The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health
In response to an increasingly specialized, technologized and scientificist clinical practice, medicine and bioethics seek to restore the protagonism of the patient's experience. To this end, an increasing number of sectors within medicine and bioethics are adopting a theoretical framework from...
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Facultad de Humanidades UNCo
2024
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I22-R128-article-56292024-12-06T12:50:35Z The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health La retórica des-retorizada del encuentro clínico. Aportes al horizonte hermenéutico-narrativo en salud Somers, María Eugenia Text Clinical encounter Hermeneutics Narrative Rhetoric Texto Encuentro clínico Hermenéutica Narrativa Retórica In response to an increasingly specialized, technologized and scientificist clinical practice, medicine and bioethics seek to restore the protagonism of the patient's experience. To this end, an increasing number of sectors within medicine and bioethics are adopting a theoretical framework from the hermeneutic tradition or the narrative turn. Physiological symptoms and laboratory results are no longer interpreted alone: by incorporating the patient's voice, the aim is to consider the patient as a whole, as a text to be understood. However, the heterogeneous reception of these perspectives hinders the feedback between theories. Those that emphasize the narrative aspect reveal an underlying dualism between the body and the patient, the technical and interlocutive capacities of professionals, and the scientific and the narratable, and those that emphasize the hermeneutic aspect have inconveniences when it comes to arguing for the application of theory to life. In this paper, it is argued that the rhetorical dimension needs to be incorporated into the hermeneutic-narrative theoretical horizon in medicine and bioethics. It is hoped that this paper will constitute a contribution to the “unsaid” in the definitions that health specialists use of narrative, hermeneutics and, of course, text. Como respuesta a una práctica clínica cada vez más especializada, tecnologizada y cientificista, la medicina y la bioética buscan restituir el protagonismo a la experiencia del paciente. Para ello, cada vez más sectores dentro de la medicina y la bioética adoptan un marco teórico proveniente de la tradición hermenéutica o del giro narrativo. Ya no se interpretan sólo los síntomas fisiológicos y los resultados de laboratorio: al incorporar la voz del paciente, se busca considerarlo de manera íntegra, como un texto a ser comprendido. No obstante, la heterogénea recepción de estas perspectivas, obstaculiza la retroalimentación entre teorías. Las que subrayan la arista narrativa dejan entrever un dualismo subyacente entre el cuerpo y el paciente, las capacidades técnicas e interlocutivas de los profesionales, y lo científico y lo narrable, y las que enfatizan la arista hermenéutica tienen inconvenientes a la hora de argumentar la aplicación de la teoría a la vida. En este trabajo, se sostiene que es preciso incorporar la dimensión retórica al horizonte teórico hermenéutico-narrativo en medicina y bioética. Se espera que el presente constituya un aporte a “lo no-dicho” en las definiciones que los especialistas en salud emplean de narrativa, hermenéutica y por supuesto, de texto. Facultad de Humanidades UNCo 2024-12-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revele.uncoma.edu.ar/index.php/filosofia/article/view/5629 ark:/s18537960/41p2ppjxf Páginas de Filosofía; Vol. 25 No. 28 (2024); 57-81 Páginas de Filosofía; Vol. 25 Núm. 28 (2024); 57-81 1853-7960 0327-5108 spa https://revele.uncoma.edu.ar/index.php/filosofia/article/view/5629/62523 https://revele.uncoma.edu.ar/index.php/filosofia/article/view/5629/62539 Derechos de autor 2024 Páginas de Filosofía https://creativecommons.org/licenses/by-nc-sa/4.0 |
institution |
Universidad Nacional del Comahue |
institution_str |
I-22 |
repository_str |
R-128 |
container_title_str |
Repositorio de Revistas Electrónicas REVELE (UNComahue) |
language |
Español |
format |
Artículo revista |
topic |
Text Clinical encounter Hermeneutics Narrative Rhetoric Texto Encuentro clínico Hermenéutica Narrativa Retórica |
spellingShingle |
Text Clinical encounter Hermeneutics Narrative Rhetoric Texto Encuentro clínico Hermenéutica Narrativa Retórica Somers, María Eugenia The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
topic_facet |
Text Clinical encounter Hermeneutics Narrative Rhetoric Texto Encuentro clínico Hermenéutica Narrativa Retórica |
author |
Somers, María Eugenia |
author_facet |
Somers, María Eugenia |
author_sort |
Somers, María Eugenia |
title |
The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
title_short |
The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
title_full |
The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
title_fullStr |
The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
title_full_unstemmed |
The de-rhetorized rhetoric of the clinical Encounter. Contributions to the hermeneutic- Narrative horizon in health |
title_sort |
de-rhetorized rhetoric of the clinical encounter. contributions to the hermeneutic- narrative horizon in health |
description |
In response to an increasingly specialized, technologized and scientificist clinical practice, medicine and bioethics seek to restore the protagonism of the patient's experience. To this end, an increasing number of sectors within medicine and bioethics are adopting a theoretical framework from the hermeneutic tradition or the narrative turn. Physiological symptoms and laboratory results are no longer interpreted alone: by incorporating the patient's voice, the aim is to consider the patient as a whole, as a text to be understood. However, the heterogeneous reception of these perspectives hinders the feedback between theories. Those that emphasize the narrative aspect reveal an underlying dualism between the body and the patient, the technical and interlocutive capacities of professionals, and the scientific and the narratable, and those that emphasize the hermeneutic aspect have inconveniences when it comes to arguing for the application of theory to life. In this paper, it is argued that the rhetorical dimension needs to be incorporated into the hermeneutic-narrative theoretical horizon in medicine and bioethics. It is hoped that this paper will constitute a contribution to the “unsaid” in the definitions that health specialists use of narrative, hermeneutics and, of course, text. |
publisher |
Facultad de Humanidades UNCo |
publishDate |
2024 |
url |
https://revele.uncoma.edu.ar/index.php/filosofia/article/view/5629 |
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first_indexed |
2025-02-05T23:00:33Z |
last_indexed |
2025-02-05T23:00:33Z |
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