May you benefit from what you see: A humanistic reflection on the palliative gaze

Authors

DOI:

https://doi.org/10.23938/ASSN.1130

Keywords:

Palliphobia, Palliative, Narrative, Meaning, Holism

Abstract

This essay, written from the clinical experience of a physician specialized in palliative care, reflects on the need to reframe this discipline within both medical practice and social culture. Through a personal lens, and using the lyrics of Spanish singer-songwriter Joaquín Sabina as a guiding thread, it argues that institutional and emotional resistance to palliative care - palliphobia - arises not only from structural barriers, but also from a medical narrative focused almost exclusively on cure. The text underscores the essential role of healthcare professionals in fostering this paradigm shift and the importance of reclaiming person-centered care: a way of seeing, listening, and accompanying, even when cure is no longer possible. Against the backdrop of technological noise and clinical haste, the essay proposes refining our gaze so that, on both sides of the consultation desk, we may rediscover meaning and value in what we see.

Downloads

Download data is not yet available.

References

1. ZAMBRANO M. Filosofía y poesía (5ª ed). México, DF: Fondo de Cultura Económica; 2005.

2. FRANKL VE. Man’s search for meaning: The classic tribute to hope from the Holocaust. London: Rider; 2011.

3. CHOCHINOV HM. Dignity therapy: Final words for final days. New York: Oxford University Press; 2012.

4. SABINA J. Nos sobran los motivos [Canción]. En: 19 días y 500 noches. Madrid: BMG / Ariola Records; 1999.

5. PAZ O. El arco y la lira: El poema ; la revelación poética; poesia e historia. (4ª ed, facsímil de la primera). México, DF: Fondo de Cultura Económica; 2006.

6. SABINA J. Noches de boda [Canción]. En: 19 días y 500 noches. Madrid: BMG / Ariola Records; 1999.

7. ALIGHIERI D. Divina Comedia. Edición anotada bilingüe. Varela-Portas de Orduña JI, Vilella Morató E, Pinto R, Cattermole Ordoñez C, Cappuccio C, Arqués Corominas R, editores. Madrid: Akal; 2021.

8. SABINA J. Calle melancolía [Canción]. En: Malas compañías. Madrid: EPIC / Ariola; 1980.

9. SABINA J. ¿Quién me ha robado el mes de abril? [Canción]. En: El hombre del traje gris. Madrid: BMG / Ariola Records; 1988.

10. FRIEDRICHSDORF SJ, BRUERA E. delivering pediatric palliative care: From denial, palliphobia, pallilalia to palliactive. Children (Basel) 2018; 5(9): 120. https://doi.org/10.3390/children5090120

11. BRUERA E. The development of a palliative care culture. J Palliat Care 2004; 20(4): 316-319.

12. BRUERA E. On third base but not home yet. J Palliat Med 2008; 11(4): 565-569. https://doi.org/10.1089/jpm.2008.9924

13. HUI D, HEUNG Y, BRUERA E. Timely palliative care: Personalizing the process of referral. Cancers (Basel) 2022; 14(4): 1047. https://doi.org/10.3390/cancers14041047

14. SABINA J. Ruido rotos [Canción]. En: Esta boca es mía. Madrid: BMG / Ariola Records; 1994.

15. RHEE JY, FOLEY K, MORRISON RS, CENTENO C, KRAKAUER EL. Training in global palliative care within palliative medicine specialist training programs: A moral imperative. J Pain Symptom Manage 2018; 55(5): e2-e4. https://doi.org/10.1016/j.jpainsymman.2018.01.022

16. CARLETON RN. Into the unknown: A review and synthesis of contemporary models involving uncertainty. J Anxiety Disord 2016; 39: 30-43. https://doi.org/10.1016/j.janxdis.2016.02.007

17. KANT I. Pedagogía (3ª ed). Madrid: Ediciones Akal; 2003.

18. GONZÁLEZ BLASCO P, SERRANO DÍAS DE OTÁLORA M, PASTUSHENKO J, ALTISENT TROTA R. ¿Cómo enseñar bioética en el pregrado? Reflexiones sobre experiencias docentes. Aten Primaria 2009; 41(2): 103-108. https://doi.org/10.1016/j.aprim.2008.06.003

19. SMUTS A. Art and negative affect. Philosophy Compass 2009; 4(1): 39-55. https://doi.org/10.1111/j.1747-9991.2008.00199.x

20. SABINA J. La canción más hermosa del mundo [Canción]. En: Dímelo en la calle. Madrid: BMG / Ariola Records; 2002.

21. SABINA J. Con la frente marchita [Canción]. En: Mentiras piadosas. Madrid: BMG / Ariola Records; 1990.

22. SABINA J. Donde habita el olvido [Canción]. En: 19 días y 500 noches. Madrid: BMG / Ariola Records; 1999.

23. SABINA J. A mis cuarenta y diez [Canción]. En: 19 días y 500 noches. Madrid: BMG / Ariola Records; 1999.

24. SABINA J. 19 días y 500 noches [Canción]. En: 19 días y 500 noches. Madrid: BMG / Ariola Records; 1999.

25. SABINA J. Y sin embargo [Canción]. En: Yo, mi, me, contigo. Madrid: BMG / Ariola Records; 1996.

26. SABINA J. Por el bulevar de los sueños rotos [Canción]. En: Esta boca es mía. Madrid: BMG / Ariola Records; 1994.

27. SABINA J. Así estoy yo sin ti [Canción]. En: Hotel, dulce hotel. Madrid: BMG / Ariola Records; 1987.

Published

2025-08-29

How to Cite

1.
Torres-Tenor JL. May you benefit from what you see: A humanistic reflection on the palliative gaze. An Sist Sanit Navar [Internet]. 2025 Aug. 29 [cited 2026 Feb. 1];48(2):e1130. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/116714

Issue

Section

Special Collaboration

Similar Articles

<< < 6 7 8 9 10 

You may also start an advanced similarity search for this article.