Wear Delese, Jones Therese
Department of Behavioral and Community Health Sciences, Northeastern Ohio Universities College of Medicine, Rootstown, OH 44272, USA.
Perspect Biol Med. 2010 Spring;53(2):215-30. doi: 10.1353/pbm.0.0156.
From the poetry of William Carlos Williams, the novels of Walker Percy, and the short stories of Anton Chekov to the contemporary essays of Atul Gawande, physicians' contributions to literary genres have been significant. This article explores the specific form of confessional writing offered by physicians during the past half century, writing that often exposes medical error or negative feelings towards patients. A history of confessional practices as a legal tool, as religious practice, and as literary genre is offered, followed by analyses of selected confessional writings by physicians, many of them found in clinical journals such as Journal of the American Medical Association, Annals of Internal Medicine, and the Lancet. The authors of the narratives described here are engaged in several or all elements of the confessional sequence, which may offer them some resolution through the exposure and acknowledgment of their shared humanity with their patients and their expression of regret for any harm done.
从威廉·卡洛斯·威廉姆斯的诗歌、沃克·珀西的小说、安东·契诃夫的短篇小说到阿图尔·加万德的当代散文，医生对文学体裁的贡献意义重大。本文探讨了过去半个世纪医生提供的忏悔式写作的具体形式，这种写作常常揭露医疗失误或对患者的负面情绪。文章介绍了忏悔式做法作为一种法律工具、宗教实践和文学体裁的历史，随后分析了医生的一些忏悔式作品，其中许多发表在《美国医学会杂志》《内科学年鉴》和《柳叶刀》等临床期刊上。这里描述的这些叙事的作者参与了忏悔序列的几个或所有元素，这可能通过暴露和承认他们与患者共有的人性以及对所造成的任何伤害表达悔恨，为他们提供某种解脱。
