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生命健康视野下的叙事闭锁
引用本文:杨晓霖, 田峰, 张广清. 2020. 生命健康视野下的叙事闭锁. 医学与哲学, 41(23): 10-15,25. doi: 10.12014/j.issn.1002-0772.2020.23.03
作者姓名:杨晓霖  田峰  张广清
作者单位:1. 南方医科大学通识教育部 广东广州 510515;; 2. 南方医科大学顺德医院叙事医学研究中心 广东佛山 528308;; 3. 南方医科大学顺德医院健康体检中心 广东佛山 528308;; 4. 南方医科大学南方医院 广东广州 510515
基金项目:2019年全国医药学专业学位研究生教育指导委员会研究课题(B1-YX20190303-03)
摘    要:从弗里曼的叙事闭锁理论出发,将“叙事闭锁”重新定义为“将自己禁锢在停滞的故事空间里,无法吸纳推动叙事进程向前发展的生命状态”,并将其进一步分为职业型、创伤型、疑虑型和老年型四种类型。叙事闭锁不仅在老年人群中高发,在其他年龄阶段人群中也不少见,以至于人生故事提前进入结束状态或者处于无法更新的停滞状态。对叙事闭锁者开展叙事介入可以帮助他们提升叙事素养,重启再次体验和阐释人生的按钮,赋予他们由内而外突破闭锁的能量。当人处于一种叙事稳定性和叙事开放性的平衡状态之中时,主体经历的就是一种健康和谐的生命进程。

关 键 词:叙事医学   生命健康叙事   叙事闭锁   叙事素养
收稿时间:2020-09-15

Narrative Foreclosure in the Context of Bio-health
YANG Xiao-lin, TIAN Feng, ZHANG Guang-qing. 2020. Narrative Foreclosure in the Context of Bio-health. Medicine & Philosophy, 41(23): 10-15,25. doi: 10.12014/j.issn.1002-0772.2020.23.03
Authors:YANG Xiao-lin  TIAN Feng  ZHANG Guang-qing
Affiliation:General Education Department, Southern Medical University, Guangzhou 510515, China
Abstract:Set Mark Freeman's theory on "narrative foreclosure" as a departure,this essay renews the concept through the new definition of "a life state that confines oneself in the stagnant main narrative space,failing to absorb or drive any new plot for narrative progression" and differentiates it into four sub-categories,namely,aging,professional,traumatic and concerned ones.Narrative foreclosure not only occurs to senior people,but also to people of other life phases,leading to the dead ends in life meanings and life evolution.This paper proposes that through narrative interventions,the foreclosurers can be empowered to restart their life button and break its closure through reexperiencing and reinterpretation,and only by this kind of narrative empowerment the balance between narrative stability and openness can be maintained and a life progression of wellness and harmoniousness can be experienced as an ongoing meaningful project.
Keywords:narrative medicine  bio-health narrative  narrative foreclosure  narrative competence
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