同理心、科学临床凝视与当代实践:批判性反思。

IF 1.2 3区 社会学 0 HUMANITIES, MULTIDISCIPLINARY
Lena Halawi, Atika Khalaf
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引用次数: 0

摘要

这篇评论文章批判性地考察了科学临床凝视的现代表现,借鉴了米歇尔·福柯的基本概念。通过一个涉及文化偏见和延迟诊断的瑞典医疗案例,这篇文章质疑了临床凝视的优势和弱点,强调了尽管追求科学客观性,但它容易受到主观扭曲的影响。它将这一分析置于对医学社会政治纠缠的更广泛批评中,强调了隐性偏见、制度规范和权力结构如何继续影响临床实践。讨论进一步整合了叙事医学、文化能力和反身性研究的最新学术成果,提出了一个丰富的临床参与模型。通过提倡将移情、叙事能力和反思意识纳入临床培训和实践,本文概述了减轻与临床凝视相关的历史认知暴力的策略。这些建议旨在推进医学人文奖学金,促进更公平的医疗保健服务,并为未来的从业者做好准备,以适应伦理和文化敏感的患者护理。通过这种批判性的反思,这篇文章有助于正在进行的关于现代医学再人性化的辩论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empathy, the scientific clinical gaze and contemporary practice: a critical reflection.

This review essay critically examines a modern manifestation of the scientific clinical gaze, drawing upon Michel Foucault's foundational concepts. Using a Swedish medical case involving cultural bias and delayed diagnosis, the essay questions the strengths and vulnerabilities of the clinical gaze, highlighting its susceptibility to subjective distortions despite aspirations toward scientific objectivity. It situates this analysis within broader critiques of the sociopolitical entanglement of medicine, emphasising how implicit bias, institutional norms and power structures continue to influence clinical practice. The discussion further integrates recent scholarship from narrative medicine, cultural competence and reflexivity studies to propose an enriched model of clinical engagement. By advocating for the incorporation of empathy, narrative competence and reflexive awareness into clinical training and practice, the essay outlines strategies to mitigate the epistemic violence historically associated with the clinical gaze. These recommendations aim to advance medical humanities scholarship, foster more equitable healthcare delivery and prepare future practitioners for ethically attuned and culturally sensitive patient care. Through this critical reflection, the essay contributes to ongoing debates regarding the rehumanisation of modern medicine.

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来源期刊
Medical Humanities
Medical Humanities HUMANITIES, MULTIDISCIPLINARY-
CiteScore
2.60
自引率
8.30%
发文量
59
期刊介绍: Occupational and Environmental Medicine (OEM) is an international peer reviewed journal concerned with areas of current importance in occupational medicine and environmental health issues throughout the world. Original contributions include epidemiological, physiological and psychological studies of occupational and environmental health hazards as well as toxicological studies of materials posing human health risks. A CPD/CME series aims to help visitors in continuing their professional development. A World at Work series describes workplace hazards and protetctive measures in different workplaces worldwide. A correspondence section provides a forum for debate and notification of preliminary findings.
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