论医学的加速与异化:基于哈特穆特·罗萨的社会加速批判理论  

On acceleration and alienation in medicine:based on Hartmut Rosa’s critical theory of social acceleration

作　　者：张燕 邓蕊[1] ZHANG Yan;DENG Rui(School of Humanities and Social Sciences,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学人文社会科学学院,山西太原030001

出　　处：《中国医学伦理学》2025年第3期357-363,共7页Chinese Medical Ethics

基　　金：2023年山西省高等学校一般性教学改革创新立项项目“数智健康视域下山西省医学人文素质教育实验室建设研究”(J20230533);2023年度山西省科技战略研究专项“研究者发起的临床研究伦理问题及伦理治理”(202304031401099)。

摘　　要：现代医学的加速发展是维护人类健康的关键力量,但也出现了异化现象。将现代医学发展置于哈特穆特·罗萨的社会加速批判理论视域下解读,是后医学时代深刻剖析医学发展有力解释框架和诊断医学病症的切入点。医学发展从技术、结构、主体生活节奏三方面遵循“动态稳定”的模式,进入自我加速的循环系统,在无限加速循环中,出现了就医空间抽象化、医疗技术主体化、人文精神隐退、生命经验越加贫乏、医患认同消弭的新异化表征。按照罗萨实现“美好生活”的路径,医学异化的解决之道在于建立“共鸣”关系,树立医学人化的理念、构建医学语言的理性交往、深化医学新发展理念是调和医学发展和其他社会因素关系的有效路径。The accelerated development of modern medicine is a key force in safeguard human health,but there has also been a phenomenon of alienation.Interpreting the development of modern medicine from the perspective of Hartmut Rosa’s socially accelerated critical thought is a powerful explanatory framework for profoundly dissecting the development of medicine in the post-medical era and an entry point for diagnosing medical ailments.The development of medicine follows a“dynamic stability”model from three aspects,including technology,structure,and the pace of subjective life,entering a self-accelerating cycle system.In the infinite acceleration cycle,there are new manifestations of alienation,such as the abstraction of medical space,the subjectification of medical technology,the retreat of the humanistic spirit,the increasing poverty of life experience,and the elimination of doctor-patient identity.According to Rosa’s path of realizing the“good life”,the solution to medical alienation lies in establishing a“resonance”relationship,fostering the concept of medical humanization,constructing rational communication in medical language,and exploring new development concepts in medicine.These are effective ways to reconcile the relationship between medical development and other social factors.

关 键 词：医学 哈特穆特·罗萨 社会加速批判理论 

分 类 号：R-05[医药卫生]