Kirkengen Anna Luise
Department of Community Medicine, University of Tromsø, Tromsø, Norway.
Med Health Care Philos. 2008 Mar;11(1):99-110. doi: 10.1007/s11019-007-9076-0. Epub 2007 Jun 5.
A sickness history from General Practice will be unfolded with regard to its implicit lived meanings. This experiential matrix will be analyzed with regard to its medico-theoretical aspects.
The analysis is grounded in a phenomenology of the body. The patient Katherine Kaplan lends a particular portrait to the dynamics that are enacted in the interface between socially silenced domestic violence and the theoretical assumptions of human health as these inform the clinical practice of health care.
By applying an understanding of sickness that transcends the mind-body split, a concealed and complex logic emerges. This logic is embedded in a nexus of the impact of childhood abuse experience and the medical disinterest in subjective experiences and their impact on selfhood and health. Its core is twofold: the violation of embodiment resulting from intra-familial abuse and existential threat, and the embodiment of violation resulting from social rules and the theoretically blinded medical gaze.
A considerable medical investment, apparently conducted in a correct and consistent manner as to diagnostic and therapeutic measures, results in the complete incapacitation of a young physician.
将展开一份来自全科医疗的病史，以探究其隐含的生活意义。将从医学理论层面分析这一经验矩阵。
该分析基于身体现象学。患者凯瑟琳·卡普兰为社会层面沉默的家庭暴力与人类健康理论假设之间的界面所呈现的动态过程提供了一幅独特的图景，而这些理论假设影响着医疗保健的临床实践。
通过运用一种超越身心二分的疾病理解方式，一种隐蔽且复杂的逻辑浮现出来。这种逻辑嵌入在童年虐待经历的影响与医学对主观体验及其对自我和健康的影响缺乏关注的关联之中。其核心有两方面：家庭内部虐待和生存威胁导致的身体侵犯，以及社会规则和理论上盲目化的医学凝视导致的侵犯的身体化。
在诊断和治疗措施方面，一项看似正确且一致的可观医疗投入，却导致一名年轻医生完全丧失能力。
