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* 807-8555 1-1Tel: 093-691-7224Fax:

093-692-2787E-mail: fujino@med.uoeh-u.ac.jp

274

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1926-1997 22

275

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1970

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1975

1978

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3

Early Exposure
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Early Medical Exposure
1.

2.

3.

4.

5.

6.
7. Early Medical Exposure
8. Early Medical Exposure
9. Early Medical Exposure 3
10. Early Medical Exposure
11. Early Medical Exposure
12. Early Medical Exposure
13. Early Medical Exposure

11
1

22

Albert R. Jonsen

2 3

1983 30

Bioethics

Table 2

280

Table 2.
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1.

7.

2.

8.

4.

9.

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10.
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3. Gone with the Development of Medicine

5.
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9.
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Table 4

Table 4.

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281

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5

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Objective Structured Clinical Examination

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Table 7

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bc

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9. 2

10.
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13. Clinical Ethics 2
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illness narratives

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OSCE

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3.
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283

Table 8

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1.

Fig. 1.

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4 .
1991

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5 . 1991

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6 . 1991

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7 . 1980

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8 .
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1978 pp 1-2
11 .
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Medical Humanities -the Historical Significance and Mission in Medical Education

Akihiro Fujino
Department of Medical Humanities, School of Medicine, University of Occupational and Environmental Health, Japan.
Yahatanishi-ku, Kitakyushu 807-8555, Japan

Abstract : In this paper we consider the significance and mission of medical humanities in medical education from
the following six viewpoints: (1) misunderstanding of the medical humanities; (2) its historical development; (3) the
criteria for the ideal physician; (4) the contents of current Medical Humanities education; (5) the basic philosophy;
and (6) its relation to medical professionalism. Medical humanities consists of the three academic components of
bioethics, clinical ethics and medical anthropology, and it is a philosophy and an art which penetrate to the fundamental essence of medicine. The purpose of medical humanities is to develop ones own humanity and spirituality
through medical practice and contemplation by empathizing with patients illness narratives through spiritual selfawakening and by understanding the mutual healing powers of human relations by way of the realization of primordial life. The basic philosophy is the coincidence of contraries. The ultimate mission of medical humanities is to
cultivate physicians to educate themselves and have a life-long philosophy of devotion to understanding, through
experience, the coincidence of contraries.
Key words: spiritual self-awakening, empathy with illness narratives, coincidence of contraries, primordial life, humanities.
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