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患者病史视角:以近期德语区文献为例的方法学考量

Perspectives on patients' history: methodological considerations on the example of recent German-speaking literature.

作者信息

Wolff E

机构信息

Institute for the History of Medicine of the Robert Bosch Foundation, Stuttgart, Germany.

出版信息

Can Bull Med Hist. 1998;15(1):207-28. doi: 10.3138/cbmh.15.1.207.

Abstract

Patient-history is a recently developed branch of medical-historical search, and its methodology has not yet been sufficiently developed. In particular, the specific character of patient-centered research still has not received sufficient attention. What kinds of questions can, and should, such research attempt to answer, and from which perspectives? This contribution to the discussion offers some help towards the development of ways of orienting such research towards achieving proximity to the patients' viewpoint. This aim is best achieved when the mental picture of patients is reconstructed and, in addition, the specific point of view of the patient is adopted. The article illustrates some possibilities and problems of this branch of research by citing the example of relevant recent German-language studies, especially in the field of the relationship of patients to approved doctors in the nineteenth century.

摘要

患者病史研究是医学史研究中一个新兴的分支,其方法论尚未得到充分发展。特别是,以患者为中心的研究的特殊性仍未得到足够的关注。这类研究能够且应该尝试回答哪些问题,以及从哪些角度回答?这篇对讨论的贡献为发展将此类研究导向接近患者观点的方法提供了一些帮助。当重建患者的心理图景,并采用患者的特定视角时,这个目标最能实现。本文通过引用近期德语研究的相关例子,特别是在19世纪患者与经批准的医生关系领域的例子,来说明这一研究分支的一些可能性和问题。

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