Venkatesan Sathyaraj, Saji Sweetha
Department of Humanities and Social Sciences, National Institute of Technology (NIT), Office Room # 310 | Lyceum Building, Trichy, Tamilnadu, 620 015, India.
J Med Humanit. 2019 Dec;40(4):591-605. doi: 10.1007/s10912-018-9528-y.
Effective doctor patient relationships are predicated on doctors' relational engagement and affective/holistic communication with the patients. On the contrary, the contemporary healthcare and patient-clinician communication are at odds with the desirable professional goals, often resulting in dehumanization and demoralization of patients. Besides denigrating the moral agency of a patient such apathetic interactions and unprofessional approach also affect the treatment and well-being of the sufferer. Foregrounding multifaceted doctor-patient relationships, graphic pathographies are a significant cultural resource which recreate the embodied moment of clinical encounters as they also lay bare qualitative tensions between patient' illness experience with doctor's professional understanding of the same. Taking these cues, the present article drawing theoretical postulates of Rita Charon, Deborah Lupton, and Havi Carel close reads Peter Dunlap-Shohl's My Degeneration: A Journey Through Parkinson's (2015), Brian Fies' Mom's Cancer (2006), and Stan Mack's Janet & Me: An Illustrated Story of Love and Loss (2004) to investigate the nature of doctor-patient relationship vis-à-vis communication and the implications of bad doctoring/communicative practices on patient identity and emotions. Furthermore, the article also examines the aesthetic and functional role of comics in bringing into relief the graphically mediated doctor-patient relationship.
有效的医患关系建立在医生与患者的关系参与以及情感/整体沟通之上。相反,当代医疗保健以及患者与临床医生之间的沟通与理想的专业目标背道而驰,常常导致患者的非人性化和士气低落。除了诋毁患者的道德能动性之外,这种冷漠的互动和不专业的方法也会影响患者的治疗和福祉。以多方面的医患关系为重点,图文病历是一种重要的文化资源,它再现了临床相遇的具体时刻,因为它们也揭示了患者疾病经历与医生对同一疾病的专业理解之间的质性紧张关系。基于这些线索,本文借鉴丽塔·查伦、黛博拉·卢普顿和哈维·卡雷尔的理论假设,仔细研读彼得·邓拉普-肖尔的《我的衰退:帕金森氏症之旅》(2015年)、布莱恩·菲斯的《妈妈的癌症》(2006年)以及斯坦·麦克的《珍妮特和我:爱与失落的图文故事》(2004年),以研究医患关系相对于沟通的本质,以及不良医疗/沟通行为对患者身份和情感的影响。此外,本文还探讨了漫画在凸显通过图像媒介呈现的医患关系方面的美学和功能作用。