Проблемы медицинского нарратива

Abstract

The significance of the analysis of medical narrative is determined by its dissemination in recent decades in the context of humanization and individualization of medicine. Comparative content analysis of the texts shows that ‘subjective understanding’ (F. Schleiermacher), ‘inner experience’ and methods of descriptive psychology (W. Dilthey) are essential components of contemporary narrative analysis. The ‘narrative turn’ in socio-humanitarian knowledge became possible only after the questions about the genuine existence of man and the ways of understanding his individuality were worked out in various directions of the continental philosophy of the twentieth century. The growing popularity of the narrative approach in the field of medicine is due to theoretical, methodological, and practical changes that occurred in medicine: the rejection of the priority of the biomedical model of health, the principle of paternalism, objectification of the patient and disease. Changes in the structure of diseases also played an important role in its spread. However, as the analysis of the content and methodological foundations of the medical narrative has shown, one should not absolutize its possibilities in solving the problems of patient individualization, preserving his/her identity and, ultimately, in optimizing the treatment process.