超越權(quán)力支配：疾痛敘事中的自我技術(shù)與主體性建構(gòu)

[關(guān)鍵詞]疾痛敘事；權(quán)力支配；自我技術(shù)；主體性

[中圖分類號(hào)]R-05 [文獻(xiàn)標(biāo)志碼]A [文章編號(hào)]1001-8565（2025）06-0739-06

DOI：10.12026/j.issn.1001-8565.2025.06.09

Transcending power domination：self-technology and subjectivity construction in illness narratives

XIE Chunyan

（Shanghai Health Development Research Center/Shanghai Institute ofMedical Science and Technology Information，Shanghai 201199，China）

Abstract： Ilness narratives serve as an entry point that combines patients’micro-level experiences with macro-level power structures inthe medical field and are alsoan important aspectof medical ethics and narrative medicine research.Based on the existing meaning of illness narratives，，the significant importance of focusing on the broader concept of illness naratives was emphasized.Drawing on Foucault's theory of power，it was found thatillness narratives，beyond reflecting the pain caused by the disease itself，should also focus on the dominant role of power structures in the modern medical field over illess naratives，and explore how to reduce the domination of power. Inspired by the concepts of ethics and survival aesthetics in Foucault's late thought，this paper explored the possibility of transcending power domination and reconstructing subjectivity through selftechnology reinforcement such as patient illness narratives in the medical field.Finally，from the perspectives of both medical service provision and patient needs，illess narratives and the practice of narrative medicine were reflected and summarized，hoping that narrative medicine can contribute to the return of individual subjectivity with a broad ethical meaning in the medical field.

Keywords： illness narrative;power domination; self-technology ; subjectivity

隨著“以患者為中心”和“患者參與”等概念在醫(yī)療領(lǐng)域的興起，越來(lái)越多的研究者開(kāi)始關(guān)注患者的體驗(yàn)和感受，疾痛敘事也成為醫(yī)學(xué)倫理學(xué)研究的一個(gè)重要面向。（剩余10064字）