Kristensen Benedikte Møller, Andersen Rikke Sand, Nicholson Brian David, Ziebland Sue, Smith Claire Friedemann
Region Zealand, Primary Health Care, Alléen 15, 4180, Sorø, Denmark.
Department of Public Health, Research Unit for General Practice, Aarhus University, Bartholins allé 2, 8000, Århus, Denmark.
Cult Med Psychiatry. 2022 Jun;46(2):564-581. doi: 10.1007/s11013-021-09736-3. Epub 2021 Sep 26.
For the past decade, within family medicine there has been a focus on cultivating doctors gut feelings as 'a way of knowing' in cancer diagnostics. In this paper, building on interviews with family doctors in Oxford shire, UK we explore the embodied and temporal dimensions of clinical reasoning and how the cultivation of doctors' gut feelings is related to hierarchies of medical knowledge, professional training, and doctors' fears of litigation. Also, we suggest that the introduction of gut feeling in clinical practice is an attempt to develop a theory of clinical reasoning that fits the biopolitics of our contemporary. The turn towards predictive medicine and the values introduced by accelerated diagnostic regimes, we conclude, introduce a need for situated and embodied modes of reading bodies. We contribute theoretically by framing our analysis within a sensorial anthropology approach.
在过去十年里，家庭医学领域一直专注于培养医生的直觉，将其作为癌症诊断中的一种“认知方式”。在本文中，基于对英国牛津郡家庭医生的访谈，我们探讨了临床推理的身体维度和时间维度，以及医生直觉的培养与医学知识等级、专业培训和医生对诉讼的恐惧之间的关系。此外，我们认为在临床实践中引入直觉是为了发展一种符合当代生命政治的临床推理理论。我们得出结论，向预测医学的转变以及快速诊断模式引入的价值观，引发了对情境化和身体化的身体解读模式的需求。我们通过将分析置于感官人类学方法中来做出理论贡献。
