交往性医患关系的缺失及其建构——基于哈贝马斯普遍语用学的分析  

The Absence and Construction of Communicative Doctor-patient Relationship:An Analysis Based on Habermas Universal Pragmatics

作　　者：吴会娟[1] 

机构地区：[1]遵义医学院外国语学院,贵州遵义563000

出　　处：《医学与哲学（A）》2018年第2期9-12,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2015年贵州省高校人文社会科学研究基地项目(2015TD082)

摘　　要：交往性医患关系强调言语沟通基础上医患交际行为的平等性、协商性、理解性和认同性,而在现实医疗实践中,由于工具理性的深刻影响,医患之间以言语沟通为核心的交际行为因缺乏真实性、真诚性和正确性等交往条件,而导致双方有效交往的普遍缺失。因此,要建构医患之间的交往性关系,必须重构医患的生活世界,打破工具理性的主宰地位,用交往理性引导人们的医疗行为,创造医患合理性交往的有效条件,用平等的、对话的、理解的交往机制保障和谐医患关系的实现。The communicative doctor-patient relationship emphasizes the equality,negotiation,understanding and identity of doctor-patient communication.However,in the medical practice,under the influence of instrumental rationality,doctorpatient communication lacks authenticity,sincerity and correctness,which leads to the widely absence of effective communication between doctors and patients.Therefore,the construction of doctor-patient communicative relationship is based on the construction of doctor-patient life world,the destruction of the dominance of instrumental rationality,the practice of communicative rationality in medical behavior,the creation of the effective conditions for rational communication and the insurance of the harmonious doctor-patient relationship by equal,dialogic,comprehensive communication mechanisms.

关 键 词：工具理性 医患关系 交往行为 医患理解 

分 类 号：R-05[医药卫生]