Clinic for Neurology, Clinical Center of Serbia, Medical School, University of Belgrade, Belgrade, Serbia.
Institute for Philosophy and Social Theory, University of Belgrade, Belgrade, Serbia.
Health Care Anal. 2021 Jun;29(2):99-112. doi: 10.1007/s10728-020-00402-0.
The article examines the patient-doctor relationship, relying on Michel Foucault's concept of the clinical gaze. We argue that during the last decades, a profound transformation of the social nature of medicine took place, one that Foucault's understanding of the clinical gaze cannot adequately account for. First, the article offers an elaboration of the three-node network of clinical gaze, the clinic, and nosology to explain the positioning of the doctor and the patient within the specific social ontology generated by the rise of medicine. We then discuss intensive but irresolute developments brought by technological advancements, especially the X-ray tube. Finally, we argue that in the contemporary clinic, equipped with a plethora of sophisticated devices, the position of the doctor endured the most radical transformation in comparison with Foucault's proponent of the clinical gaze at the dawn of modern medicine.
本文借助米歇尔·福柯的临床凝视概念来考察医患关系。我们认为，在过去几十年中，医学的社会性质发生了深刻的转变，福柯对临床凝视的理解无法充分解释这一转变。首先，本文详细阐述了临床凝视、诊所和疾病分类学的三节点网络，以解释医生和患者在医学兴起所产生的特定社会本体论中的定位。然后，我们讨论了技术进步带来的密集但不坚决的发展，特别是 X 射线管。最后，我们认为，在配备了大量复杂设备的当代诊所中，与福柯所倡导的现代医学初期的临床凝视者相比，医生的地位发生了最彻底的转变。
