摘要
在叙事医学和医学人文的情感转向这两大理念基础上,提出将医学叙事文本按照创作方式分为虚构疾病叙事和非虚构疾病叙事两大类型,按照作者身份分为文学疾病叙事、自我病情书写和医生病理书写(平行病历故事)等,并提出将元病历叙事作为医学院校叙事医学能力培养的重要阅读材料,在此基础上,增加阅读与某种具体疾病相关的叙事作品,如神经叙事,癌症叙事等。同时探讨如何将叙事学基本知识融入疾病叙事阅读中,切实引导医学生提高医学叙事能力,达到医患视域融合和医患沟通效果最佳化。
Based on the conception of narrative medicine and affective turn in the field of medical humanity, this essay classified the illness reading text into fictional and non-fictional, which can be further classfied into three kinds, namely, literary illness narrative, autopathography and parallel medical history according to the identity of the writers. These texts can serve as the reading materials for medical students and practitioners to improve their narrative competence and promote their empathy, resulting in the reduction of doctor-patient conflicts as long as the readings are directed carefully according to their grades of importance step by step with the basic narrative knowledge and concepts.
出处
《医学与哲学(A)》
北大核心
2014年第11期36-39,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
2012年度广东省高校教改工程"叙事医学能力培养与评估"
项目编号:C10312
广东省哲学社会科学"十二五"规划项目"创伤叙事研究"
项目编号:GD11YWW05
关键词
医学叙事能力
医学叙事阅读
医学叙事类型
medical narrative competence, medical narrative reading, medical narrative category