超越权力支配：疾痛叙事中的自我技术与主体性建构

[关键词]疾痛叙事；权力支配；自我技术；主体性

[中图分类号]R-05 [文献标志码]A [文章编号]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

随着“以患者为中心”和“患者参与”等概念在医疗领域的兴起，越来越多的研究者开始关注患者的体验和感受，疾痛叙事也成为医学伦理学研究的一个重要面向。（剩余10064字）