PDF(Pubmed)
Abstract：
This article proposes a way of narrating chronic pain: the telling of a chronicle Recent work in the medical humanities has been critical of traditional approaches to illness narratives. In line with this criticism, we argue that the experience of chronic pain resists internally coherent, plot-driven-in other words, Aristotelian-narrative. Drawing on phenomenological studies, we state that chronic pain is an utterly meaningless experience due to its relentless continuation over time. It therefore defies any narrative search for a higher meaning or purpose as well as the search for a coherent and progressive \'plot\'. However, we reject the idea that chronic pain could therefore only be captured in the form of a meaningless, unshareable and chaotic anti-narrative. Instead, we propose that chronic pain could be borne witness to through the speech act of chronicling-an ongoing telling about ongoing suffering. Building on work of contemporary philosophers Philippe Lacoue-Labarthe and Jean-Luc Nancy, we examine what the chronicle entails by touching on three themes: time, meaning, and the body. First, we argue that chronicling allows people to bear witness to chronic pain\'s purposeless continuation over time, thereby affirming the utter meaninglessness of the experience. Second, we argue that it is precisely in the affirmation of this meaninglessness that a different kind of meaning can be experienced: a meaning which cannot be detached from the sensory experience of telling and listening itself. Third, we examine how chronicling chronic pain could allow the muted and painful body to once again meaningfully express itself to others.
摘要：
本文提出了一种叙述慢性疼痛的方法：编年史的讲述医学人文学科的最新工作对传统的疾病叙述方法持批评态度。根据这种批评，我们认为，慢性疼痛的经验抵抗内部连贯，情节驱动-换句话说，亚里士多德叙事。借鉴现象学研究，我们指出，慢性疼痛是一种完全没有意义的经历，因为它随着时间的推移而持续不断。因此，它无视任何对更高意义或目的的叙事搜索，以及对连贯和渐进的“情节”的搜索。然而,我们拒绝这样的观点，即慢性疼痛只能以无意义的形式被捕获，不可共享和混乱的反叙事。相反，我们建议，慢性疼痛可以通过编年史的言语行为来证明——这是一种关于持续痛苦的持续讲述。以当代哲学家菲利普·拉科·拉巴和让·吕克·南希的作品为基础，我们通过触及三个主题来研究编年史的含义：时间，意思是,还有尸体.首先,我们认为，编年史可以让人们见证慢性疼痛的无目的的延续，随着时间的推移，从而肯定了体验的完全无意义。第二,我们认为，正是在这种无意义的肯定中，可以体验到一种不同的意义:一种无法脱离告诉和倾听本身的感官体验的意义。第三，我们研究了慢性疼痛的编年史如何使沉默和痛苦的身体再次有意义地向他人表达自己。
