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The intersubjective and the intrasubjective in the patient-physician dyad: implications for medical humanities education

机译:医师二元组中的主体间和主体间:对医学人文教育的启示

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At the heart of medicine is the patient, and the fundamental relationship in medicine is the patient-physician dyad. Smith's argument for the intersubjective creation of knowledge, which is itself indebted to Bakhtin's notion of the utterance and of the necessity of "the other" in the development of meaning, enables an exploration of the creation of meaning during the patient-physician encounter. The analysis is enriched by Haraway's concepts of partial perspectives and of dispersion, which expose the many roles and voices in which the physician and patient may interact. This approach emphasises the use of the medical humanities as a tool to teach medical students about the ambiguities of clinical practice, in which there is often no "right answer" except what is appropriate for the individual patient.
机译:医学的核心是患者,医学的基本关系是患者-医师二元组。史密斯关于主体间知识创造的论点本身就归功于巴赫金关于言语的理解以及意义发展中“另一者”的必要性的观点,这使得能够在医患接触过程中探索意义的创造。哈拉威的局部视角和分散概念丰富了分析,揭示了医生和患者可能相互作用的许多角色和声音。这种方法强调使用医学人文学科作为工具来向医学生传授有关临床实践的歧义的信息,在这种情况下,通常只有适合个别患者的“正确答案”。

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