Background: Gratitude has sparked interest in the world of health. It is considered as a personality characteristic or as an emotion. However, little has been explored in the context of the interpersonal relationship of caring. An exploration in the context of end of life is ground-breaking. Objectives: This study analyses and reflects on the object of gratitude from the perspective of both the persons being cared for and the professionals providing health care. What are patients and their family members grateful for in palliative care? What is the reason for gratitude? What do these health professionals perceive when there is gratitude? These questions were answered considering the gratitude generated in health care encounters, not gratitude as personality trait. Methods: The phenomenological approach was used starting from lived clinical experiences. In the light of the dialogue between clinical experiences and philosophy, this study proposes an explanation of the ‘real’ or essential object of gratitude in palliative care. It was conducted within the context of palliative care. The study materials were manifestations of gratitude expressed or felt in clinical encounters and published in newspapers or shared in daily encounters. These were the basis for analysis and reflection and interdisciplinary dialogue. Findings: The analyses performed indicated healing or deep relief in serious diseases as objects of gratitude according to patients’ perspective, and professional self-affirmation until the end according to the professionals’ perspective. Conclusion: The two perspectives shared an important common fact, namely, the need to consider the persons in their entirety, and the importance of not losing sight of the value they have. This concept would characterize the nature of gratitude, its object being the ‘objective good’ for patients, family members, and palliative care professionals.
Este artículo intenta mostrar que una teoría de la constitución de los objetos del conocimiento no conlleva necesariamente una teoría idealista del conocimiento. El punto de partida es, por un lado, la reconstrucción de los principales elementos de la teoría husserliana de la constitución y, por otro, el análisis de un argumento usado por Husserl en las Investigaciones lógicas a fi n de probar la existencia de objetos ideales. En este orden de cosas, Antonio Millán-Puelles ha mostrado la posibilidad de una "génesis intencional" de los objetos en el sentido del surgimiento de éstos ante la conciencia.
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