叙事医学中时间性的意义和临床价值

人类通过叙事展现自我，建构历史，叙事寓于时间之中，人的存在也与时间休戚相关。时间、叙事和医学，三者之间有着密切的联系，时间性是医学的五大叙事特征之一。在叙事和诊疗的过程中，叙事者和医生都需要厘清特定事件的逻辑，在时间序列中解释因果关系，寻求解决方案，文学和医学由此有了极强的共通性。叙事医学提醒医务人员关注时间性，并提供了许多具体的方法和案例，来提升医务人员对诊疗时机的把握能力，学会理解患者在医院时空中时间之流的体验，据此培养他们的共情能力，提高诊疗水平，并在积极的反思中，完成自我的成长和救赎。

The Significance and Clinical Value of Temporality in Narrative Medicine

Human beings express themselves through narratives, and construct history, narratives are embedded in time, and human existence is also closely related to time. There is a close connection between time, narrative and medicine, and temporality is one of the five narrative characteristics of medicine. In the process of narrative diagnosis and treatment, both narrators and doctors need to clarify the logic of specific events, interpret causal relationships in time series, and seek solutions; thus, there is a strong commonality between literature and medicine. Narrative medicine reminds medical personnel to pay attention to temporality, it provides many specific methods and cases, enhancing the ability of medical personnel to grasp the timeliness of diagnosis and treatment, learn to understand the patient's experience of the stream of time in the hospital, on this basis, they should cultivate their empathy, improve their level of diagnosis and treatment, and complete their self-growth and redemption in positive reflection.