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五种疾病情况

Five dramas of illness.

作者信息

Frank Arthur W

机构信息

Department of Sociology, University of Calgary, Alberta, Canada.

出版信息

Perspect Biol Med. 2007 Summer;50(3):379-94. doi: 10.1353/pbm.2007.0027.

Abstract

First-person narratives of illness experience are dramatic: the narrator, who is also the sufferer, is caught in conflicts of forces that permit understanding more than control. Among the dramas of illness, five occur frequently in autobiographical accounts of illness. These dramas overlap and have varying emphases in different people's stories. They are the drama of genesis (what instigated the illness); the drama of emotion work (what emotional displays are required or prohibited); the drama of fear and loss; the drama of meaning; and finally, the drama of self. This five-drama framework can focus critical and clinical attention on which conflicting forces the ill person is working to reconcile, what makes that work difficult, and how conceiving of one's illness as a drama can be a source of meaning and value.

摘要

疾病经历的第一人称叙述充满戏剧性

叙述者本人也是患者,陷入各种力量的冲突之中,这些冲突带来的更多是理解而非掌控。在疾病的诸多戏剧性情节中,有五种在疾病的自传性叙述中频繁出现。这些情节相互重叠,在不同人的故事中有不同的侧重点。它们是病因的戏剧性情节(引发疾病的因素);情感表达的戏剧性情节(需要或被禁止的情感表现);恐惧与失落的戏剧性情节;意义的戏剧性情节;最后是自我的戏剧性情节。这个五重戏剧性情节框架能够将批判性和临床性的关注聚焦于患者努力调和的冲突力量是什么、是什么让这项工作变得困难,以及将自己的疾病视为一场戏剧如何能够成为意义和价值的源泉。

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