摘要
风靡世界的叙事医学大有取代循证医学的态势,其哲学基础是学界急需探讨的重要议题。卡伦提出主体间性作为其哲学基础的核心内容会面临无法解决的三大难题:主体地位的不确定性、主体间性自身的悖论、医患个体的主体抽象化而曲解的医患关系。只有吸纳理性主义和非理性主义的生命间性,从马克思关于生命的自然属性和社会属性的辩证分析中完成对主体间性的超越,才是医患共情并共同决策的叙事医学之哲学基础的核心内容。
Narrative medicine,which is popular worldwide,is replacing evidence-based medicine,and its philosophical basis is an important issue that urgently needs to be explored in the academic field.Charon puts forward that inter-subjectivity,as the core content of its philosophical foundation,would face three major difficulties that cannot be solved:the uncertainty of subject status,the paradox of inter-subjectivity itself,and the misinterpretation of the doctor-patient relationship as a result of the subjective abstraction of doctor-patient individual.Only by absorbing the intervitality of rationalism and irrationalism,and completing the transcendence of inter-subjectivity from Marx’s dialectical analysis of the natural and social attributes of life,is the core content of the philosophical foundation of narrative medicine in which doctors and patients empathize and make decisions together.
作者
邱龙虎
辜美惜
QIU Longhu;GU Meixi(School of Marxism,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006;School of Humanities and Management,Guangdong Medical University,Dongguan 523808,China)
出处
《南京医科大学学报（社会科学版）》
2024年第3期249-255,共7页
Journal of Nanjing Medical University（Social Sciences）
基金
广东省规划项目“叙事医学理论与医学生叙事能力培养研究”(GD17XJY23)
“医学生临床共情水平及其提升机制与对策”(2019GXJK225)
“医护人员临床共情的影响因素及影响机制研究”(GDMUZ201817)。
关键词
叙事医学
主体间性
生命间性
共情
马克思
narrative medicine
inter-subjectivity
inter-life
empathy
Marx
