明清医病信任问题再思考
Reconsidering the Issue of Trust between Doctors and Patients in the Ming and Qing Dynasties
董晓艳 1韩雨杰2
作者信息
- 1. 皖南医学院马克思主义学院 安徽芜湖 241002
- 2. 皖南医学院临床医学院 安徽芜湖 241002
- 折叠
摘要
随着医疗社会史书写视角的转变,明清医病关系史渐成学界新的研究热点.现有研究根据史料中病家频繁换医现象,认为病家对医家缺少信任是中国古代医病关系的基本格局.在对史料"重新发现"的基础上,加入阶层等变量,拟对这一论断进行重新审视:这一论断并不具有代表性,中下阶层的病家对医家是颇为信任的,甚至到了唯唯听命的地步;医病关系更深层次的心理机制在于由于医学理论和疗效的不确定性,病家利用所能触及的一切机会寻找解决问题的办法.
Abstract
With the shift in the writing perspective of the social history of medicine,the study of doctor-patient relationships in the Ming and Qing dynasties has become a new research focus in academia.Existing studies,based on historical evidence of patients frequently changing doctors,suggest that a lack of trust between patients and doctors was a fundamental aspect of doctor-patient relationships in ancient China.By revisiting historical sources and incorporating variables such as social class,this paper aims to re-examine this assertion:the conclusion may not be universally applicable,as patients from lower social strata generally displayed considerable trust in their doctors,often to the point of unquestioning obedience.The deeper psychological mechanism in doctor-patient relationships lies in the uncertainty of medical theory and efficacy,leading patients to explore every possible avenue to solve their health problems.
关键词
医病关系/医患信任/明清时期/医学不确定性Key words
doctor-patient relationship/doctor-patient trust/The Ming and Qing Dynasties/medical uncertainty引用本文复制引用
基金项目
2024年安徽省高校科研项目(2024AH030085)
出版年
2024
NETL
NSTL
万方数据