Løgstrup’s thinking: a contribution to ethics in physiotherapy

Abstract

Ethics is ever-present in all aspects of human interaction and, in any physiotherapy situation there is an inherent claim to act and care for the patient in the best possible way. The physiotherapy profession is provided with rules, guidelines and codes to support and ensure ethical professional conduct. In recent decades however, physiotherapy literature has emphasized how ethical agency is immersed in clinical reasoning in each particular situation, in the doing of physiotherapy. The Danish philosopher and theologian Knud E. Løgstrup offers a bottom-up approach to ethics, which may augment the philosophical underpinning of this development in ethical thinking. Løgstrup departs from the given pre-conditions of life; a point of departure where the ethical claim emerges from sensation in the concrete situations. This paper introduces Løgstrup's situational ethics and its ontological framing, with four foci: how we can tune in to sensation and sense the ethical claim of the other; how human interdependence can be heard in what Løgstrup calls sovereign life utterances; relational responsibility and ethical norms; and the metaphorical importance of poetic understandings of the world. In four themes we reflect on how these ethical issues are at stake in physiotherapy practice with regards to: (1) uncertainty, tuned sensation and therapeutic attitude in physiotherapy; (2) sensuous, narrative and poetic meaning-making in physiotherapy; (3) physiotherapy and coming to oneself in new embodied experiences; and (4) ethical claims and codes of conduct in physiotherapy. ARTICLE HISTORY

The voice of the profession: how the ethical demand is professionally refracted in the work of general practitioners

“…Its centrepiece is the ethical demand , a moral imperative based in the trust that we as humans show each other whenever we interact. Historically, phenomenological ethics has been embraced by care ethicists, perhaps because it harmonises with the “picture of the ideal nurse” who, unlike the doctor, “spontaneously shows caring behaviour” [ 18 ]; more recently, it has been found to be useful by physiotherapists [ 19 ]. It is at least possible that Løgstrup’s theory could prove relevant also to GPs, seeing as they interact daily with people who place a considerable part of their lives in their hands.…”

Implikasi Etika Solidaritas Knud Ejler Løgstrup terhadap Korban Virus Covid-19 Di Indonesia

“…Løgstrup berpendapat bahwa meskipun secara benar kita terlibat dengan orang lain, namun kita tidak membutuhkan aturan-aturan moral untuk memandu tindakan kita, melainkan kita kehilangan keterlibatan tersebut, saat aturan itu diperlukan. Oleh karena itu, kita membutuhkan aturan untuk melindungi kekurangan dan egosentrisitas kita (Randi et al, 2020).…”

“…Dasar etika Løgstrup tidak bisa dipisahkan dengan konsepnya tentang fenomenologi. Konsep fenomenologi yang terdapat dalam etika situasi ontologi Løgstrup memiliki empat nilai inti yang sangat penting yakni: (1) sensasi dan klaim etis; (2) gagasan apa yang Løgstrup sebut sebagai ucapan kehidupan tertinggi; (3) bentuk eksistensial dari ekspresi kesan; dan (4) pemahaman kehidupan puitis dan etis (Pahuus, 2005).…”