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叙事的局限:对医学人文学科的启发

The limits of narrative: provocations for the medical humanities.

作者信息

Woods Angela

机构信息

Centre for Medical Humanities, Durham University, Trevelyan College, Elvet Hill Road, Durham, UK.

出版信息

Med Humanit. 2011 Dec 1;37(2):73-8. doi: 10.1136/medhum-2011-010045. Epub 2011 Oct 28.

Abstract

This paper aims to (re)ignite debate about the role of narrative in the medical humanities. It begins with a critical review of the ways in which narrative has been mobilised by humanities and social science scholars to understand the experience of health and illness. I highlight seven dangers or blind spots in the dominant medical humanities approach to narrative, including the frequently unexamined assumption that all human beings are 'naturally narrative'. I then explore this assumption further through an analysis of philosopher Galen Strawson's influential article 'Against Narrativity'. Strawson rejects the descriptive claim that "human beings typically see or live or experience their lives as a narrative" and the normative claim that "a richly Narrative outlook is essential to a well-lived life, to true or full personhood". His work has been taken up across a range of disciplines, but its implications in the context of health and illness have not yet been sufficiently discussed. This article argues that 'Against Narrativity' can and should stimulate robust debate within the medical humanities regarding the limits of narrative, and concludes by discussing a range of possibilities for venturing 'beyond narrative'.

摘要

本文旨在(重新)引发关于叙事在医学人文学科中作用的辩论。文章开篇对人文和社会科学学者运用叙事来理解健康与疾病体验的方式进行了批判性回顾。我着重指出了主流医学人文学科叙事方法中的七个危险或盲点,包括一个常常未经审视的假设,即所有人“天生就是叙事性的”。接着,我通过分析哲学家加伦·斯特劳森颇具影响力的文章《反对叙事》来进一步探讨这一假设。斯特劳森驳斥了“人类通常将自己的生活视为一种叙事来看待、生活或体验”这一描述性主张,以及“丰富的叙事视角对于美好生活、真实或完整的人格至关重要”这一规范性主张。他的作品已在一系列学科中得到探讨,但其在健康与疾病背景下的影响尚未得到充分讨论。本文认为,《反对叙事》能够且应该激发医学人文学科内部关于叙事局限性的激烈辩论,并通过讨论一系列“超越叙事”的可能性来作结。

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