Hume Victoria Jane, Mulemi Benson A, Sadock Musa
Wits Institute for Social and Economic Research (WiSER), University of the Witwatersrand, Johannesburg, South Africa.
Health Communication Research Unit, University of the Witwatersrand, Johannesburg, South Africa.
Med Humanit. 2018 Dec;44(4):230-238. doi: 10.1136/medhum-2018-011481.
In this article, we discuss the challenges facing humanities researchers approaching studies in clinical and community health settings. This crossing of disciplines has arguably been less often explored in the countries we discuss-Kenya, Tanzania and South Africa-but our experiences also speak to broader trouble with disciplinary 'ethnocentrism' that hampers the development of knowledge. After a brief contextualising overview of the structures within our universities that separate or link the humanities, medicine and social science, we use case studies of our experiences as an arts researcher, an anthropologist and a historian to draw attention to the methodological clashes that can hobble research between one disciplinary area and another, whether this manifests in the process of applying for ethical clearance or a professional wariness between healthcare practitioners and humanities scholars in health spaces. We argue overall for the great potential of humanities in the health 'space'-as well as the need for improved dialogue between the disciplines to bring a diverse community of knowledge to bear on our understandings of experiences of health. And we suggest the need for a robust awareness of our own positions in relation to medicine, as humanities scholars, as well as a patient persistence on both sides of the humanities-health science equation to create a broader and ultimately more effective research system.
在本文中,我们探讨了人文领域研究人员在开展临床和社区健康环境研究时所面临的挑战。在我们所讨论的肯尼亚、坦桑尼亚和南非等国家,这种学科交叉的情况可能较少受到探索,但我们的经历也反映出学科“民族中心主义”带来的更广泛问题,它阻碍了知识的发展。在对我们大学中分隔或联系人文、医学和社会科学的结构进行简要的背景概述之后,我们利用作为艺术研究者、人类学家和历史学家的经历案例,提请人们注意可能阻碍一个学科领域与另一个学科领域之间研究的方法冲突,无论这种冲突表现在申请伦理许可的过程中,还是体现在医疗从业者与健康领域人文社科研究者之间的职业警惕上。我们总体上主张人文领域在健康“空间”具有巨大潜力,以及各学科之间需要加强对话,以便让多样化的知识群体为我们对健康体验的理解提供帮助。并且我们建议,作为人文社科研究者,我们需要强烈意识到自己相对于医学的立场,同时在人文与健康科学等式的双方都要有耐心坚持,以创建一个更广泛且最终更有效的研究体系。