Mergenthaler D
University of Münster, Germany, Department for Theory and History of Medicine, 48149, Münster, Germany.
Med Health Care Philos. 2000;3(3):277-85. doi: 10.1023/a:1026480405526.
The neurologist Oliver Sacks has become very famous for his writings. His popularity has scattered all mass medias. In his books, he eloquently tells stories about patients suffering from extraordinary neurological diseases. Since the conceptual framework of Sacks' narratives has been widely unconsidered, this article pursues a more general and systematic approach to his work. Sacks terms his idiographic and phenomenological access to the world of science Romantical Science. With its features, he develops a concept of a Neurology of Identity, that is basically concerned with the patient's personality and subjectivity. Sacks' personal approach to medicine implies another understanding of diseases: For him, diseases cannot be reduced to pathological facts, they constitute other worlds. He characteristically uses philosophical, psychological and mythical terms for interpretation and narration. But conversely to its sympathetic appearance, Sacks' approach entails some deficits: His presentation is not always realistic, his interpretations are often one-sided. The theoretical reflections on his method and attitude remain poor. Nevertheless, he puts medicine back into lifeworld, to open it for many discourse universes beyond science in practice and theoretical reflection.
神经学家奥利弗·萨克斯因其著作而声名远扬。他的知名度在所有大众媒体中广泛传播。在他的书中,他生动地讲述了患有罕见神经系统疾病的患者的故事。由于萨克斯叙事的概念框架一直未得到广泛探讨,本文将对他的作品采用一种更具普遍性和系统性的方法。萨克斯将他对科学世界的独特的、现象学的理解方式称为“浪漫科学”。基于其特点,他发展出了一种身份神经学的概念,该概念主要关注患者的个性和主观性。萨克斯个人的医学方法意味着对疾病的另一种理解:对他来说,疾病不能简单归结为病理事实,它们构成了其他世界。他在解释和叙述中典型地使用哲学、心理学和神话学的术语。但与他那富有同情心的表象相反,萨克斯的方法存在一些缺陷:他的描述并不总是现实的,他的解释往往是片面的。对他的方法和态度的理论反思也很匮乏。尽管如此,他将医学带回生活世界,在实践和理论反思中为其打开了超越科学的许多话语领域。