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对比认识论:生物医学、叙事医学和本土故事医学。

Contrasting epistemologies: Biomedicine, narrative medicine and indigenous story medicine.

机构信息

Department of Family Medicine, McMaster University, Waterloo Regional Campus, Hamilton, Ontario, Canada.

出版信息

J Eval Clin Pract. 2024 Aug;30(5):741-748. doi: 10.1111/jep.13914. Epub 2023 Aug 15.

Abstract

BACKGROUND

Narrative Medicine (NM) and Indigenous Story Medicine both use narrative to understand and effect health, but their respective conceptualizations of narrative differ.

AIMS

I contrast the concept of narrative in NM with that of Indigenous Story Medicine.

MATERIALS AND METHODS

The article relies Western narrative theorists as well as Indigenous epistemologists to frame a discussion-by-contrast of the Judeo-Christian creation myth with a Haundenosaunee Creation Story.

RESULTS

I demonstrate that the deficiencies of Narrative Medicine exist because the latter's use of narrative is a mere application in an otherwise reductive field, whereas Indigenous epistemologies rely on story as medicine itself.

DISCUSSION

OMIT.

CONCLUSION

I call for more scholars to take up different narratives to further investigate the ethical space between NM and Indigenous Story Medicine.

摘要

背景

叙事医学(NM)和本土故事医学都使用叙事来理解和影响健康,但它们对叙事的概念化存在差异。

目的

我将 NM 中的叙事概念与本土故事医学中的叙事概念进行对比。

材料和方法

本文依赖西方叙事理论家以及本土认识论学者,通过对比犹太-基督教创世神话和海达人创世故事,展开讨论。

结果

我表明,叙事医学的缺陷在于,后者对叙事的使用只是在一个还原论领域中的应用,而本土认识论则将故事本身视为医学。

讨论

略。

结论

我呼吁更多的学者采用不同的叙事来进一步研究 NM 和本土故事医学之间的伦理空间。

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