从疾痛解释到医学人文——以凯博文《疾痛的故事》为中心的讨论
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  • 英文篇名:From Illness Explanation to Medical Humanities:A Discussion Based on Arthur Kleinman's The Illness Narratives
  • 作者:郑艳姬
  • 英文作者:ZHENG Yan-ji;Institute of Western Studies on Chinese Medicine,Yunnan University of Chinese Medicine;
  • 关键词:疾痛 ; 解释模式 ; 文化 ; 道德体验 ; 医学人文
  • 英文关键词:illness;;explanation mode;;culture;;moral experience;;medical humanities
  • 中文刊名:YXZX
  • 英文刊名:Medicine & Philosophy
  • 机构:云南中医药大学中医西学研究所;
  • 出版日期:2019-03-20
  • 出版单位:医学与哲学
  • 年:2019
  • 期:v.40;No.617
  • 基金:2018年中国博士后科学基金第11批特别资助项目(2018T110901)
  • 语种:中文;
  • 页:YXZX201906013
  • 页数:5
  • CN:06
  • ISSN:21-1093/R
  • 分类号:54-57+63
摘要
《疾痛的故事》采取了人类学的研究方法将疾痛放在文化的视角进行深度释义,从疾痛的个案出发审视疾痛本身所带有的文化和社会属性。该书是一个探究疾痛本质和境况的全新角度,通过对现代医疗制度的批判,作者凯博文希望医患之间的互动模式能够注入更多人文关怀与体谅,患者与医治者能够用对苦难的共情、悲悯、善良等人性最本真的追求来深切对待疾患之苦。这不仅对患者来说是巨大的福音,同时也是改善越来越割裂的医患关系的重要途径。
        The Illness Narratives adopts anthropological research methods to deeply explain the illness in the perspective of culture,and examines the cultural and social attributes of illness from some cases.This book from a new perspective explores the nature and situation of illness.Through the critique to modern medical system,the author Arthur Kleinman hopes to promote more humanistic care in the interaction between doctors and patients,and patients and healers can use empathy,compassion,kindness and other human nature,which are the most authentic pursuits,to deeply address the suffering of the disease.This is not only agreat gospel for patients,but also an important way to improve the increasingly fragmented relationship between doctors and patients.
引文
[1]克莱曼.疾痛的故事:苦难、治愈与人的境况[M].方筱丽,译.上海:上海译文出版社,2010.
    [2]汉.疾病与治疗:人类学怎么看[M].禾木,译.上海:东方出版中心,2010:5-16.
    [3]克莱曼.道德的重量:在无常和危机前[M].方筱丽,译.上海:上海译文出版社,2008.
    [4]王一方.临床医学人文:困境与出路:兼谈叙事医学对于临床医学人文的意义[J].医学与哲学,2013,34(9A):14-18.
    [5] KLEINMAN A.From illness as culture to care-giving as moral experience[J].N Engl J Med,2013,368(15):1376-1377.
    [6]程瑜,谢操.从道德体验到关怀照料:医学人文的理论与实践路径[J].中国医学伦理学,2017,30(6):676-681.
    [7] FARMER P,KIM J Y,KLEINMAN A,et al.Reimagining global health:An introduction[M].Berkeley:University of California Press,2013:302-339.
    [8]杜治政.当代医学人文理念与实践论纲[J].医学与哲学:人文社会医学版,2008,30(1):2-7.
    [9] KLEINMAN A.The art of medicine:Caregiving as moral experience[J].Lancet,2012,380(9853):1550-1551.

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