喪葬禮俗中“拼廳”之臨終倫理探討－以從醫院回家斷氣為例

A Study of End-of-Life Ethics on Funerary Customs "Hall Cleaning"-A Case about Person Breathed His Last on the Way of Home from Hospital

10.7065/MRPC.200604.0057

曹聖宏(Sheng-Hung Taso)

喪葬禮俗 ； 拼廳 ； 臨終倫理 ； funerary customs ； hall cleaning ； end-of-life ethics

哲學與文化

33卷4期（2006 / 04 / 01）

57 - 68

繁體中文

臨終代表著正在死亡，從生死的角度來看，臨終者身處生與死的交界，無論是施予積極的醫療搶救，或是參照醫師、親友的意見將病危者送回家中等待斷氣，這困難的時刻，家屬心理的掙扎，都顯示出臨終倫理問題的重要性。本篇論文，將場景拉回到臨終者最熟悉的地方－家。台灣傳統喪葬習俗中，將臨終者從寢室移往正廳，或從醫院留一口氣回家斷氣，謂之拼廳，也代表家屬將在最熟悉的地方體驗最悲痛的時刻。作者本身為殯葬禮儀師，實務上曾參與數次臨終過程，從中發現許多人性與禮俗相衝突之倫理問題，因此將以實務之經驗來探討拼廳習俗的臨終倫理問題，以及家庭成員參與臨終場景時的心理感受與相關作為。

The end of life means dying. From the perspective of transition from life to death, the intersection a dying person is walking through, the importance of the issues of end-of-life ethics is obvious concerning the psychological struggle of the family as they must decide whether to continue aggressive medical treatment or to accept the advice of the doctor or relatives to bring home their dying beloved. In this thesis, the scene will be focused on the most familiar place to a dying person-home. As part of traditional Taiwanese funerary customs-hall cleaning-the dying should be moved to the main hall of the house from the bedroom or hospital before the last breath, representing that the moment of grieving takes place in the family's most familiar. The author, as a funerary services practitioner, has witnessed several cases of life ending, and noticed some ethical issues of the conflict between human nature and some customs, and will explore, based on practical experience, the end-of-life ethics of ”hall cleaning” and the deep feeling and behavior of the family members taking part in the process.

1. Aries, P.(1974).Western Attitudes toward Death.Middle Ages to the Present:Johns Hopkins University Press.
2. Bauman, Z.(1992)。Mortality, Immortality and Other Life Strategies。Stanford:Stanford University Press。
3. Kellehear, A.(1990)。Dying of Cancer: The Final Year of Life。Singapore:Harwood Academic Publishers。
4. 波伊曼、江麗美譯(1997)。生與死－現代道德困境的挑戰。台北:桂冠出版社。
5. 徐福全(1984)。國立台灣師範大學國文研究所。
6. 尉遲淦(2003)。禮儀師與生死尊嚴。台北:五南出版社。
7. 黃冠能(2003)。國立台灣大學社會工作學系。
8. 鍾昌宏編(1990)。安寧療護暨緩和醫學－簡要理論與實踐。台北:安寧照顧基金會。