华人生死学
从善终之术到善生之道:终身善终力理论框架下善生力与善终力的辩证统一及实践路径
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北京安宁云护科技有限公司

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From the Art of Graceful Dying to the Pathway of Mindful Living: The Dialectical Unity of Mindful-Living Competence and End-of-Life Competence within the Lifelong Graceful End-of-Life Competence Theoretical Framework and Practical Pathways
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    摘要:

    本文以“善终力”(生命末期实现自主尊严谢幕的综合能力)为核心切入点,首先明确定义善终力,揭示善终力作为个体内在能力目标的本质。进而提出,善终力的实现依赖于“善生力”(贯穿生命全程的生存智慧)的奠基作用。通过解析二者辩证关系(善生力为根,善终力为果),构建善生力的“六力模型”(觉知力、放下力、临在力、联结力、精简力、传承力)与善终力的“三角支撑模型”(个体内在、关系联结、系统适应能力)。最终整合提出“终身善终力”概念体系(终身善终力=善生力+善终力),揭示其通过重构生死观提升生命质量的核心价值。实践层面提出阶梯式培养路径及社会支持体系,为安宁疗护从“终末干预”转向“全程赋能”提供理论范式,为临终关怀实践前移、生命教育体系重构及公共卫生政策制定提供新范式。

    Abstract:

    ABSTRACT:This paper takes"End-of-Life Competence"(the comprehensive ability to achieve an autonomous and dignified closure at life's end)as its core starting point.It first clearly defines End-of-Life Competence,revealing its essence as an individual's intrinsic capability and objective.It further proposes that the realization of End-of-Life Competence relies on the foundational role of"Mindful-living competence"(the wisdom of living cultivated throughout the entire life course).By analyzing the dialectical relationship between the two(Mindful-living competence as the root,End-of-Life Competence as the fruit),the paper constructs the"Six-Capacity Model"of Mindful-living competence(Awareness Capacity,Letting-Go Capacity,Presence Capacity,Connection Capacity,Simplification Capacity,Legacy Capacity)and the"Triangular Support Model"of End-of-Life Competence(Intrapersonal Competence,Interpersonal Competence,Systemic Adaptability).Ultimately,it integrates and proposes the conceptual framework of"Lifelong Graceful End-of-Life Competence"(Lifelong Graceful End-of-Life Competence=Mindful-living competence+End-of-Life Competence),revealing its core value in enhancing life quality through reshaping the life-death perspective.At the practical level,it proposes a stepwise training path and a social support system,providing a theoretical paradigm for shifting palliative care from"end-of-life intervention"to"whole-life empowerment,"and offering new paradigms for advancing palliative care practice,reconstructing life education systems,and formulating public health policies.

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  • 收稿日期:2025-09-09
  • 最后修改日期:2025-11-07
  • 录用日期:2025-11-10
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  • 王艳