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模仿与临床图景:通过疾病图像的生成与意义,与柏拉图和布罗克曼一同思考

Mimesis and clinical pictures: thinking with Plato and Broekman through the production and meaning of images of disease.

作者信息

Oele Marjolein

机构信息

Department of Philosophy, University of San Francisco, 2130 Fulton Street, San Francisco, CA, 94117-1080, USA.

出版信息

Med Health Care Philos. 2018 Dec;21(4):507-515. doi: 10.1007/s11019-018-9824-3.

Abstract

This paper contends, following Plato and Broekman, that (1) seeing images as images is crucial to theorizing medicine and that (2) considering clinical pictures as images of images is a much-needed epistemic complement to the domineering view that sees clinical pictures as mirrors of disease. This does not only offer epistemic, but also ethical benefits to individual patients, especially in those cases where patients suffer from chronic, debilitating, and terminal illnesses and where medicine provides no, or limited, answers in terms of treatment, intervention, and meaning. By creating room for a theory of clinical pictures that rightfully emphasizes its pictorial nature, patients and doctors alike may be encouraged to consider under what authorship, and with which epistemic tools, alternative, supplemental images may be produced to get at the existential reality of disease and suffering. Ultimately, this paper argues that the epistemic tools provided by aesthetics may offer such glimpses into the reality of disease and suffering, and I conclude by discussing a few artistic renditions of breast cancer to illustrate my point.

摘要

本文追随柏拉图和布罗克曼的观点,认为:(1)将图像视为图像对于医学理论化至关重要;(2)将临床图片视为图像的图像,是对那种将临床图片视为疾病镜子的主导观点所急需的认识论补充。这不仅为个体患者带来认识论上的益处,也带来伦理上的益处,尤其是在那些患者患有慢性、使人衰弱的晚期疾病,而医学在治疗、干预及意义方面无法提供答案或提供有限答案的情况下。通过为一种合理强调其图像性质的临床图片理论创造空间,患者和医生都可能受到鼓励,去思考在何种创作主体之下,以及使用哪些认识论工具,可以制作出替代性的、补充性的图像,以触及疾病与痛苦的生存现实。最终,本文认为美学提供的认识论工具可能带来对疾病与痛苦现实的此类洞察,我通过讨论几幅乳腺癌的艺术呈现来阐明我的观点作为结论。

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