戏剧艺术、医学伦理和康复:奥莫博瓦莱《总统的医生》中以病人为中心的治疗关系

S. Kekeghe
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摘要

多年来,文学已成为使医疗实践人性化的有力工具,其表现形式多种多样。文学和医学领域的学者已经确定了文学知识在临床或医学经验中的重要性。从咨询、诊断到治疗,人文工具构成了医疗实践的标志,这在涉及患者和护理者的治疗关系中是显而易见的。世界各地的文学作家都有意无意地通过将医疗事件和治疗方法作为中心主题来创造人类健康意识;在这些文本中,生物医学的经验,如疾病,疾病和医学的伦理问题是突出的。文学和医学的一个重要层面是对医学职业道德标准的探索,其中使用表征和对话来强调治疗过程中的医患关系。在尼日利亚,医疗实践主要以医生为中心,人们会遇到医生和医疗保健专业人员如何不断违反希波克拉底誓言,这是包含医学伦理的官方和/或神圣文件。本文考察了伊曼纽尔·巴巴顿德·奥莫鲍瓦莱的戏剧《总统的医生》中以病人为中心的治疗关系的挪用,强调了医学伦理在康复过程中的重要性。作者仔细阅读了这部戏剧,并进行了定性的文学分析,确定了以病人为中心的伦理原则,如非恶意、病人自主、慈善和正义,这些原则应该构成医疗实践的基石。Omobowale在他的戏剧中探讨了医生和其他医疗保健提供者提供尊重和响应患者偏好的护理的必要性。该分析以Stephen Kekeghe的病理文本主义为基础,强调疾病或疾病(病理)与文本(文学)的相互作用。
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Dramatic Art, Medical Ethics and Rehabilitation: Patient-Centred Therapeutic Relationship in Omobowale’s The President’s Physician
Literature, over the years, has become a potent instrument in humanizing medical practice, which manifests in different forms. Scholars in the domains of literature and medicine have identified the significance of literary knowledge in clinical or medical experiences. From consultation, diagnoses and treatments, humanistic tools constitute the hallmarks of medical practice, which are evident in the therapeutic relationship that involves the patient and care-giver. Literary writers, the world over, have consciously or unconsciously created human health awareness by representing medical episodes and therapeutics as central themes; in such texts, biomedical experiences like illnesses, diseases and ethical issues of medicine are foregrounded. A significant layer of literature and medicine is the exploration of ethical standards in the medical profession, where characterization and dialogues are used to emphasize physician-patient relationship in the therapeutic process. In Nigeria, where medical practice is predominantly doctor-centered, one encounters how physicians and healthcare professionals consistently contravene the Hippocratic Oath, the official and/or sacred document that contains the ethics of medicine. This article examines the appropriation of the patient-centered therapeutic relationship in Emmanuel Babatunde Omobowale’s play, The President’s Physician, highlighting the import of medical ethics in the rehabilitative process. The play is given a close-reading and subjected to qualitative, literary analysis, identifying patient-centered ethical principles like non-maleficence, patient autonomy, beneficence and justice that should form the bedrock of medical practice. Omobowale, in his play, explores the need for medical doctors and other healthcare givers to provide care that is respectful of, and responsive to the preferences of their patients. The analysis is anchored on Stephen Kekeghe’s Pathotextualism which underscores the interplay of illness or disease (pathos) and text (literature).
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