Hovey Richard B, Khayat Valerie Curro, Feig Eugene
Division of Oral Health and Society, Faculty of Dentistry, McGill University, Montreal, QC, Canada.
Montreal Pain Support Group, Montreal, QC, Canada.
Br J Pain. 2018 May;12(2):95-103. doi: 10.1177/2049463717741146. Epub 2017 Nov 3.
The humanities invite opportunities for people to describe through their metaphors, symbols and language a means in which to interpret their pain and reinterpret their new lived experiences. The patient and family all live with pain and can only use their pain narratives of that experience to confront or even to begin to understand the quantifiable discipline of medicine. The patient and family narratives act to retain meaning within a lived pained experience. These narratives add meaning to the person as a stay against only having a clinical-pathological understanding of what is happening to our body and as a person. We need to understand the pathology pain while also being mindful of suffering. In this article, the theoretical and scientific approach to pain research and clinical practice intersects with the philosophical, ontological and reflective lived experience of the person living with pain. Through unique pain narratives, poetry and stories as a means of offering empathy and understanding as healing, the humanities in medicine bring into meaning another kind of therapy equal to the evidence-based medicine clinicians and researchers use to seek a cure. In this way, the medical humanities are addressing the person's healing through the reduction of suffering and isolation by letting pain speak while others can focus in on their medical knowledge/practice and research while 'finding' a cure. Listening to pain opens-up to the possibility that much can be learned through multiple expressions of the pain narrative. This article provides an invitation to learn how we might articulate and listen to pain carefully and differently.
人文学科为人们提供了机会，让他们通过隐喻、象征和语言来描述一种解读自身痛苦并重新诠释新生活体验的方式。患者及其家人都生活在痛苦之中，只能用他们对那种经历的痛苦叙述来面对甚至开始理解医学这一可量化的学科。患者及其家人的叙述在痛苦的生活经历中保留了意义。这些叙述为个体增添了意义，使其不至于仅仅从临床病理学角度去理解身体和自身所发生的事情。我们既要理解病理性疼痛，也要关注痛苦。在本文中，疼痛研究与临床实践的理论和科学方法与疼痛患者的哲学、本体论及反思性生活体验相互交织。通过独特的疼痛叙述、诗歌和故事，作为提供同理心和理解以实现治愈的一种方式，医学中的人文学科赋予了另一种治疗方式以意义，这种治疗方式与临床医生和研究人员用于寻求治愈的循证医学同等重要。通过让疼痛发声，同时其他人专注于他们的医学知识/实践和研究以“找到”治愈方法，医学人文学科通过减轻痛苦和孤立来促进患者的康复。倾听疼痛开启了这样一种可能性，即通过疼痛叙述的多种表达可以学到很多东西。本文邀请大家了解我们如何能够以不同的方式仔细地表达和倾听疼痛。
