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从身体对话到身体故事:补充和替代医学中的身体工作。

From body-talk to body-stories: body work in complementary and alternative medicine.

机构信息

School of Health and Population Sciences, University of Birmingham, Edgbaston.

出版信息

Sociol Health Illn. 2011 Feb;33(2):237-51. doi: 10.1111/j.1467-9566.2010.01291.x. Epub 2010 Oct 28.

Abstract

This paper explores the 'body work' undertaken by practitioners of complementary and alternative medicine (CAM), in the light of ethnographic research on the education of osteopaths and homeopaths. The data presented focus on practitioners' experiences of learning to communicate, touch and facilitate the healing process for their patients. Two new concepts are introduced: listening to body-talk and constructing body-stories, which are discussed as aspects of body work. Body-talk expresses the idea that the embodied patient is not a passive recipient of healthcare, but that the 'body' is able to communicate its distress and its needs. The body-story concept highlights the interactional nature of the therapeutic encounter and the profound interrelation between the treatment and case-taking aspects of the practitioner's clinical tasks. By drawing on key sociological concepts of the body and embodiment, reflexivity and narrative, I argue that the dialogical construction of body-stories challenges Cartesian dualism. Finally, I discuss what the data might mean for the future development of the sociological concept of 'body work', drawing particular attention to the necessity to problematise the concept of the 'body' and to pay great attention to body work as embodied work.

摘要

本文探讨了补充和替代医学(CAM)从业者所进行的“身体工作”,其依据是对整骨疗法师和顺势疗法师教育的民族志研究。呈现的数据主要集中在从业者学习如何为患者进行沟通、触摸和促进治疗过程的经验上。本文引入了两个新概念:倾听身体语言和构建身体故事,将其作为身体工作的两个方面进行了讨论。身体语言表达了这样一种观点,即有身体的患者不是医疗保健的被动接受者,而是“身体”能够表达其不适和需求。身体故事的概念突出了治疗相遇的互动性质以及治疗者临床任务中治疗和个案处理方面的深刻相互关系。通过借鉴身体和体现、反思和叙事等关键社会学概念,本文认为身体故事的对话性构建挑战了笛卡尔二元论。最后,我讨论了这些数据对未来“身体工作”社会学概念发展的意义,特别强调需要对“身体”概念进行问题化,并非常关注身体工作作为体现工作。

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