medical humanities

医学人文
  • 文章类型: Journal Article
    关于协助死亡的个人经历的故事,一个术语,包括由医生或患者自己施用致死物质的两种情况,在立法过程中经常被引用。医疗保健系统的这些经验和管理生命终结程序的法律,从而在临终前相互作用地影响医学的未来。随着越来越多的国家将某种形式的协助死亡合法化或就此问题展开政治辩论,解决这些个人故事如何塑造公众舆论和社会机构是及时的。在当前的争议中,我们质疑医学人文研究人员如何理解这些故事在立法中的作用,并批判性地反思试图使这些互连可见的数字档案。在方法论层面,药物之间辅助死亡的相互作用,法律和艺术敦促我们重新考虑医学人文跨学科研究的概念基础。
    Stories about personal experiences of assisted dying, a term comprising both instances when a lethal substance is administered by a physician or by the patient themselves, are frequently cited in law-making processes. These experiences of healthcare systems and the laws governing end-of-life procedures thereby interactively influence the future of medicine at the deathbed. With more countries legalising some form of assisted dying or opening political debate about the issue, addressing how these personal stories shape public opinions and social institutions is timely. In this current controversy, we question how medical humanities researchers are to make sense of the role of these stories in law-making, and critically reflect on a digital archive that seeks to make these interconnections visible. At the methodological level, the reciprocal interactions in assisted dying between medicine, law and the arts urges us to reconsider the conceptual foundations of interdisciplinary research in the medical humanities.
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  • 文章类型: Journal Article
    本文将人种学解释与对移情概念史的分析相结合。超越更常见的概念,通常依赖于心理学理论和术语,概念历史分析的根源可以追溯到18世纪和19世纪的“Einfuhlung”概念。由于人种学工作遵循了两名智力深厚和多重残疾的年轻女性的专业工作,这篇文章提出了五倍的论点。首先,我们认为,移情通常被认为是个人认知的问题,但应该被重新思考为一种感觉进入的具体过程。第二,我们认为这个过程的特点是不完整的,因此必须承认移情总是部分的,总是在理解的路上。第三,我们认为,这种不完整性迫使我们思考潜在的“连接力”,概念历史表明,我们应该把这种力量看作是爱的一种形式。第四,我们认为这种“爱”是高度体现的,这表明同理心的理论概念应该与亲属关系的概念有关。第五,我们建议这种爱的组合(感情,欣赏),具体的亲属关系和不完整意味着最后的反思,即移情作为一种渴望的概念。
    This article combines ethnographic interpretations with analyses of the conceptual history of empathy. Moving beyond the more common notions, which often rely in psychological theories and terminologies, the conceptual-historical analyses trace its roots to 18th and 19th century notions of \'Einfühlung\'. As the ethnographic work follows the professional work with two young women with profound intellectual and multiple disabilities, the article makes a fivefold argument. First, we argue that empathy is often considered a matter of individual cognition but should be rethought as an embodied process of feeling-into. Second, we argue that this process is characterised by incompleteness-and hence must acknowledge that empathy is always partial, always on the way to understanding. Third, we argue that this incompleteness forces us to think about the underlying \'connecting force\', and that the conceptual history suggests that we should think about this force as a form of love. Fourth, we suggest that this \'love\' is highly embodied, and that this suggests that theoretical notions of empathy should relate to notions of kinship. Fifth, we suggest that the combination of this love (affection, appreciation), embodied kinship and incompleteness suggests a final rethinking, namely the notion of empathy as a form of longing.
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  • 文章类型: Journal Article
    医学人文学科的教学越来越多地融入医学院的课程中。我们开发了一个名为LeSermentd\'Augusta(奥古斯塔誓言)的播客,由六集组成,解决现代医疗保健世界中与医患关系有关的热门话题,敬业精神,和道德。这个播客旨在以一种有趣的方式提供科学的内容,同时促进医学生之间的辩论。LeSermentd\'Augusta播客被提议作为索邦大学医学院(巴黎)第二至五年级课程中的各种可选模块之一。我们要求学生报告他们听播客的生活经历。然后,我们使用了文本挖掘方法,重点关注两个主要方面:i)学生使用此教育播客来了解医学人文的观点;ii)在听播客后,他们对医疗保健核心要素的感知和知识的自我报告变化。包括478名学生。学生们很感激有机会参加这个教学模块。他们非常喜欢这种学习工具,并报告说它给了他们学习的自主权。他们欣赏内容和格式,强调这些主题与医学实践的本质有关,并且众多的证词具有巨大的附加值。收听播客会导致知识的获取和视角的重大改变。这些发现进一步支持在医学教育中使用播客,尤其是教授医学人文科学,以及它们在课程中的实施。
    The teaching of medical humanities is increasingly being integrated into medical school curricula. We developed a podcast called Le Serment d\'Augusta (Augusta\'s Oath), consisting of six episodes tackling hot topics in the modern world of healthcare related to the patient-doctor relationship, professionalism, and ethics. This podcast aimed to provide scientific content in an entertaining way, while promoting debate among medical students. The Le Serment d\'Augusta podcast was proposed as one of the various optional modules included in the second- to fifth-year curriculum at the School of Medicine of Sorbonne University (Paris). We asked students to report their lived experience of listening to the podcast. We then used a text-mining approach focusing on two main aspects: i) students\' perspective of the use of this educational podcast to learn about medical humanities; ii) self-reported change in their perception of and knowledge about core elements of healthcare after listening to the podcast. 478 students were included. Students were grateful for the opportunity to participate in this teaching module. They greatly enjoyed this kind of learning tool and reported that it gave them autonomy in learning. They appreciated the content as well as the format, highlighting that the topics were related to the very essence of medical practice and that the numerous testimonies were of great added value. Listening to the podcast resulted in knowledge acquisition and significant change of perspective. These findings further support the use of podcasts in medical education, especially to teach medical humanities, and their implementation in the curriculum.
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  • 文章类型: Journal Article
    联合国可持续发展目标(SDG)的通过标志着全球政治议程的重大转变,强调各个领域的可持续性,包括健康。有意义地参与可持续发展,变革的教育方法是必不可少的。兰格的变革学习概念包括三个层面:个人和认知变化(微观层面),我们与他人和环境互动的变化(中观层面)和社会变化(宏观层面)。本文认为,应用健康人文方法,尤其是叙事医学,可以在这三个层面上加强变革教育,导致一个强大的,可持续发展和可持续发展目标教学的变革性健康人文框架。这种跨学科的方法,其中包括反思自我评估,探索不同的关系视角和社会现实理解,促进变革性学习。然而,实施这一变革战略需要对现有健康人文范式中的一些核心原则和方法进行批判性的重新评估。
    The adoption of the United Nations\' Sustainable Development Goals (SDGs) marks a significant shift in global political agendas, emphasising sustainability in various fields, including health. To engage meaningfully with sustainability, a transformative educational approach is essential. Lange\'s concept of transformative learning encompasses three levels: personal and cognitive change (micro level), changes in our interactions with others and the environment (meso level) and societal changes (macro level). This paper posits that applying health humanities approaches, particularly narrative medicine, can enhance transformative education at these three levels, leading to a powerful, transformative health humanities framework for teaching sustainability and the SDGs. This interdisciplinary method, which includes reflective self-assessment, exploration of different relational perspectives and social reality comprehension, facilitates transformative learning. However, implementing this transformative strategy requires a critical reassessment of some core principles and methods within the existing health humanities paradigm.
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  • 文章类型: Journal Article
    这篇文章反映了医学的一个新的(但古老的)定义,从复杂的人类经历中考虑医生和病人。它通过历史的视角探讨了医患关系以及医学本身的实践,通过研究Pergamum的Galen的一些奖学金,公元二世纪的古希腊医生和哲学家。目的不是给一个新的,明确的答案,但是用过去的例子来看待这个问题,也许不寻常,透视。
    This article is a reflection on a new (but ancient) definition of medicine, which considers doctors and patients alike from their complex human experiences. It explores the doctor-patient relationship as well as the practice of medicine itself through an historical lens, by examining some of the scholarship of Galen of Pergamum, the ancient Greek doctor and philosopher of the second century CE. The intention is not to give a new, definite answer, but to use an example from the past to look at the matter from a different, perhaps unusual, perspective.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    目标:探索高等教育机构(HEI)如何使他们收集的有关员工残疾的数据透明化,以及这与现有平等的关系,多样性和包容性(EDI)宪章。
    方法:基于英国高等教育的描述性跨部门定量研究。
    方法:英国的高等教育部门。
    方法:英国162个高等教育统计机构(HESA)提取的信息,每个机构的网站和高级HE。
    方法:提供公开的EDI报告。EDI报告中确定的员工残疾信息类型和详细程度,后者来自报告中提供的不同类型信息的数量。每个HEI的AthenaSWAN和残疾信心奖级别被用作该部门对EDI承诺的代理。
    结果:不到四分之一的高校在网上没有公开的EDI报告。大多数雅典娜天鹅奖获得者将其EDI报告公开提供,这与残疾自信状态相似。罗素集团的大学更有可能有一份公开的报告。区域,EDI报告的可用性在伦敦最低。关于工作人员残疾的详细程度各不相同,超过一半的机构提供“小细节”,不到三分之一的机构提供“一些细节”。雅典娜天鹅奖持有人和残疾信心成员提供“一些细节”的可能性是那些没有获得奖项的人的两倍。
    结论:在高等教育中获得残疾工作人员的清晰形象仍然存在挑战。关于残疾的EDI报告缺乏统一性和透明度,阻碍了在高等教育中量化残疾工作人员的能力,制定有意义的干预措施,更广泛地解决不平等问题。
    OBJECTIVE: To explore how higher education institutions (HEIs) make transparent the data they collect on staff disability, and how this relates to existing equality, diversity and inclusion (EDI) charters.
    METHODS: Descriptive cross-sector quantitative study based on UK HEIs.
    METHODS: Higher education sector in the UK.
    METHODS: 162 HEIs across the UK with information extracted from the Higher Education Statistics Agency (HESA), each institution\'s website and Advance HE.
    METHODS: Availability of a publicly available EDI report. Type of information on staff disability identified within the EDI report and level of detail, the latter derived from the number of different types of information provided in the report. Athena SWAN and Disability Confident award level for each HEI were used as a proxy for the sector\'s commitment to EDI.
    RESULTS: Under a quarter of HEIs do not have an open EDI report online. The majority of Athena SWAN award holders make their EDI reports publicly available, which is similar by Disability Confident status. Russell Group universities are more likely to have a publicly available report. Regionally, EDI report availability is lowest in London. The level of detail with regards to staff disability varies, with more than half of institutions providing \'little detail\' and just under a third \'some detail\'. Athena SWAN award holders and Disability Confident members are twice as likely to provide \'some detail\' than those which do not hold an award.
    CONCLUSIONS: Challenges remain to obtain a clear picture of staff with disabilities within higher education. The lack of both uniformity and transparency in EDI reporting with respect to disability hinders the ability to quantify staff with disabilities within higher education, develop meaningful interventions and address inequities more widely.
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  • 文章类型: Journal Article
    在美国新的堕胎限制下,遗传技术的科学进步和怀孕期间COVID-19疫苗接种的调查,关于繁殖的新闻报道比比皆是,通常伴随着记者JosieGlausiusz所说的“无头”的图像,无腿,怀孕肿块\“。这些无形的怀孕躯干图像立即改善了新闻机构的搜索引擎优化,同时将“颠簸”视为怀孕的典型视觉表示。伴随新闻文章的图像传达的含义超出了文本中包含的含义,并致力于加强对种族的刻板印象,性别和年龄。在所谓的肥胖症流行中,例如,心理治疗师和肥胖活动家夏洛特·库珀记录了胖子的形象如何被剪掉,他们的头已经变成了一个视觉象征,即“无头的胖子”,没有脸或机构可言。使用“无头孕妇”类似地将孕妇从怀孕的具体经历中分离出来,将它们减少到一个身体部位。在这篇文章中,我们通过Twitter记录我们跟踪无头preggos图像的经历,认为它们的使用可以消除孕妇的自主性,并将胎儿作为生殖干预措施的核心问题。我们首先追踪怀孕的视觉表现的演变,包括对胎儿和“肿块”的日益关注。然后,我们提供我们使用Twitter帐户的体验描述,包括我们与学者的交流,记者和其他人强调了对无头孕妇的持续依赖如何通过将所有注意力集中在胎儿上来掩盖孕妇的经历,以及如何仔细部署相同的图像。最后,我们为那些创建和选择可能导致更健壮的图像提供建议,怀孕和生殖的创造性视觉表现。
    Amid new abortion restrictions in the USA, scientific advances in genetic technologies and investigations of COVID-19 vaccinations in pregnancy, news stories about reproduction abound, often accompanied by images of what journalist Josie Glausiusz has called the \"headless, legless, pregnancy bump\". These images of disembodied pregnant torsos at once improve search engine optimisation for news organisations while perpetuating the view of the \'bump\' as the quintessential visual representation of pregnancy.The images that accompany news articles convey meaning beyond what is included in the text and work to reinforce stereotypes about race, gender and age. In the so-called obesity epidemic, for example, psychotherapist and fat activist Charlotte Cooper documented how images of fat people with their heads cropped out view had become a visual symbol of abjection-\'the headless fatty\'-without a face or agency to speak of. The use of \'headless preggos\' similarly divorces pregnant people from the embodied experience of their pregnancies, reducing them to a single body part.In this article, we chronicle our experiences tracking images of headless preggos via Twitter, arguing that their use works to erase pregnant people\'s autonomy and to construct the fetus as the central concern in reproductive interventions. We begin by tracing the evolution of visual representations of pregnancy including the increasing focus on the fetus and \'bump\'. We then provide a description of our experience with the Twitter account, including our exchanges with academics, journalists and others that highlight how the continued reliance on headless preggos obscures the experiences of pregnant people by focusing all attention on the fetus, as well as how the same images might be thoughtfully deployed. We conclude by offering suggestions for those creating and selecting images that might result in more robust, creative visual representations of pregnancy and reproduction.
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  • 文章类型: Journal Article
    本文将视觉医学人文作为学术研究空间的出现,创造性的实践和活跃的批判性辩论,重点关注艺术史奖学金如何影响该领域的形成。专注于过去十年的发展,它概述了当前的奖学金,同时突出了未来的机遇和挑战。我们从对医学和健康人文手册和读者的调查开始,注意到他们对艺术和视觉文化的参与主要限于治疗的背景,临床教育学和病史。本文的主要部分探讨了艺术史学术对医学人文的三个重要意义。首先,我们致力于与医学史相关的艺术史研究,识别包括解剖体在内的主要拓扑,医患接触以及临床和艺术视觉之间的密切关系;我们认为这项工作倾向于假设,而不是明确地表达,它与医学人文的关系,并建议希望与医学人文更深入地接触的艺术史学家需要清楚地传达他们的工作带来了更广泛的辩论领域。第二,我们探索动员健康相关经验的当代艺术实践,关怀和实践行动主义的形式:医学人文,我们争论,从与当代(以及历史)艺术的批判性接触中可以受益匪浅。第三,我们回顾了三个以艺术史为主导的项目,这些项目正在重新定义该领域,并促进跨学科的合作“纠缠”的新模式:艺术HX:英国殖民主义的视觉和医学遗产;可视化病毒;和虚构:艺术实践,艺术史,批判医学人文通过论证参加艺术和视觉文化的关键复杂性的至关重要性,本文旨在丰富现有的辩论,并引发新的视觉参与医学人文奖学金浪潮。
    This article charts the emergence of visual medical humanities as a space of academic research, creative practice and lively critical debate, with a focus on how art historical scholarship has influenced the field\'s formation. Concentrating on developments over the past decade, it offers an overview of current scholarship while highlighting opportunities and challenges for the future. We begin with a survey of medical and health humanities handbooks and readers, noting that their engagement with art and visual culture is predominately limited to the contexts of therapy, clinical pedagogy and medical history. The main part of the article explores art historical scholarship in relation to three areas of significance for the medical humanities. First, we address art historical research that engages with medical history, identifying major topoi including the anatomical body, the doctor-patient encounter and the close relationship between clinical and artistic vision; we argue that this work has tended to presume, rather than explicitly articulate, its relationship to medical humanities and recommend that art historians wishing to engage more deeply with the medical humanities need to clearly communicate what their work brings to wider debates in the field. Second, we explore contemporary arts practices that mobilise health-related experiences, forms of care and practical activism: medical humanities, we argue, has much to gain from a critical engagement with contemporary (as well as historical) art. Third, we review three art history-led projects that are redefining the field and promoting new models for collaborative \'entanglement\' across disciplines: Art HX: Visual and Medical Legacies of British Colonialism; Visualizing the Virus; and Confabulations: Art Practice, Art History, Critical Medical Humanities By arguing for the vital importance of attending to the critical complexities of art and visual culture, this article aims to enrich existing debates and provoke a new wave of visually engaged medical humanities scholarship.
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  • 文章类型: Journal Article
    TikTok,现在是反传统的社交媒体平台,主持了数百万个关于健康的视频,健康和身体健康,包括产后健康和“反弹”的内容。目前,很少有研究分析产后视频的内容,敦促观众反弹或这些视频的潜在影响。鉴于社交媒体使用与不良心理健康结果之间的公认关系(例如,自尊心降低,增加压力,饮食紊乱风险),对TikTok上与产后反弹相关的内容的调查探索了健康和健身文化与产后恢复的具体体验之间的重要交集。使用对反弹视频的定性主题分析(n=175),我们探索三个主题:(1)冰沙:吃,但不要发胖;(2)骨汤:随着当今的健康趋势而反弹;(3)Fitspo:移动您的身体很重要。重要的是,视频回收历史上构造的思考是什么让一个“好”或“坏”的身体,调用老式的饮食文化比喻(即,在进食前喝水补满),并对基于历史性别的护理人员保持潜在的危险期望,种族和阶级结构。这导致了后女权主义对现代产妇实践和传统等级制度的混乱。打开TikTok内容的历史性帮助健康从业者,学者和用户了解视频内容对新父母的潜在影响,以及如何标记和语境化潜在有害的内容。未来的研究应该检查其他TikTok亚文化,包括青少年母亲和跨性别父母,并探索针对这些社区的消息传递及其影响。
    TikTok, a now iconoclastic social media platform, hosts millions of videos on health, wellness and physical fitness, including content on postpartum wellness and \'bouncing back\'. At present, few studies analyse the content of postpartum videos urging viewers to bounce-back or the potential influence of these videos. Given the acknowledged relationship between social media use and adverse mental health outcomes (eg, lowered self-esteem, increased stress, disordered eating risk), an investigation of bounce-back-related postpartum content on TikTok explores important intersections between wellness and fitness cultures and the embodied experience of postpartum recovery. Using a qualitative thematic analysis of bounce-back videos (n=175), we explore three themes: (1) Smoothies: eat, but don\'t be fat; (2) Bone broth: bounce-back with today\'s wellness trends; (3) Fitspo: moving your body matters. Importantly, videos recycle historically constructed thinking about what makes a \'good\' or \'bad\' body, invoke vintage diet-culture tropes (ie, drinking water to fill up before eating), and maintain potentially dangerous expectations for caregivers rooted in historical gender, race and class constructs. This results in a postfeminist mishmash of modern maternity practices and traditional hierarchies. Unpacking the historicity of TikTok content assists health practitioners, scholars and users in understanding the potential impacts of video content on new parents, as well as how to flag and contextualise potentially harmful content. Future studies should examine other TikTok subcultures, including teen mothers and trans parents, and explore the messaging directed at and the impact on those communities.
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