Kontos Pia C, Naglie Gary
Toronto Rehabilitation Institute, ON, Canada.
Sociol Health Illn. 2009 Jul;31(5):688-704. doi: 10.1111/j.1467-9566.2009.01158.x. Epub 2009 Apr 16.
The tacit knowledge paradigm is gaining recognition as an important source of knowledge that informs clinical decision-making. It is, however, limited by an exclusive focus on knowledge acquired through clinical practice, and a consequent neglect of the primordial and socio-cultural significance of embodied selfhood, precisely what provides the foundational structure of tacit knowledge of caring and facilitates its manifestation. Drawing on findings from a qualitative study of 43 dementia care practitioners in Ontario, Canada that utilised research-based drama and focus group methodology, we argue that embodied selfhood is fundamental to tacit knowledge of caring. Results are analysed drawing upon the theoretical precepts of embodied selfhood that are rooted in Merleau-Ponty's (1962) reconceptualisation of perception and Bourdieu's (1977, 1990) notion of habitus. We conclude with a call for further exploration of the body as a site of the production of tacit knowledge.
隐性知识范式正逐渐被认可为临床决策的重要知识来源。然而,它存在局限性,只专注于通过临床实践获得的知识,从而忽视了具身自我的原初和社会文化意义,而正是具身自我为关怀的隐性知识提供了基础结构并促进其显现。基于对加拿大安大略省43名痴呆症护理从业者的定性研究结果,该研究采用了基于研究的戏剧和焦点小组方法,我们认为具身自我对于关怀的隐性知识至关重要。研究结果依据源于梅洛 - 庞蒂(1962年)对感知的重新概念化以及布迪厄(1977年、1990年)的惯习概念的具身自我理论原则进行分析。我们呼吁进一步探索身体作为隐性知识产生场所的问题。