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Guilt and shame - a semantic concept analysis of two concepts related to palliative care.

01:06 EDT 20th June 2013 | BioPortfolio

Summary of "Guilt and shame - a semantic concept analysis of two concepts related to palliative care."

Scand J Caring Sci; 2012 Guilt and shame - a semantic concept analysis of two concepts related to palliative care Background:  The theoretical viewpoint of the study was based on the fundamental motive in caring science, the suffering person and his/her health and life situation, which according to the philosophy of palliative care also includes the next of kin. The latter often wish to participate in the care of their loved ones and it is thus important for them to be able to make decisions that can generate a meaningful participation. Unfulfilled obligations or wrong decisions, concerning their dying relative, can result in experiences of guilt and shame in relation to the care of the loved one. A semantic concept analysis can provide a deeper understanding of these concepts and create a deeper insight into what the concepts mean for the individual. Aim:  The aim of the study was to elucidate the meaning of and the distinction between the concepts of guilt and shame. Methods:  Semantic concept analysis based on Koort and Eriksson. Findings:  The findings show that guilt and shame are two separate concepts. Guilt contains meaning dimensions of being the cause of and sin. Shame contains meaning dimensions of something that gives rise to shame and ability to experience shame. The synonyms for each concept do not overlap each other. Conclusion:  The semantic analysis creates an understanding of the concepts ontologically and provides a basis for theoretical, contextual and clinical understanding and development.

Affiliation

Nursing Program, Department of Caring Sciences, Karolinska Institute, Stockholm, Sweden Gotland University College, Visby, Sweden Linneus University, Växjö, Sweden Haraldsplass University College, Bergen, Norway Department of Nursing, Gjøvik University

Journal Details

This article was published in the following journal.

Name: Scandinavian journal of caring sciences
ISSN: 1471-6712
Pages:

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Medical and Biotech [MESH] Definitions

Semantic Differential

Analysis of word concepts by the association of polar adjectives, e.g., good-bad, with the concept, father. The adjectives are usually scaled in 7 steps. The subject's placement of the concept on the adjectival scale indicates the connotative meaning of the concept.

Existentialism

Philosophy based on the analysis of the individual's existence in the world which holds that human existence cannot be completely described in scientific terms. Existentialism also stresses the freedom and responsibility of the individual as well as the uniqueness of religious and ethical experiences and the analysis of subjective phenomena such as anxiety, guilt, and suffering. (APA, Thesaurus of Psychological Index Terms, 8th ed.)

Metabolic Phenomena

The CHEMICAL PROCESSES that occur within the cells, tissues, or an organism and related temporal, spatial, qualitative, and quantitative concepts.

Biochemical Phenomena

The chemical processes, enzymatic activities, and pathways of living things and related temporal, dimensional, qualitative, and quantitative concepts.

Postmodernism

A late 20th-century philosophical approach or style of cultural analysis that seeks to reveal the cultural or social construction of concepts conventionally assumed to be natural or universal. (from E.R. DuBose, The Illusion of Trust: Toward a Medical Theological Ethics in the Postmodern Age, Kluwer, 1995)

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