Bishop Jeffrey P
Center for Biomedical Ethics and Society, Vanderbilt University, 319 Oxford House, Nashville, TN 37232-4350, USA.
J Med Humanit. 2008 Mar;29(1):15-25. doi: 10.1007/s10912-007-9048-7.
The call for a narrative medicine has been touted as the cure-all for an increasingly mechanical medicine. It has been claimed that the humanities might create more empathic, reflective, professional and trustworthy doctors. In other words, we can once again humanise medicine through the addition of humanities. In this essay, I explore how the humanities, particularly narrative medicine, appeals to the metaphysical commitments of the medical institution in order to find its justification, and in so doing, perpetuates a dualism of humanity that would have humanism as the counterpoint to the biopsychosociologisms of our day.
对叙事医学的呼声一直被吹捧为解决日益机械化的医学的万灵药。有人声称,人文学科可能会培养出更具同理心、善于反思、专业且值得信赖的医生。换句话说,我们可以通过增加人文学科的内容,再次使医学人性化。在本文中,我探讨人文学科,尤其是叙事医学,如何诉诸医疗机构的形而上学承诺以寻求其正当性,而这样做会延续一种人性二元论,这种二元论将人文主义作为我们这个时代生物心理社会学的对立面。