Tsouyopoulos N
Institut für Theorie und Geschichte der Medizin, Universität Münster, Federal Republic of Germany.
Theor Med. 1994;15(3):267-75.
The author discusses the postmodernist claim that the "grand theories" have lost credibility, even in the field of medical science and practice. Rather than representing a shared reality among physician and patient, illness represents two quite distinct realities--the meaning of one being significantly and distinctively different from the meaning of the other. However, existential clinical narratives can function as important bridges between the world of the patient and the world of the physician. Such narratives provide important information regarding the patient's biographical situation and, particularly, the personal and cultural meanings which are a function of the biographical situation. At the same time, these narratives provide physicians with useful information for the practice of medicine.
作者讨论了后现代主义的观点，即“宏大理论”已失去可信度，即使在医学科学与实践领域也是如此。疾病并非代表医生和患者之间的共同现实，而是代表两种截然不同的现实——其中一种的意义与另一种的意义显著且独特地不同。然而，存在主义临床叙事可以充当患者世界与医生世界之间的重要桥梁。此类叙事提供了有关患者生平情况的重要信息，尤其是作为生平情况之函数的个人和文化意义。同时，这些叙事为医生的医疗实践提供了有用信息。
