希波克拉底病例中的病人功能和医生功能。

Chiara Thumiger
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引用次数: 2

摘要

本章着眼于流行病的病人病例,作为医生和病人之间相互作用的证据。我的参考语料库是五世纪和四世纪早期医学文献中的病人病例,主要是流行病1和3提供的更详细的例子。患者病例从各种来源收集信息:患者可观察到的行为和状态;他或她对其疾病、病史和患者生活方式的描述;亲戚、朋友的捐献;当然,医生也有他的判断,他的议程,他的术语和他的教学目标。仍然难以捉摸和隐藏的是病人的观点和他的个人经历,在医生编制的权威报告中。在本章中,我调查了这些报告的主要风格特征,我认为这对于在他或她遇到医生时重建病人的观点具有重要意义。我的主要目的是从这些文本中尽可能多地提取有关古代苦难和忍耐经验的信息。在我的分析中,我不仅,而且主要不是把文本看作是医生的立法思想和材料作者的“笔”所产生的明确声明,也不是病房里旁观者和助手的观察,甚至不是病人的哀嚎,而是把文本看作是一种作品,在这种作品中,疾病戏剧中的所有主要演员都必须做出贡献。
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Patient Function and Physician Function in the Hippocratic Cases.
This chapter looks at the patient cases of the Epidemics as testimonies to the interaction between the physician and the patient. My corpus of reference is the patient cases in fifth- and early fourth-century medical texts, mostly the more elaborated examples offered by Epidemics 1 and 3. A patient case collects information from various sources: the patient's observable behavior and state; his or her account of her disease, its history and the patient's lifestyle; the contribution given by relatives and friends; and, of course, the physician with his judgment, his agenda, his terminology and didactic aims. What remains elusive and hidden is the viewpoint of the patient and his personal experience within, or under the authoritative report compiled by the physician. In this chapter, I survey key stylistic features of these reports, which I see as significant to the reconstruction of the point of view of the ill in his or her encounter with the doctor. My main aim is to extract from these texts as much as possible information about the experience of suffering and patienthood in antiquity. In my analysis I look at the text not only, and not primarily as a definitive pronouncement stemming from the physician's legislating mind, and from the material author's 'pen', nor observations from by-standers and helpers in the sick room, nor even as the plaintive cries from suffering patient, but as a composition in which all the principal actors in the drama of a sickness must contribute.
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