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題名：現代醫學的生命與身體觀--醫學生在大體解剖課程中的感知游移／猶疑
書刊名：生命教育研究
作者：林雅萍
作者(外文)：Lin, Ya-ping
出版日期：2017
卷期：9:1
頁次：頁71-103
主題關鍵詞：大體解剖；肉身化；物體；身體；醫學教育；Embodiment；Gross anatomy；Körper；Leib；Medical education
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:3
  • 點閱點閱:18
本文以訪談醫學生參與大體解剖課程的經驗做為探究的出發點，呈現當學生從抽象人體知識進到與個別身體遭逢時所產生的各種情感、價值與信念衝突，並從中反思現代醫學的人觀與身體觀預設，以及其對於生命與身體的知識建構與實際操作。本文首先論證，西方現代醫學典範所建構的解剖學身體雖然被剝除生命歷史與情感脈絡，但學生與身體的遭逢經驗卻鮮明呈現出生命身體與物理身體、精神與物質、倫理關懷與技術操作之間的交織牽引，顯示身心二元論與機械論身體觀試圖以死的身體做為活人的認識範式所隱含的內在緊張以及理解上的不足。其次則藉由詹納（Richard Zaner）等人對於現代醫學與肉身化（embodiment）的討論，以及現象學的「物體」（Körper）與「身體」（Leib）概念為線索，闡釋那些交錯層疊於大體解剖過程當中的多重身體意涵，進而為醫學教育與臨床倫理困境進行較深刻的揭露與反思。
The conception of human person and body in medicine has received more attention recently. Instead of a pure theoretical analysis, this study, utilizing in-depth interviews with medical students, discloses medical students' perceptions and experiences as they encounter the human body in cadaver dissection course, and further examines the ways in which the notion of human body has been constructed and practiced in modern medicine. I contend that the students’ oscillations between lived body and physical body, spirit and matter, present and past, life and death, medical objectivity and humanitarian values which emerged in the gross anatomy laboratory lead us to thematize the inadequacy of mind-body dualism and mechanistic conception of body. Moreover, I draw on the analysis of embodiment developed by Richard Zaner and others and the phenomenological notion of Körper and Leib to elaborate the multiple senses of human body and the students' ambivalence of perceiving the cadaver. Finally, I conclude that the epistemological problem of modern medicine should be addressed through the philosophical reflection on body, which enables us to better understand the difficulties facing medical education and clinical ethics.
期刊論文
1.陳榮邦、馮琮涵、謝銘勳、曾啟瑞(20080600)。大體解剖學教學的發展與演變。醫學教育，12(2)，59-69。new window  延伸查詢new window
2.賴其萬、張榮攀、曾國藩、曾運龍(20020600)。An Experience in the Integration of Humanities and Medical Science in a Gross Anatomy Curriculum。醫學教育，6(2)，166-172。new window  延伸查詢new window
3.Bertman, S. L.、Marks, S. C.(1985)。Humanities in medical education: Rationale and resources for the dissection laboratory。Medical Education，19(5)，374-381。  new window
4.Bertman, S. L.、Marks, S. C.(1989)。The dissection experience as a laboratory for self discovery about death and dying: Another side of clinical anatomy。Clinical Anatomy，2(2)，103-113。  new window
5.Charlton, R.、Dovey, S. M.、Jones, D. G.、Blunt, A.(1994)。Effects of cadaver dissection on the attitudes of medical students。Medical Education，28(4)，290-295。  new window
6.Chen, G.-M.、Chang, C.、Yu, T.(2011)。Letters to silent teachers in Tzu Chi Medical School: A spiritual interaction。Death Studies，35(5)，441-454。  new window
7.Dickinson, G. E.、Lancaster, C. J.、Winfield, I. C.、Reece, E. F.、Colthorpe, C. A.(1997)。Detached concern and death anxiety of first year medical students: Before and after the gross anatomy course。Clinical Anatomy，10(3)，201-207。  new window
8.Duncan, G.(2000)。Mind-body dualism and the biopsychosocial model of pain: What did Descartes really say?。Journal of Medicine and Philosophy，25(4)，485-513。  new window
9.Evans, E. J.、Fitzgibbon, G. H.(1992)。The dissecting room: Reactions of first year medical students。Clinical Anatomy，5(4)，311-320。  new window
10.Hafferty, F. W.(1988)。Cadaver stories and the emotional socialization of medical students。Journal of Health and Social Behavior，29(4)，344-356。  new window
11.Hopkins, R.(2012)。Teaching and learning moments。Academic Medicine，87(3)，331。  new window
12.Horne, D. J.、Tiller, J. W.、Eizenberg, N.、Tashevska, M.(1990)。Reactions of first-year medical students to their initial encounter with a cadaver in the dissecting room。Academic Medicine，65(10)，645-646。  new window
13.Kass, L. R.(1985)。Thinking about the body。Hastings Center Report，15(1)，20-30。  new window
14.Lin, S.-C.、Hsu, J.、Fan, V.-Y.(2009)。Silent virtuous Taiwanese teachers。British Medical Journal，339(7735)，1438-1439。  new window
15.Marks, S. C. Jr.、Bertman, S. L.、Penney, J. C.(1997)。Human anatomy: A foundation for education about death and dying in medicine。Clinical Anatomy，10(2)，118-122。  new window
16.McGarvey, M. A.、Farrell, T.、Conroy, R. M.、Kandiah, S.、Monkhouse, W. S.(2001)。Dissection: A positive experience。Clinical Anatomy，14(3)，227-230。  new window
17.O'carroll, R. E.、Whiten, S.、Jackson, D.、Sinclair, D. W.(2002)。Assessing the emotional impact of cadaver dissection on medical students。Medical Education，36(6)，550-554。  new window
18.Parker, L. M.(2002)。Anatomical dissection: Why are we cutting it out? Dissection in undergraduate teaching。ANZ Journal of Surgery，72(12)，910-912。  new window
19.Ramsey, P.(1974)。The indignity of "death with dignity"。Hastings Center Studies，2，47-62。  new window
20.Richardson, R.(2000)。A necessary inhumanity?。Medical humanities，26(2)，104-106。  new window
21.Robbins, B. D.(2012)。Confronting the cadaver: The denial of death in modem medicine。Janus Head，12(2)，131-140。  new window
22.Robbins, B. D.、Tomaka, A.、Innus, C.、Patterson, J.、Styn, G.(2008)。Lessons from the dead: The experiences of undergraduates working with cadavers。OMEGA Journal of Death and Dying，58(3)，177-192。  new window
23.Tseng, W.-T.、Lin, Y.-P.(2016)。"Detached concern" of medical students in a cadaver dissection course: A phenomenological study。Anatomical Sciences Education，9(3)，265-271。  new window
24.Smith, A. C. III、Kleinman, S.(1989)。Managing emotions in medical school: students' contacts with the living and the dead。Social Psychology Quarterly，52(1)，56-69。  new window
會議論文
1.李舒中(2013)。大體解剖課程裡的身體交遇。臺灣科技與社會研究學會第五屆年會暨學術研討會。臺北市。  延伸查詢new window
學位論文
1.Lamdin, R. J.(2006)。The professional socialisation of medical students through the preclinical to clinical transition(博士論文)。University of Auckland，New Zealand。  new window
2.Laudermilk, R. A.(2011)。Cadaver dissection and the ritual transformation of medical students(博士論文)。University of Kansas，KS。  new window
圖書
1.Leder, Drew(1990)。The Absent Body。University of Chicago Press。  new window
2.Zaner, Richard M.(1981)。The Context of Self: A Phenomenological Inquiry Using Medicine as a Clue。Athens, OH：Ohio University Press。  new window
3.Zaner, Richard M.、蔡錚雲(2008)。倫理師的聲影。臺北：政大出版社。  延伸查詢new window
4.Foucault, M.、Sheridan-Smith, A. M.(1973)。The birth of the clinic: An archeology of medical perception。London：Tavistock。  new window
5.Roach, M.、林君文(2004)。不過是具屍體。臺北市：時報。  延伸查詢new window
6.Yourcenar, M.、趙克非(2006)。苦煉。新北市：木馬文化。  延伸查詢new window
7.Aldersey-Williams, H.(2013)。Anatomies: The human body, its parts and the stories they tell。London：Penguin。  new window
8.Fox, R. C.(1979)。Essays in medical sociology: Journeys into the fields。New Brunswick, NJ：Transaction。  new window
9.Hafferty, F. W.(1991)。Into the valley: Death and socialization of medical students。New Haven, CT：Yale University Press。  new window
10.Marcum, J. A.(2008)。An introductory philosophy of medicine: Humanizing modern medicine。New York, NY：Springer。  new window
11.Porter, R.(1996)。Medical science: The Cambridge history of medicine。New York, NY：Cambridge University Press。  new window
12.Good, Byron J.(1994)。Medicine, Rationality, and Experience: An Anthropological Perspective。Cambridge University Press。  new window
圖書論文
1.Lief, H. I.、Fox, R. C.(1963)。Training for "detached concern" in-Medical Students。The Psychological Basis of Medical Practice。New York, NY：Harper & Row。  new window
2.Leder, Drew(1992)。A tale of two bodies: The Cartesian corpse and the lived body。The body in medical thought and practice。Dordrecht：Springer。  new window
3.Leila, J. W.、Pawluch, D.(1988)。Medical students and the cadaver in social and cultural context。Biomedicine examined。Dordrecht：Springer。  new window
4.Zaner, R. M.(2010)。A phenomenological reflection conducted through narrative: An essay in honor of Lester Embree。Advancing phenomenology: Essays in honor of Lester Embree。Dordrecht：Springer。  new window
 
 
 
 
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