摘要
本文根据叙事医学理论对老病死叙事话语进行分析。老人临床诊断患绝症,意味着其走到了生命历程的末端,老、病、死3个话题被压缩到一个短暂的时间段,无法避免地一起谈论。本文在简要介绍叙事医学理论和汉语死亡词汇知识本体后,将3种谈论死亡的视角作为理论框架,讨论了:(1)近身亲历谈死亡,即绝症患者本人如何谈死亡;(2)远身亲历谈死亡,即患者亲属和医护人员如何谈死亡;(3)亡后谈死亡,即亲属、医护人员、同事、朋友等如何谈死亡。最后简要提及“白喜事”丧礼和悼词。
Abstract
Aging, disease and death are three major events in one’s life course. They are so vital in human life that they have given rise to a range of disciplines dedicated to their studies. This paper focuses on the last phase of life course of late adulthood, starting from the diagnosis of incurable cancer to the brain death. In this phase, aging, disease and death, separated indefinitely before, are compressed and experienced intensely, death preoccupying the minds of the patient, the doctor and the relatives. Adopting narrative medicine as its theoretical framework, the paper first reviews the medical doctors’ narration of death, including those who are “the wounded storytellers”. Aged dying cancer sufferers and their relatives are recruited to narrate their experiences. A sample of their narrative discourse is analyzed in terms of biomedical reasoning and narrative reasoning. The differences between the two contribute to the misunderstandings and communication failures between doctors and patients/relatives.
关键词
叙事医学 /
死亡词汇本体 /
老病死模型 /
谈死亡
Key words
narrative medicine /
late adulthood /
death narrative /
biomedical reasoning /
narrative reasoning
温颖茜,滴 石.
基于叙事医学理论的老病死叙事话语探析[J]. 语言战略研究. 2019, 4(5): 58-70 https://doi.org/10.19689/j.cnki.cn10-1361/h.20190504
Wen Yingxi and Di Shi.
Aging, Disease and Death: A Narrative Medicine Approach[J]. Chinese Journal of Language Policy and Planning. 2019, 4(5): 58-70 https://doi.org/10.19689/j.cnki.cn10-1361/h.20190504
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