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让呼吸可见:对批判性医学人文学中身体、呼吸与世界关系的思考

Making Breath Visible: Reflections on Relations between Bodies, Breath and World in the Critical Medical Humanities.

作者信息

Macnaughton Jane

机构信息

Durham University.

出版信息

Body Soc. 2020 Jun;26(2):30-54. doi: 10.1177/1357034X20902526. Epub 2020 Apr 27.

DOI:10.1177/1357034X20902526
PMID:32587464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7263033/
Abstract

Breath is invisible and yet ever present and vital for living beings. The concept of invisibility in relation to breath operates in concrete and metaphorical ways to extend ideas about breath and breathlessness across disciplines, in clinical spaces and in life experience. Using a critical medical humanities approach, I demonstrate that the poverty of narrative accounts and language for breath outside the health context have had a crucial influence enabling clinically mediated interpretations and accounts to dominate. These third-person accounts are important in the articulation of the 'lived body', but I balance this with a consideration of the subjective sensation of interoception, which has important implications for the visibility of breathlessness in both clinical and lay contexts. This article illustrates the rich potential of the subjects of breath and breathlessness within body studies and this special issue is a key step in making breath such an emergent topic.

摘要

呼吸无形,却始终存在,对生物至关重要。与呼吸相关的无形概念以具体和隐喻的方式发挥作用,将有关呼吸和呼吸急促的观念扩展到各个学科、临床领域以及生活体验中。运用批判性医学人文学科方法,我证明了健康背景之外关于呼吸的叙述和语言的匮乏,对临床介导的解释和描述占据主导地位产生了关键影响。这些第三人称的描述在阐明“活体”方面很重要,但我通过考虑内感受的主观感觉来平衡这一点,这对临床和非专业背景下呼吸急促的可见性具有重要意义。本文阐述了身体研究中呼吸和呼吸急促主题的丰富潜力,而本期特刊是使呼吸成为一个新兴主题的关键一步。

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本文引用的文献

1
Music and dance in chronic lung disease.慢性肺病中的音乐与舞蹈
Breathe (Sheff). 2019 Jun;15(2):116-120. doi: 10.1183/20734735.0007-2019.
2
Breathlessness: the rift between objective measurement and subjective experience.呼吸急促:客观测量与主观体验之间的差异
Lancet Respir Med. 2018 May;6(5):332-333. doi: 10.1016/S2213-2600(18)30106-1. Epub 2018 Mar 6.
3
Interoceptive dimensions across cardiac and respiratory axes.跨心脏和呼吸轴的内感受维度。
Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708). doi: 10.1098/rstb.2016.0014. Epub 2016 Oct 10.
4
Chronic refractory breathlessness is a distinct clinical syndrome.慢性难治性呼吸困难是一种独特的临床综合征。
Curr Opin Support Palliat Care. 2015 Sep;9(3):203-5. doi: 10.1097/SPC.0000000000000150.
5
Critical medical humanities: embracing entanglement, taking risks.关键医学人文学科:拥抱交织,勇于冒险。
Med Humanit. 2015 Jun;41(1):2-7. doi: 10.1136/medhum-2015-010692.
6
Knowing your own heart: distinguishing interoceptive accuracy from interoceptive awareness.了解自己的内心:区分内感受准确性与内感受意识。
Biol Psychol. 2015 Jan;104:65-74. doi: 10.1016/j.biopsycho.2014.11.004. Epub 2014 Nov 20.
7
"We are not worthy"--understanding why patients decline pulmonary rehabilitation following an acute exacerbation of COPD.“我们不配”——理解慢性阻塞性肺疾病急性加重后患者拒绝肺康复治疗的原因。
Disabil Rehabil. 2015;37(9):750-6. doi: 10.3109/09638288.2014.939770. Epub 2014 Jul 10.
8
Understanding dyspnea as a complex individual experience.理解呼吸困难是一种复杂的个体体验。
Maturitas. 2013 Sep;76(1):45-50. doi: 10.1016/j.maturitas.2013.06.005. Epub 2013 Jul 10.
9
An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea.美国胸科学会官方声明:呼吸困难机制、评估和管理的更新。
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Dyspnoea and the brain.呼吸困难与大脑。
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