Department of Sociology and Anthropology, University of Maryland, Baltimore County, MD 21250, USA.
Med Anthropol. 2010 Apr;29(2):150-69. doi: 10.1080/01459741003715383.
In this article I explore the different orientations to time experienced by clinicians and patients in the US Armed Forces Amputee Patient Care Program at Walter Reed Army Medical Center in Washington DC. In structuring, describing, and working with patients, clinicians rely on a rehabilitative program that is embedded in a narrative notion of time. This approach seeks to embed the grievous wounds patients have sustained along a trajectory of injured to well. Patients are often eager to adopt this approach to their injury but in many cases find that the linear flow of time, upon which this clinical approach relies, is not matched by their experience. Instead the past, the present, and the future can flow together so that patients are simultaneously experiencing these three time orientations. This can create the potential for misunderstanding and conflict between clinicians over adherence and the meaning of a good rehabilitative outcome.
在本文中，我探讨了美国武装部队截肢患者医疗计划中临床医生和患者在时间体验上的不同取向，该计划位于华盛顿特区的沃尔特·里德陆军医疗中心。在为患者进行结构描述和治疗时，临床医生依赖于一种康复方案，该方案根植于时间的叙述性概念。这种方法旨在将患者所遭受的严重创伤沿着从受伤到康复的轨迹嵌入其中。患者通常渴望接受这种治疗方法，但在许多情况下，他们发现线性的时间流动并不符合他们的经历，而这种临床方法依赖于线性的时间流动。相反，过去、现在和未来可以同时流动，患者可以同时体验这三个时间取向。这可能会导致临床医生之间在遵守和良好康复结果的意义上产生误解和冲突。
