对治疗过渡的象征性解读:对体现、意义和变化的理论反思。

IF 3.6 2区 哲学 Q1 ETHICS
Medicine Health Care and Philosophy Pub Date : 2026-12-01 Epub Date: 2026-09-09 DOI:10.1007/s11019-026-10394-8
Federica Marino
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引用次数: 0

摘要

在生物医学话语中,治疗过渡通常被视为旨在优化临床结果的工具性修改。虽然这种观点对临床决策是不可或缺的,但它只捕捉到治疗改变所需要的有限维度。本文提出了一个符号理论框架,将治疗过渡理解为体现经验的有意义的重新配置,而不是纯粹的技术调整。借助现象学、医学人类学、叙事理论和医学人文学科,本文将身体重新定义为一个解释性的领域,通过这个领域,治疗变化得以生存、协商并融入个人身份。它认为符号解释不是生物医学解释的可选补充,而是表达治疗经验维度的结构性必要性,这种维度抵制基于结果的评估。在此基础上,本文确定了一个由调节、调节、暂停和持续组成的治疗过渡的符号结构。这些维度并不描述阶段或轨迹,而是反复出现的结构模式,通过这些模式可以经历变化。它们的结构揭示了治疗转化固有的不对称和局部性质,挑战了治疗的整体模型。通过强调不对称、限制和有限性,本文将治疗过渡重新定义为一个有意义的调整过程,而不是全面的解决。它认为,对符号框架的关注通过澄清治疗干预运作的人类限制来丰富医学理解,而不会反对经验医学或破坏其认知权威。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A symbolic reading of therapeutic transition: a theoretical reflection on embodiment, meaning, and change.

Therapeutic transition is commonly framed within biomedical discourse as an instrumental modification aimed at optimizing clinical outcomes. While this perspective is indispensable for clinical decision-making, it captures only a limited dimension of what therapeutic change entails. This article proposes a symbolic-theoretical framework for understanding therapeutic transition as a meaningful reconfiguration of embodied experience rather than as a purely technical adjustment. Drawing on phenomenology, medical anthropology, narrative theory, and medical humanities, the paper reconceptualizes the body as an interpretative field through which therapeutic change is lived, negotiated, and integrated into personal identity. It argues that symbolic interpretation is not an optional supplement to biomedical explanation, but a structural necessity for articulating dimensions of therapeutic experience that resist outcome-based evaluation. On this basis, the article identifies a symbolic architecture of therapeutic transition composed of modulation, regulation, suspension, and persistence. These dimensions do not describe stages or trajectories, but recurring structural patterns through which change is experienced. Their configuration reveals the inherently asymmetrical and partial nature of therapeutic transformation, challenging totalizing models of healing. By foregrounding asymmetry, limits, and finitude, the paper reframes therapeutic transition as a process of meaningful adjustment rather than comprehensive resolution. It argues that attention to symbolic frameworks enriches medical understanding by clarifying the human limits within which therapeutic intervention operates, without opposing empirical medicine or undermining its epistemic authority.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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