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医患关系中的谎言、隐秘与权力。

Lying, secrecy and power within the doctor-patient relationship.

作者信息

Fainzang Sylvie

出版信息

Anthropol Med. 2002 Aug;9(2):117-33. doi: 10.1080/1364847022000034574.

DOI:10.1080/1364847022000034574
PMID:26868985
Abstract

Based on ethnographic research from two distinct French settings, the author examines the lying of doctors, and the lying of patients. The first situation is that of medical practitioners, specialists in the treatment of alcoholism, who affirm to ex-drinkers that it is impossible to drink normally again after treatment, without falling back into dependency, whilst knowing of the existence of contradictory cases. The second situation is that in which a certain number of patients find themselves, and who lead their doctors to believe that they have been taking their medication and dissimulate their real behaviour, that of non-observance of prescription. The author argues that lying, in the context of secrecy, is the expression of and the indication of a power relationship. Moreover, the rationalisation that accompanies the lie does not stop it from producing effects in contradiction to its motivation, thus exposing the conflict between therapeutic logic and social logic: the paradoxical character of lying.

摘要

基于对法国两个不同场景的人种学研究,作者审视了医生的谎言以及患者的谎言。第一种情况是治疗酗酒的医学从业者,即专家,他们向戒酒者断言,治疗后不可能再正常饮酒而不重新陷入酒瘾,然而他们知道存在与之矛盾的案例。第二种情况是一些患者所处的情况,他们让医生相信自己一直在服药,却隐瞒自己不遵守医嘱的真实行为。作者认为,在保密的背景下,说谎是权力关系的一种表达和指示。此外,伴随谎言的合理化解释并不能阻止它产生与其动机相悖的效果,从而揭示了治疗逻辑与社会逻辑之间的冲突:说谎的矛盾特性。

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