learned profession as opposed to a technical service, a commodity to be bought and sold like any other.Keywords
This publication has 7 references indexed in Scilit:
- What is clinical empathy?Journal of General Internal Medicine, 2003
- The Caring Physician: The Life of Dr. Francis W. PeabodyThe New England Quarterly, 1993
- What Is Empathy and Can It Be Taught?Annals of Internal Medicine, 1992
- OSLER. THE MAN AND THE LEGENDThe American Journal of the Medical Sciences, 1952
- THE OLD HUMANITIES AND THE NEW SCIENCE: The Presidential Address delivered before the Classical Association at Oxford, May, 1919BMJ, 1919
- Remarks on Organization in the Profession: Made at the Opening of the New Building of the Nottingham Medical SocietyBMJ, 1911
- Aequanimitas, with other addresses to medical students, nurses and practitioners of medicine ; by William Osler ...Published by Smithsonian Institution ,1905