Narativna medicina - Pokušaj rekonstrukcije i zadobivanja identiteta putem osobnog narativa

Darija Rupčić - Izvorni znanstveni članak

The Narrative Medicine Reconstruction of Identity through Personal Narrative

Sažetak
Nakana je rada istaknuti i promišljati o razvijanju jedne rasute manjinske tradicije koja razmatra značaj kulturoloških utjecaja na zdravlje i bolesti. Naglasit će se zamršena, složena i suptilna veza bolesti i kulture. Stavljajući naglasak na narativ ili priču, rad će se kritički osvrnuti na postojeći prevladavajući biomedicinski model bolesti i sagledati mogućnost uvođenja i proširivanja postojećeg modela biokulturnim modelom bolesti. U tom se kontekstu javila i potreba valoriziranja osobnih narativa iskustva bolesti u medicini. Tako se razvila i narativna medicina koja pretpostavlja da puko znanstveno znanje i klinička medicinska praksa nisu dostatne u okolnostima pacijentove osobne borbe s bolesti, te prepoznaje, upija i reinterpretira njegovo iskustvo. Očekivani doprinos ovoga rada ići će u smjeru mogućnosti teorijskog i praktičkog utemeljenja i uporišta za takva promišljanja, te pokušaj pluriperspektivnog pristupa zdravlju i bolesti.

Abstract
The intention of this paper is to highlight and reflect on the development of one tradition that considers the importance of cultural influences on health and illness. Delicate balance between illness and culture is what constitutes the elusive truth of illness and post-modern understanding of the illness as biocultural phenomenon in biocultural model. By putting an emphasis on this narrative, we will critically overview the existing dominant biomedical model of illness and we will consider the possibility of introducing a new biocultural model of illness expanding the existing biomedical model. In that context the narrative medicine has evolved, assuming that mere scientific knowledge and clinical medical practice are insufficient in the circumstances of the patient’s personal struggle with the illness, and thus recognizes, absorbs and reinterprets his experience. The expected scientific contribution of this work will go towards the possibilities of theoretical and practical foundation and a search for the possibility of the different pluriperspective approach to illness and health.