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의료에서 덕과 실천의 매개로서 서사(narrative)

Narrative as a medium of virtue and practice in medicine

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초록

Every human being is a “narrative being” in the sense that he or she has a life story. It is not advisable, or even technicall possible, for a physician to separate a patient’s life history when making medical decisions. The best medical decision-making involves the patient, the physician, and concerned family members who come together to mediate conflicts that may arise through the patient’s life stories, rather than merely relying on regulations and principles. The ability to understand the meaning and importance of a patient’s life story is an important one for physicians to have. Physicians with this ability form stronger bonds with patients. This article examines some of the problems caused by scientific medicine and emphasizes the importance of patients’ life experiences and physicians’ willingness to listen to and understand patients’ lifenarratives.

Abstract

Every human being is a “narrative being” in the sense that he or she has a life story. It is not advisable, or even technicall possible, for a physician to separate a patient’s life history when making medical decisions. The best medical decision-making involves the patient, the physician, and concerned family members who come together to mediate conflicts that may arise through the patient’s life stories, rather than merely relying on regulations and principles. The ability to understand the meaning and importance of a patient’s life story is an important one for physicians to have. Physicians with this ability form stronger bonds with patients. This article examines some of the problems caused by scientific medicine and emphasizes the importance of patients’ life experiences and physicians’ willingness to listen to and understand patients’ lifenarratives.

참고문헌 (11)

  1. Anne HJ, "Narrative in medical ethics", British Medical Journal(BMJ), 318, pp.254~255 (1999)
  2. Charles W., "Film and Narrative in Bioethics, in Stories and Their Limits: Narrative Approaches to Bioethics", pp.117~119 (1997), Routledge
  3. George JA, "The Salience of Narrative for Bioethics", The American Journal of Bioethics, 1(1), pp.50~ (2001)
  4. Hilde LN, "Stories and Their Limits: Narrative Approaches to Bioethics" (1997), Routledge
  5. Howard B., "Who Gets to Tell the Story? Narrative in Postmodern Bioethics, in Stories and Their Limits: Narrative Approaches to Bioethics", pp.19~22 (1997), Routledge
  6. James H., "Narrative vs. Theory", The American Journal of Bioethics, 1(1), pp.49~ (2001)
  7. John DE, "Narrative in Health Care: Healing patient, Practitioners, Profession, and Community", pp.25~49 (2008), Radcliffe-Oxford
  8. Rita C., "Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust", Journal of American Medical Association(JAMA), 286(15), pp.1897~1898 (2001)
  9. Thomas HM, "What Do We Mean By “Narrative Ethics, in Stories and Their Limits: Narrative Approaches to Bioethics", pp.6~9 (1997), Routledge
  10. Trisha G, "Narrative based medicine: Why study narrative?", British Medical Journal(BMJ), 318, pp.50~ (1999)
  11. 우한용, "서사교육론", pp.3~40 (2001), 동아시아

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