Rotger Neus
Universitat Oberta de Catalunya (UOC), Barcelona, Spain.
J Med Humanit. 2025 Jun;46(2):221-234. doi: 10.1007/s10912-024-09855-z. Epub 2024 Jun 22.
This article focuses on the ways in which narrative accounts of loneliness in literature problematize current definitions of this important and yet underexplored determinant of health. I argue that the prevailing conceptualization of loneliness in health research, with a general emphasis on social prescribing, obscures other dimensions of loneliness beyond social connectedness that also need to be accounted for in its definition. Drawing on narrative approaches to health and care and taking as a case study Santiago Lorenzo's Spanish novel Los asquerosos (2018), the article gestures toward a more political-rather than exclusively subjective and relational-reading of loneliness. It shows how the novel's exploration of loneliness as an ambivalent experience of tranquility and disaffection questions whether there is any direct causation between loneliness and aloneness or social isolation, presenting loneliness not so much as a problem or a social pain in need of curing, but as a symptom of a larger structural crisis. The article also reflects on the ability of literary narratives to illuminate, discuss, and ultimately challenge the underlying dynamics of loneliness, raising questions about how we understand these narratives and the type of agency we attribute to them.
本文聚焦于文学作品中孤独的叙事方式如何对这一重要却未得到充分探索的健康决定因素的当前定义提出质疑。我认为,健康研究中对孤独的主流概念化,普遍强调社会处方,掩盖了孤独在社会联系之外的其他维度,而这些维度在其定义中也需要得到考量。本文借鉴健康与护理的叙事方法,并以圣地亚哥·洛伦佐的西班牙小说《令人厌恶的人》(2018年)为案例研究,提出了一种对孤独更具政治性而非仅仅主观和关系性的解读。它展示了小说对孤独作为一种宁静与不满的矛盾体验的探索,质疑孤独与独处或社会孤立之间是否存在任何直接因果关系,将孤独呈现为并非一个需要治愈的问题或社会痛苦,而是一个更大结构危机的症状。本文还思考了文学叙事阐明、讨论并最终挑战孤独潜在动态的能力,提出了关于我们如何理解这些叙事以及我们赋予它们何种能动性的问题。