在健康和医学话语中构建叙事
1Department of English, Auburn University, 9030 Haley Center, Auburn, AL, USA. cwickman@auburn.edu.
The Journal of medical humanities
|October 13, 2025
概括
这项研究探讨了医疗病例报告中的患者叙述如何丰富健康话语,但也可能将患者的经验限制在仅仅是视角上. 它提出叙事作为一种方法来重视患者的故事,而不会造成专家/非专家的分歧.
科学领域:
- 医学研究 写作 写作
- 卫生传播健康传播
- 叙述的调查 叙述的调查
背景情况:
- 医学研究写作传统上依赖于从业者的账户.
- 将患者的观点纳入医学文献是一个新兴领域.
- 病例报告为探索医学叙事提供了一个独特的格式.
研究的目的:
- 分析从业者和患者的叙述如何以不同的方式塑造医疗病例报告.
- 评估包括患者观点在研究中的好处和局限性.
- 理论化叙事作为一个空间,以公平地纳入患者的经验.
主要方法:
- 分析已公布的医疗病例报告,其中有专门的患者视角部分.
- 对从业者撰写的和患者撰写的叙述进行比较检查.
- 在临床报告中叙事构建的修辞分析.
主要成果:
- 实践者的叙述遵循临床报告惯例;患者的叙述反映了体现的疾病经历.
- 包括患者的观点扩大了叙事范围,但有可能使患者账户边缘化.
- 患者的经验可能被视为补充,而不是病例解释的组成部分.
结论:
- 叙述可以成为将患者的声音纳入医学研究的强大工具.
- 重新思考叙事结构可以在不强化专家/非专家二分法的情况下对患者的故事给予价值.
- 未来的方向包括开发利用叙事的研究,教育和临床实践.
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