俄罗斯医学人文文学与叙事医学

O. V. Spachil
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摘要

两百多年来,成为作家的专业医生为俄罗斯文学的形成和发展做出了巨大贡献。医生创作的艺术作品带有对人的身体和灵魂的专业观点的印记,在文本中充斥着医学的现实和术语,这就有理由谈论俄罗斯文学中的医学文本。与此同时,医生和科学家的博学使他们能够在他们的科学论文中使用小说中的例子,从而产生了医学文学文本。文学和医学话语在研究高级神经活动、精神病学和心理学的著作中相互作用。自20世纪最后25年以来,小说研究一直被视为医学人文学科的必修部分。在俄罗斯联邦和国外的大学里,专门的手册和读者都是根据训练有素的医生写的小说创作的,这些医生包括a·p·契诃夫、m·a·布尔加科夫、v·v·维列萨耶夫,也包括那些没有受过特殊医学训练的作家——l·n·托尔斯泰、f·m·陀思妥耶夫斯基、a·i·库普林、a·i·索尔任尼琴等人。在叙事医学课程中,对文学文本的诗学要素、情节、隐喻和符号的研究开始被用于医生的培训。文章总结了文学话语与医学话语日益加深的相互渗透和相互影响。在21世纪的前25年,俄罗斯文学被证明是对抗医学的非人性化和商业化,以及保持未来医生的同情心和慈善事业的不可或缺的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RUSSIAN LITERATURE IN MEDICAL HUMANITIES AND NARRATIVE MEDICINE
Professional doctors who became writers have been contributing greatly to the formation and development of Russian literature for more than two hundred years. The works of art created by doctors bore the imprint of a professional view of the body and soul of a human being, saturated the texts with medical realities and terms, which gave reason to talk about the medical text in Russian literature. At the same time, the erudition of doctors and scientists allowed them to use examples from fiction in their scientific papers, thus giving rise to a literary text in medicine. Literary and medical discourses interacted in works on the study of higher nervous activity, in psychiatry and psychology. Since the last quarter of the 20th century, the study of fiction has been regarded as an obligatory part of the academic discipline “Medical Humanities”. In the universities of the Russian Federation and abroad, special manuals and readers were created, which were based on fiction written by trained doctors such as A. P. Chekhov, M. A. Bulgakov, V. V. Veresaev, and also those writers who described complex physiological processes and conditions without special medical training – L. N. Tolstoy, F. M. Dostoevsky, A. I. Kuprin, A. I. Solzhenitsyn and others. The study of the elements of the poetics of a literary text, its plot, metaphors and symbols began to be used in the training of doctors in the course of narrative medicine. The article concludes the growing interpenetration and mutual influence of literary and medical discourses. In the first quarter of the 21st century, Russian literature turned out to be an indispensable resource for countering the dehumanization and commercialization of medicine, as well as preserve empathy and philanthropy in future doctors.
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