共情:哲学修辞与临床张力  

Empathy:Philosophical Rhetoric and Clinical Tension

作　　者：余佯洋 王一方[2] YU Yangyang;WANG Yifang(Medical School,Shenzhen University,Shenzhen 518055,China;School of Health Humanities,Peking University,Beijing 100191,China)

机构地区：[1]深圳大学医学部,广东深圳518055 [2]北京大学医学人文学院,北京100191

出　　处：《医学与哲学》2024年第5期1-4,26,共5页Medicine and Philosophy

基　　金：2023年广东省临床教学基地教学改革研究项目;2023年广东省“新医科”教学改革项目;2023年深圳大学医学部教学改革研究重点项目(YXBJG202338);2023年深圳大学医学部教学改革研究交叉项目(YXBJG202340)。

摘　　要：叙事医学与关怀伦理的兴起,对共情的探讨陡然升温,并呈现不同伦理选择的声音。从哲学修辞的维度出发,对共情的语义范畴进行深入分析,对共情的互文性,即非共情、反共情、伪共情展开充分辨析,进而挖掘了临床境遇中的共情悖论与异化,探讨了叙事医学对共情的拓展与建构,如精细化文学阅读与共情的审美习得,如何开启“共情−反思−医患共同体”的三段论认知,如何杜绝“共情”的孤岛化,以廓清共情在全人医疗模式中临床实践的地位和意义。The rise of narrative medicine and caring ethics has sparked a surge in the exploration of empathy.Voices of different ethical choices have emerged.Starting from the dimension of philosophical rhetoric,this article makes an in-depth analysis of the semantic category of empathy,and fully distinguishes the intertextuality of empathy,namely non-empathy,anti-empathy,and pseudo-empathy.We further explore the paradox and alienation of empathy in clinical situations,and discuss the expansion and construction of empathy in narrative medicine,such as refined close reading and aesthetic acquisition of empathy,how to activate the syllogistic cognition of"empathy-reflection-doctor-patient community",and how to eliminate the isolation of"empathy",so as to clarify the status and significance of empathy in clinical practice in the whole-person medical model.

关 键 词：共情 语义范畴 互文性 叙事医学 

分 类 号：R-05[医药卫生]