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从沉默到语言:质疑医生疾病叙事的力量

From Silence into Language: Questioning the Power of Physician Illness Narratives.

作者信息

Brown Amy E Caruso, Garden Rebecca

机构信息

Assistant professor in the Center for Bioethics and Humanities and the Department of Pediatrics at Upstate Medical University in Syracuse, New York, and co-directs Foundations of Reasoning in Medicine, a required course for preclinical medical students.

An associate professor in the Center for Bioethics and Humanities at Upstate Medical University in Syracuse, New York, and executive director of the inter-institutional Consortium for Culture and Medicine and president of the Medical Humanities and Health Studies Forum executive committee for the Modern Language Association.

出版信息

AMA J Ethics. 2017 May 1;19(5):501-507. doi: 10.1001/journalofethics.2017.19.5.imhl1-1705.

Abstract

Physicians' narratives of their own experiences of illness can be a kind of empathic bridge across the divide between a professional healer and a sick patient. This essay considers ways in which physicians' narratives of their own and family members' experiences of cancer shape encounters with patients and patients' experiences of illness. It analyzes ethical dimensions of physicians' narratives (such as those by Atul Gawande, Siddhartha Mukherjee, and Paul Kalanithi) and of reflective writing in medical education. It also compares illness narratives written by physicians-turned-patients to those written by patients without medical training in order to explore questions of who ultimately benefits from these narratives and whether these narratives can engender greater empathy between clinicians and patients.

摘要

医生讲述自己的患病经历可以成为专业治疗师与患病患者之间跨越鸿沟的一种共情桥梁。本文探讨了医生讲述自己及家庭成员的癌症经历对医患会面以及患者患病体验产生影响的方式。它分析了医生的叙述(如阿图尔·加万德、悉达多·穆克吉和保罗·卡拉尼什等人的叙述)以及医学教育中的反思性写作所涉及的伦理层面。它还将从医后患病的医生所写的疾病叙述与没有医学培训的患者所写的叙述进行比较,以探讨谁最终能从这些叙述中受益,以及这些叙述是否能在临床医生和患者之间产生更强的共情。

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