医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2014年
21期
36-39
,共4页
医学叙事能力%医学叙事阅读%医学叙事类型
醫學敘事能力%醫學敘事閱讀%醫學敘事類型
의학서사능력%의학서사열독%의학서사류형
medical narrative competence%medical narrative reading%medical narrative category
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。
在敘事醫學和醫學人文的情感轉嚮這兩大理唸基礎上，提齣將醫學敘事文本按照創作方式分為虛構疾病敘事和非虛構疾病敘事兩大類型，按照作者身份分為文學疾病敘事、自我病情書寫和醫生病理書寫（平行病歷故事）等，併提齣將元病歷敘事作為醫學院校敘事醫學能力培養的重要閱讀材料，在此基礎上，增加閱讀與某種具體疾病相關的敘事作品，如神經敘事，癌癥敘事等。同時探討如何將敘事學基本知識融入疾病敘事閱讀中，切實引導醫學生提高醫學敘事能力，達到醫患視域融閤和醫患溝通效果最佳化。
재서사의학화의학인문적정감전향저량대이념기출상，제출장의학서사문본안조창작방식분위허구질병서사화비허구질병서사량대류형，안조작자신빈분위문학질병서사、자아병정서사화의생병리서사（평행병력고사）등，병제출장원병력서사작위의학원교서사의학능력배양적중요열독재료，재차기출상，증가열독여모충구체질병상관적서사작품，여신경서사，암증서사등。동시탐토여하장서사학기본지식융입질병서사열독중，절실인도의학생제고의학서사능력，체도의환시역융합화의환구통효과최가화。
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 .
