病人医学史:病人主体性与医学史的变迁

Yifang Wang, Liang Yao
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摘要

摘要近年来,患者的呼声越来越高。它是一种疾病、残疾、濒死体验的陈述,也是一种弱者的呐喊,它揭示了病人身体疾病和精神痛苦的丰富和多重方面。患者的呻吟不仅应作为临床诊疗决策的参考,更应作为医学史上弱者的声音而被记下来。然而,现实情况是,这种声音往往停留在医生的医疗记录,而不是医学史上的文字。主流的医学史关注的是医生如何治疗疾病,而忽视了患者的作用。在医学史上,有时病人的疾病挑战了传统的医学理论,为诊断和治疗提供了新的视角,纠正了医生的错误和偏见。然而,在这个过程中,患者受益甚少。虽然少数患者奇迹般地康复了,但更多的患者成为了药物的实验对象和受害者(Perino L. patients z诈骗案:Histoires inversacims de la m诈骗案(中文版))。法国:La dastouverte;2020)。通过追溯医学史上对患者主体性认识的变化,呼吁以患者为中心的医学史的兴起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A history of medicine for patient: patient subjectivity and the change of historiography of medicine
Abstract Patient’s voice has become louder in recent years. It is a statement of illness, disability, near-death experience, and a cry from the weak, which reveals rich and multiple aspects of patient's physical diseases and mental pain. The groans of patients should not only be treated as reference for decision-making in clinical diagnosis and treatment, but need to be marked down as a voice of the weak in the history of medicine. However, the reality is this voice often stays as physician’s medical records than writings in history of medicine. The mainstream of medical history focuses on how doctors cure diseases, while ignores the role of patients. At times in history of medicine, it was patient’s illness challenged traditional medical theories, provided new perspectives to diagnosis and treatment, and corrected mistakes and prejudice of physicians. Yet, patients benefited very little in the process. Although a few patients miraculously recovered, more became experimental subjects and victims of medicine (Perino L. Patients Zéro: Histoires inversées de la médecine (Chinese edition). France: La Découverte; 2020). Tracing the change of the understanding on patient subjectivity in history of medicine, this paper aims to call for a rise of history of medicine centered on patients.
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