Exploring Arthur Kleinman’s concept of “care as a moral experience”
Main Article Content
Abstract
Arthur Kleinman proposes the concept of care as a moral experience after years of caring for his wife with Alzheimer’s until her death. Kleinman believes that similarly caring experiences of healthcare staff with patients can free them from the narrow of technical perspectives of professionalism that are influenced by the educational system. In addition, the structural changes in the current health system, such as health services becoming a profit-and-loss business, commercial medicine that are promoting the attitude of healthcare staff towards patients as customers, and the bureaucratic system that emphasizes paperwork, reports and a lot of quality indicators are degrading the dignity of health care workers. Caring is a tool to lead healthcare staff to moral experiences. It will promote them growth into a self-fulfillment human being and bring the meaning of caring work back into the health system.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
เกศินี กิตติบาล, อารี ชีวเกษมสุข, และชูชาติ พ่วงสมจิตร์. (2564). การจัดการความเหนื่อยล้าจากการทำงานของพยาบาลวิชาชีพในโรงพยาบาลพระนครศรีอยุธยา. วารสารพยาบาลโรคหัวใจและทรวงอก, 3 (1), 121-136.
อมรรัตน์ จันโยธา, สุทธินันท์ ฉันท์ธนกุล, เฉลิมชัย ชัยกิตติภรณ์, และสุคนธา ศิริ. (2560). ศึกษาความเหนื่อยล้าและปัจจัยที่มีความสัมพันธ์กับความเหนื่อยล้า จากการปฏิบัติงาน ของพยาบาลโรงพยาบาลระดับตติยภูมิ. วารสารพยาบาลทหารบก, 18(2),166-74. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/101676
Honkasalo, M., & Lindquist, J. (1997). An Interview with Arthur Kleinman. Ethnos, 62(3-4), 107-126.
Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Annals of Internal Medicine, 88(2), 251-258.
Kleinman, A. (1978). Concepts and a model for the comparison of medical systems as cultural systems. Social Science and Medicine, 12, 85-93.
Kleinman, A. (1980). Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine and Psychiatry. University of California Press.
Kleinman, A. (1986). Social Origins of Disease and Distress: Neurasthenia, Depression, and Pain in Modern China. Yale University Press.
Kleinman, A. (1988). The Illness narrative: Suffering, Healing, and the Human Condition. Basic Books.
Kleinman, A. (1995). Writing at the Margin: Discourse between Anthropology and Medicine. University of California Press.
Kleinman, A. (2006). What Really Matters Living a Moral Life amidst Uncertainty and Danger. Oxford University Press.
Kleinman, A. (2008). Today’s biomedicine and caregiving: are they incompatible to the point of divorce?. The University of Leiden.
Kleinman, A. (2009). Borderlands: professional life lived precariously but happily in anthropology and medicine. Medical Humanities, 35(1), 6.
Kleinman, A. (2009). The Caregiving. In Van der Geest, Sjaak and Tankink, Marian (Eds.). Theory and Action: Essay for an anthropologist. AMB Dieman.
Kleinman, A. (2013). From illness as culture to caregiving as moral experience. New England Journal of Medicine, 368, 1376-1377.
Kleinman, A. and Benson, P. (2006). Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. PLoS Medicine, 3(10), 1673-1676.
Kleinman, A., Das, V. and Lock, M. (Eds.). (1997). Social suffering. University of California Press.
Kleinman, A. and Hanna, B. (2008). Catastrophe, Caregiving and Today’s Biomedicine. BioSocieties, 3(3), 287-301.
Kleinman, A. and Van der Geest, S. (2009). Care in health care: Remaking the moral world of medicine. Medische Antropologie, 21(1), 159-168.
Kleinman, A. (2019). The soul of care: The moral education of a husband and a doctor. Penguin Random House.
Mol, A. (2008). The Logic of Care: Health and the Problem of Patient Choice. Routledge.
Mol, A, Ingunn, M, and Pols, J. (2010). Care in practice: on tinkering in clinics, homes and farms. Transcript.
Pols, J. (2006). Washing the citizen: Washing, cleanliness and citizenship in mental health care. Culture, Medicine and Psychiatry, 30(1), 77-104.
Pols, J. (2013). Washing the patient: dignity and aesthetic values in nursing care. Nursing Philosophy, 14, 186-200.
Willems, D. and Pols, J. (2010). Goodness! The empirical turn in health care ethics. Medische Antropologie, 22(1), 161-170.