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ID 35329
本文ファイル
著者
Legrand, Dorothee
キーワード
clinical ethics
patient's singularity
anonymity
normativity
sufferance
NDC
教育
抄録(英)
The patient's voice is increasingly present in various contexts. I focus on two clinical contexts, psychoanalysis and narrative medicine, and consider the clinical impact of speaking and being listened to in the epistemic context of patient-based research. I first consider the relation between epistemic and clinical values within clinical contexts and show that words are not healing in virtue of their epistemic value, neither in psychoanalysis, nor in narrative medicine. I then underline that, in different ways in psychoanalysis and narrative medicine, the healing power of words is tied to the recognition of the speaker as the owner of his own voice. Listening singularly to the subject, however, conflicts with academic research, as the latter imposes to make the patient's experience fit in the standardized format appropriate for the generation of data, and requires the anonymity of the patient participating to research. Over and above these tensions between clinical and epistemic contexts, the use of narratives both in medicine and patient-based research have in common to rely on an ethic of mastery, aiming at domesticating meaningless illness with meaningful words. Even though such process may be psychologically gratifying, it relies on an illusion masking the patient's vulnerability, inherent to his sufferance, and pressures him to neglect aspects of his experiences which cannot be narrated: in narrative contexts, meaninglessness remains unheard. These difficulties are inherent to narrative approaches,both in clinical and epistemic contexts, but may not occur in psychoanalysis. I conclude by underlining that, in healing or harming ways, addressing oneself to another is a transformative experience insofar as it involves speaking and being listened to as a singular subject. This is the case not only in clinical but also in epistemic contexts. Therefore, patient-based research is not and never clinically inert: the patient-based researcher should always be clinically responsible.
掲載誌名
広島大学大学院教育学研究科紀要. 第一部, 学習開発関連領域
62号
開始ページ
29
終了ページ
38
出版年月日
2013-12-20
出版者
広島大学大学院教育学研究科
ISSN
1346-5546
NCID
SelfDOI
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
教育学研究科
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