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叙事医学语境下的创伤叙事闭锁与叙事照护OACSTPCD

Traumatic narrative foreclosure and narrative care in the context of narrative medicine

中文摘要英文摘要

在中国叙事医学语境下,叙事闭锁是生命叙事进程中的一种失常状态,是"生命叙事进程的断裂或停滞".在分析文学作品和临床现实中的典型创伤叙事闭锁者的特征及表现基础上,提出叙事照护对于创伤主体走出叙事闭锁,重新进入心身安适的叙事进程的重要意义."叙事照护"是医务人员或教育工作者利用自己的叙事资本和叙事智慧与自我、与家人以及服务或教育对象等建立人际叙事连接,滋养处在叙事闭锁中的主体,帮助他们走出生命困境的一种照护方式.叙事照护者协助创伤主体通过叙事共同体的构建获取修复断裂的生命叙事进程的复元力,走出孤绝隔离状态,实现成长,恢复全人健康.

In the context of Chinese narrative medicine,narrative foreclosure is an abnormal state in the process of life narrative,which is the"fractured or stagnation of the life narrative process".Based on analyzing the characteristics and performance of typical traumatic narrative foreclosures in literary works and clinical reality,this paper proposed that narrative care is of great significance for the traumatic subject to get out of narrative foreclosures and re-enter the narrative process of mental and physical comfort."Narrative care"is a way of care in which medical staff or educator in health institutions use their narrative capital and narrative wisdom to establish interpersonal narrative connections with themselves,their families,and service or education recipients,so as to nourish subjects in narrative foreclosure and help them get out of life's dilemmas.Narrative caregivers assist the traumatic subjects in gaining the restorative power to repair the fractured narrative process of life through the construction of a narrative community,getting out of isolation,achieving growth,and restoring overall health.

杨晓霖;黄晴;陈丽敏

南方医科大学顺德医院叙事医学研究中心,广东 佛山 528000||南方医科大学通识教育部,广东 广州 510515惠州学院外国语学院,广东 惠州 516007广东药科大学药学院,广东 广州 510006

叙事医学创伤叙事闭锁叙事照护

narrative medicinetraumatic narrative foreclosurenarrative care

《中国医学伦理学》 2024 (003)

309-316 / 8

2021年国家社科规划后期资助项目"生命健康与叙事生态研究"(21FSHB007);2021年度南方医科大学顺德医院科研立项"叙事医学与临床学科综合实力提升"(SPSP2021024);广东省哲学社会科学规划2023年度学科共建项目"叙事医学视角下儿童医患沟通的话语模式研究"(GD23XWY20)

10.12026/j.issn.1001-8565.2024.03.10

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