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文学疾病叙事的医患主体间性诠释

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在人文医学领域,疾病叙事是患者与医者生命书写的一部分和建构自我主体性的叙事方法;文学史上的疾病叙事具有清晰的发展脉络,并逐步获得作为文学主题的独立地位.叙事医学的视角下,文学文本中的疾病叙事言说疾病的"不可见"维度,弥合"可见"与"不可见"的裂痕.以白先勇的两部短篇小说为样本,对文学文本中的疾病叙事做了具体的叙事医学阐释,说明其从对"不可见"的具身体验的言说走向肉灵跨越的身心救赎的丰富意蕴;同时指出过往疾病叙事中医者角色的缺席,提出利用文学文本疾病叙事建立医患主体间性.
Interpretation of Literary Illness Narratives from the Perspective of Doctor-patient Intersubjectivity
In the field of humanistic medicine,illness narratives are part of the life-writing of patients and doctors,representing a narrative method of constructing self-subjectivity.In the literary history,illness narratives have a clear line of development and have gradually gained an independent status as a literary theme.From the perspective of narrative medicine,illness narratives in literary texts articulate the"invisible"dimension of illness,bridging the gap between the"visible"and the"invisible".Taking Pai Hsien-yung's two short novels as examples,this paper makes a specific narrative medical interpretation of illness narratives in literary texts,showing their rich implications in moving from the discourse of the embodied experience of the"invisible"to the physical and spiritual salvation of physical and mental transcendence.The study also highlights the absence of the role of doctors in illness narratives in the past,and proposes the establishment of intersubjectivity between doctors and patients through the use of illness narratives in literary texts.

narrative medicineillness narrativedoctor-patient intersubjectivity

向扬、高红梅、常非、王轶楠

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吉林大学白求恩第二临床医学院 吉林长春 130041

长春师范大学文学院 吉林长春 130032

吉林大学白求恩第一医院临床研究部 吉林长春 130021

叙事医学 疾病叙事 医患主体间性

2022年吉林省科学技术协会项目2023年吉林大学研究生教育教学改革建设项目2022年吉林省教育厅重点项目2021年吉林省高等教育学会课题2023年吉林大学教育教学改革与研究资助项目

ZYKF2022112023JGY003JLY202262756196JGJX2021D2832023JGZ016

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(2)
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