Armstrong D
Soc Sci Med. 1984;18(9):737-44. doi: 10.1016/0277-9536(84)90099-6.
Deference to the importance of the patient's view has recently become a major feature of much medical practice and social science research. This paper, however, argues that attempts to establish the authentic version of what the patient says is misplaced as investigation can only reveal what is heard, not what is said. The changes in perception which enable some things to be heard, and not others, are traced through medicine and the social sciences during the last 50 years and it is suggested that recent interest in the validity of the patient's view are no more than artefacts of these changes in perception.
尊重患者观点的重要性最近已成为许多医学实践和社会科学研究的一个主要特征。然而，本文认为，试图确立患者所说内容的真实版本是错误的，因为调查只能揭示所听到的内容，而非所说的内容。在过去50年里，通过医学和社会科学追溯了使某些事情能被听到而其他事情不能被听到的认知变化，并表明最近对患者观点有效性的关注只不过是这些认知变化的产物。
