叙事医学质性研究方法探讨  

An Inquiry of the Qualitative Research Methods in Narrative Medicine

作　　者：赖立里[1] LAI Li-li(The School of Health Humanities, Peking University, Beijing 100191, China)

机构地区：[1]北京大学医学人文学院

出　　处：《医学与哲学》2020年第2期11-13,26,共4页Medicine and Philosophy

摘　　要：叙事医学也可以作为一个质性研究工具来使用,从理论层面介绍了其四种叙事类型,病人叙事或经典的患病叙事、医生叙事、医患相遇的叙事、元叙事。从具体操作层面介绍叙事医学质性研究步骤,一是研究背景和研究目的介绍,二是研究设计,三是研究分析,四是综合分析讨论。从叙事医学质性研究来看,其将疾病治疗中的病患经历置于中心,从身体、时间、主体间性等各方面加以把握,同时关注不同叙事形式所处的社会、文化、历史情境。这些都是叙事医学研究无法为其他生物医学研究所取代的优势。Narrative medicine can be used as a qualitative research tool.The four narrative types are introduced,including patient narrative or classic disease narrative,doctor narrative,doctor-patient encounter narrative,and metanarrative.The steps of qualitative research are introduced from the specific operation level.The first is the introduction of research background and research purpose,the second is the research design,the third is research and analysis,the fourth is comprehensive analysis and discussion.From the qualitative research of narrative medicine,it puts the patient's experience in disease treatment at the center,grasps from the aspects of body,time,intersubjectivity,etc.,and pays attention to the social,cultural,and historical contexts in which different narrative forms are located.These are the advantages that narrative medical research cannot be replaced by other biomedical research.

关 键 词：叙事医学 质性研究 方法学 

分 类 号：R-0[医药卫生]