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医学社会学的趋势与展望:概念及其与医学史的接口。

The Trend and Prospect of Medical Sociology: Its Concepts and the Interface with Medical History.

机构信息

Department of Culture of Liberal Arts, Korea National Open University.

the HK+ Institute for Integrated Medical Humanities, the Institute of Humanities, Kyung Hee University.

出版信息

Uisahak. 2020 Dec;29(3):843-902. doi: 10.13081/kjmh.2020.29.843.


DOI:10.13081/kjmh.2020.29.843
PMID:33503644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10565018/
Abstract

Medical sociology has a long history, and it has been institutionalized and developed since the 1940s. This paper is about the history, trends, and prospects of medical sociology from the perspective of concepts as well as its interface with medical humanities. Sociology is a discipline that conceptualizes and theorizes social phenomena on the basis of collected data to best understand them. For this reason, we think that one of the best ways to understand medical sociology is to track the changes and developments in the concept and theory of medical sociology over time. Moreover, the development of concepts and theories does not occur only within the discussion of experts but also actively in interactions with the institutional position of medical sociology, medical knowledge and institutions and society. By reflecting on the changes in the theory and concept of medical sociology over the past 70 years from the 1950s to the present, we were able to understand the changes in research interests and research subject of medical sociology. Medical sociology has developed in response to the needs of the medical community and society. On the one hand, it developed a diverse understanding of healthcare, one of the key elements of the structure and culture of modern society, and on the other hand, it developed an understanding of how each individual experiences medical care as a dominant power. Since the 1990s, these seemingly conflicting two areas integrated into one through research subjects such as the growth of the general population and the health and social movement. Furthermore, the emergence of biotechnology, which began to develop in earnest beginning in the 1980s, presented a challenge for medical sociology. If the role of Parsons in the 1950s was to reflect the American medical system based on bacteriology and therapeutic drugs, after the 1960s, chronic disease became an important health problem due to changes in American society, and the experiences of patients suffering from chronic diseases became an important research subject. However, the rapid development of biotechnology from the 1980s was powerful enough to change the way we perceive our bodies. Our society has regarded our body as a sum of cells and a combination of various organs and body parts since the birth of modern medicine, but with the development of biotechnology, including genetics, we began to recognize our body as an expression of information contained in genes. The capitalist force driving biotechnology has degraded our bodies to the extent of our resources for the accumulation of genomic information. Finally, the concepts and theories developed by medical sociology can also be applied to understand the trends of medical history in the Korean Journal of Medical History provided that medical sociology and the medical history were embedded in the particular Korean historical context. Therefore, we hope these two medical disciplines cooperate further on the medical issues in Korea.

摘要

医学社会学历史悠久,自 20 世纪 40 年代以来,它已经制度化并得到发展。本文从概念的角度探讨了医学社会学的历史、趋势和前景,以及它与医学人文学科的接口。社会学是一门学科,它基于收集的数据来概念化和理论化社会现象,以最好地理解它们。因此,我们认为,理解医学社会学的最佳方法之一是跟踪医学社会学概念和理论随时间的变化和发展。此外,概念和理论的发展不仅发生在专家的讨论中,而且还积极地与医学社会学的制度地位、医学知识和机构以及社会互动。通过从 20 世纪 50 年代到现在的 70 年里反思医学社会学理论和概念的变化,我们能够理解医学社会学研究兴趣和研究主题的变化。医学社会学是为了满足医学领域和社会的需求而发展起来的。一方面,它对医疗保健有了多样化的理解,医疗保健是现代社会结构和文化的关键要素之一;另一方面,它对每个人作为主导力量体验医疗保健的方式有了理解。自 20 世纪 90 年代以来,这些看似相互矛盾的两个领域通过人口增长和健康与社会运动等研究主题融合为一。此外,生物技术的出现对医学社会学提出了挑战。如果说 20 世纪 50 年代帕森斯的作用是基于细菌学和治疗药物来反映美国的医疗体系,那么 20 世纪 60 年代以后,由于美国社会的变化,慢性病成为一个重要的健康问题,慢性病患者的经历成为一个重要的研究课题。然而,生物技术从 20 世纪 80 年代开始的快速发展足以改变我们对身体的看法。我们的社会自从现代医学诞生以来,就一直将身体视为细胞的总和和各种器官和身体部位的组合,但随着包括遗传学在内的生物技术的发展,我们开始认识到我们的身体是基因中包含的信息的表达。推动生物技术发展的资本主义力量已经将我们的身体降级到基因组信息积累的资源程度。最后,医学社会学发展的概念和理论也可以应用于理解《韩国医学史杂志》中韩国医学史的趋势,只要医学社会学和医学史被嵌入到特定的韩国历史背景中。因此,我们希望这两个医学学科在韩国的医学问题上进一步合作。

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本文引用的文献

[1]
"Medicine of the Grassroots": Korean Herbal Medicine Industry and Consumption during the Japanese Colonial Period.

Uisahak. 2020-4

[2]
Bodies for empire: biopolitics, reproduction, and sexual knowledge in late colonial Korea.

Uisahak. 2014-8

[3]
Globalization and social determinants of health: The role of the global marketplace (part 2 of 3).

Global Health. 2007-6-19

[4]
Risk ritual and the management of control and anxiety in medical culture.

Health (London). 2004-10

[5]
Belief, knowledge and expertise: the emergence of the lay expert in medical sociology.

Sociol Health Illn. 2003

[6]
The illness experience: state of knowledge and perspectives for research.

Sociol Health Illn. 2003

[7]
The condition of the working class in England. 1845.

Am J Public Health. 2003-8

[8]
The construction of lay expertise: AIDS activism and the forging of credibility in the reform of clinical trials.

Sci Technol Human Values. 1995

[9]
Medical sociology: a personal fifty year perspective.

J Health Soc Behav. 1999-6

[10]
The development of a subjective health indicator.

Sociol Health Illn. 1980-11

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