ONCOLOGY AND NARRATIVE TIME

被引:98
作者
GOOD, MJD
MUNAKATA, T
KOBAYASHI, Y
MATTINGLY, C
GOOD, BJ
机构
[1] Department of Social Medicine, Harvard Medical School, Boston, MA 02115
关键词
ONCOLOGY; THERAPEUTIC EMPLOTMENT; NARRATIVE TIME; BIOMEDICAL CULTURES;
D O I
10.1016/0277-9536(94)90157-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Oncologists encounter the uncertainty of time horizons in their patients' lives. Although American oncologists are given a cultural mandate to instill hope in the therapeutic narratives they create with patients, uncertainty leads them to expressions of time without horizons or of time with highly foreshortened horizons as they seek to create for patients an experience of immediacy rather than of chronology. The distinctiveness of the American pattern is highlighted through comparison with Japanese exemplar cases and stories of therapeutic practices in oncology. Concepts drawn from narrative analysis of temporality and the construction of the therapeutic plot are employed.
引用
收藏
页码:855 / 862
页数:8
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