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題名:臺灣癌症患者的身體經驗:病痛、死亡與醫療專業權力
書刊名:臺灣社會學刊
作者:蔡友月 引用關係
作者(外文):Tsai, Yu-yueh
出版日期:2004
卷期:33
頁次:頁51-108
主題關鍵詞:身體身體心像病痛醫療專業權力安寧療護BodyBody imageIllnessMedical professional powerHospice
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(15) 博士論文(1) 專書(2) 專書論文(0)
  • 排除自我引用排除自我引用:14
  • 共同引用共同引用:79
  • 點閱點閱:132
本文嘗試以「身體」做為一種理論角度出發,並以此做為連結微觀行動者與鉅觀社會的橋樑。作者藉由36位由初期到末期癌症病患的田野資料,所呈現的「新的身體管理技術」、「身體心像與自我認同的改變」、「病痛的身體與醫療專業權力」、「安寧病房內的身體政治學」,思索這些癌症病患如何面對病痛、死亡與醫療專業權力的相關議題。 透過癌症病患身體經驗的田野觀察,筆者指出,社會、文化的因素如何作用在這些不同性別、年齡、診斷的癌症患者身上,以及實證醫學面對現代人病痛的限制與盲點。本文希望透過受訪者病痛的經驗進一步反省醫療專業權力的不足與濫用,期待有助於台灣醫療專業有更多的反思。筆者認為,身處當代社會的行動者,唯有意識到病痛的身體為何會受這些外在力量所左右,理解到社會、文化加諸在身體的外在規約力量與現代醫療的限制,在面對不可治癒的疾病時,才有能力轉化身體限制,並重新賦予病痛意義,進而使我們對自身生命的存在有新的理解方式。
The author synthesizes the micro and macro levels of illness and analyzes how cancer patients experience illness under the influence of modern medicine. Using data from participant observations and/or interviews with 36 Taiwanese cancer patients, the paper focuses on how modern medical, cultural, and social factors shape experiences of diseased bodies. Also examined are the new "administrative technology of body" in contemporary society, changes in body images and self-identities, relationships between diseased bodies and the power of the medical profession, and "body politics" in hospice treatment. The results show that a) individual experiences of cancer differ, and b) modern medicine and cultural and social factors play important roles in shaping such experiences. The limitations of modern medicine in dealing with chronic and incurable diseases are also discussed. The final issue analyzed in this paper concerns the possibility of cancer patients achieving autonomy in dealing with their illnesses within the confines of modern medical practices. The author argues that patients can impart new meanings to their suffering and that alternative agencies can arise, but only when they recognize the limitations of modern medicine and understand how medical, cultural, and social factors regulate their bodies.
期刊論文
1.蔡友月(19980900)。最後一段旅程--剖析癌症病人在醫院的垂死歷程。中華心理衛生學刊,11(3),1-26。new window  延伸查詢new window
2.余舜德(20000600)。食物冷熱系統、體驗與人類學研究:慈溪道場個案研究的意義。中央研究院民族學研究所集刊,89,117-145。  延伸查詢new window
3.張菊惠、胡幼慧、張玨(19980400)。子宮切除術前醫師告知內容之研究。婦女與兩性學刊,9,115-144。new window  延伸查詢new window
4.吳就君(19810400)。臺灣地區居民社會醫療行為研究。公共衛生,8(1),25-49。  延伸查詢new window
5.吳嘉苓(20010200)。空間、規訓與生產政治。國立臺灣大學社會學刊,29,1-58。new window  延伸查詢new window
6.成令方(20020600)。醫「用」關係的知識與權力。臺灣社會學,3,11-71。new window  延伸查詢new window
7.Csordas, Thomas J.(1990)。Embodiment as a Paradigm for Anthropology。Ethos,18(1),5-47。  new window
8.林佳靜(1996)。為什麼病人不願意說痛。安寧照顧會訊,21。  延伸查詢new window
9.張珣(1983)。臺灣漢人的醫療體系和醫療行為-一個臺灣北部農村的醫學人類學研究。中央研究院民族學研究所集刊,56,29-58。  延伸查詢new window
10.張曉卉(2002)。他們如何抗癌成功。康健雜誌,41,22-23。  延伸查詢new window
11.陳敏峻(1997)。癌症早期的防治。癌症關懷季刊,2,4-7。  延伸查詢new window
12.鍾昌宏(2001)。婦女的安寧療護。安寧照顧會訊,43,77-79。  延伸查詢new window
13.Saunders, C.(1980)。Caring to the End。Nursing Mirror,151(12),52-53。  new window
會議論文
1.林淑蓉(2002)。精神疾病、藥物與身體經驗。臺北。  延伸查詢new window
2.顏學誠(2002)。內丹身體的知覺:兼論幾個身體研究的取向。醫療與文化學術研討會。臺北:中央研究院民族學研究所/台灣史研究所籌備處。149-173。  延伸查詢new window
研究報告
1.行政院衛生署(2001)。中華民國八十九年衛生統計。臺北:行政院衛生署。  延伸查詢new window
學位論文
1.黃和美(1985)。癌症末期病人心理反應之探討(碩士論文)。國防醫學院。  延伸查詢new window
2.黃鳳英(1994)。癌症末期病人安寧照護之需求推估(碩士論文)。國立中正大學,台北。  延伸查詢new window
3.林文源(1998)。To be or not to be?長期洗腎病患的生活、身體經驗(碩士論文)。國立清華大學。  延伸查詢new window
4.吳庶深(1988)。對臨終病人及家屬提供專業善終服務之探討(碩士論文)。東海大學。  延伸查詢new window
5.蔡友月(1996)。現代社會對死亡的省思--以癌症病人為個案剖析垂死歷程"醫療化"之影響(碩士論文)。東海大學,台中市。  延伸查詢new window
6.張淑美(1989)。兒童死亡概念發展之研究與其教育應用(碩士論文)。國立高雄師範大學。  延伸查詢new window
7.蔡秀錦(1991)。城鄉學童死亡之概念、焦慮度及教育需求之研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
圖書
1.Turner, B. S.(1984)。The Body and Society。London, UK ; Newbury Park:Sage。  new window
2.Douglas, Mary(1973)。Natural symbols: Explorations in cosmology。New York:Vintage Books。  new window
3.Turner, Bryan S.(1992)。Regulating Bodies: Essays in Medical Sociology。London:Routledge。  new window
4.Merleau-Ponty, M.、Smith, C.(1976)。Phenomenology of Perception。New Jersey:The Humanities Press。  new window
5.Seale, Clive F.(1998)。Constructing Death: The Sociology of Dying and Bereavement。Cambridge University Press。  new window
6.Goffman, Erving(1963)。Stigma: Notes on the Management of Spoiled Identity。Englewood Cliffs, New Jersey:Prentice-Hall。  new window
7.Foucault, M.、Smith, A. M.(1973)。The Birth of the Clinic: An Archaeology of Medical Perception。London:Tavistock。  new window
8.黃金鱗(2000)。歷史、身體、國家:近代中國的身體形成1895-1937。臺北:聯經。  延伸查詢new window
9.Kleinman, Arthur(1988)。The Illness Narrative: Suffering, Healing, and the Human Condition。Basic Books。  new window
10.Sontag, Susan(1978)。Illness as Metaphor。New York:Farrar, Straus & Giroux。  new window
11.Merleau-Ponty, Maurice、Cobb, William、Edie, James M.、Wild, John(1964)。The Primacy of Perception: And Other Essays on Phenomenological Psychology, the Philosophy of Art, History and Politics。Evanston:Northwestern University Press。  new window
12.Foucault, Michel、Hurley, Robert(1978)。The History of Sexuality: An Introduction。New York:Random House Press。  new window
13.Goffman, E.(1961)。Asylums: Essays on the social situation of mental patients and other inmates。London:Penguin。  new window
14.Shilling, Chris(1993)。The Body and Social Theory。Sage。  new window
15.Kleinman, Arthur(1980)。Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychi­atry。University of California Press。  new window
16.Good, Byron J.(1994)。Medicine, Rationality, and Experience: An Anthropological Perspective。Cambridge University Press。  new window
17.Bordo, Susan(1993)。Unbearable weight: Feminism, western culture, and the body。University of California Press。  new window
18.Armstrong, David(1983)。Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century。Cambridge University Press。  new window
19.Frank, Arthur、Frank, Arthur W.(1991)。For a Sociology of the Body: An Analytical Review。The Body: Social Process and Cultural Theory。London, UK。  new window
20.王紫君、余安邦(1999)。臺灣女性的病痛經驗及其註釋:身體、社會與成就。人類學在臺灣的發展:經驗研究篇。臺北。  延伸查詢new window
21.陳榮基(2000)。安寧療護展望與回顧。安寧照顧基金會上課手冊。沒有紀錄。  延伸查詢new window
22.Armstrong, D.(2002)。A New History of Identity: A Sociology of Medical Knowledge。A New History of Identity: A Sociology of Medical Knowledge。New York, NY。  new window
23.Freund, P. E. S.(1982)。The Civilized Body: Social Domination, Control, and Health。Philadelphia, PA:Temple University Press。  new window
24.Jackson, J.(1992)。After a While No One Believes You: Real and Unreal Chronic Pain。Pain as Human Experience: An Anthropological Perspective。Berkeley, CA。  new window
25.Kleinman, A.(1999)。The Tanner Lectures on Human Values。The Tanner Lectures on Human Values。Salt Lake City, UT。  new window
26.Lambek, M.(1998)。Body and Mind in Mind, Body and Mind in Body: Some Anthropological Interventions in a Long Conversation。Bodies and Persons: Comparative Perspectives from Africa and Melanesia。New York, NY。  new window
27.Leder, D.(1992)。A Tale of Two Body。The Body in Medical Thought and practice。Boston, MA。  new window
28.Morris, D. B.(1998)。Illness and Culture in Postmodern Age。Illness and Culture in Postmodern Age。Berkeley, CA。  new window
29.Paradis, L. F.(1985)。Hospice Handbook: A Guide for Managers and Planners。Hospice Handbook: A Guide for Managers and Planners。Rockville, MD。  new window
圖書論文
1.Garro, Linda C.(1992)。Chronic illness and the construction of narratives。Pain as human experience: An anthropological perspective。Berkeley:University of California press。  new window
2.Johnson, Mark L.(1999)。Embodied Reason。Perspectives on Embodiment: The Intersections of Nature and Culture。New York:Routledge。  new window
 
 
 
 
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