身體•權力•醫療化:探討小兒科醫師之論述場域

學年度:92
學期:2
校院:東吳大學
系所:社會學系碩士班
論文名稱(中):身體•權力•醫療化:探討小兒科醫師之論述場域
論文名稱(英):BODY, POWER AND MEDICALIZATION: DISCUSSING AND EXPLORING THE DISCOURSE FIELD OF PEDIATRICIAN
學位類別:碩士
語文別:chi
學號:91315016
頁數:144
研究生姓名(中):郭俊偉
研究生姓名(英):GUO, JIUN-WEI
指導教授姓名(中):葉肅科
指導教授姓名(英):YEH, SU-KE
關鍵字(中):身體、 權力、 醫療化、 小兒科醫師、 論述場域
關鍵字(英):body、 power、medicalization、 pediatrician、 the field of discourse


中文提要:

  本文闡釋了身體、權力與醫療化三者之糾葛關係,以具體的小兒科醫師之論述場域為實證研究。藉由醫療發展史和醫病模式來連結身體與醫學之關係,探討健康與生病之界定,並由身體作為權力施展的承載體與醫學對身體規訓之象徵來加以檢視身體舞台的權力機制。在理論觀點部分,運用了生病角色概念與標籤理論之社會意涵、Foucault之權力論述、Goffman之戲劇理論,以及醫療化與社會控制等觀點,以建構出理論彼此間的整體關連性。研究方法以質化取向之參與觀察法、深度訪談法為主而量化為輔之三角檢核法,期望能將本論文所探討之理論能與事實層面做一相互結合、修飾與呼應。


  研究發現到社會變遷之專業領域影響,由宏觀制度層次與微觀詮釋醫病關係來交互建構,並且以詮釋現象之論述效果和醫病角色扮演的互動,探討到言詞與非言詞溝通之社會控制行為。社會醫療化現象中權力滲透的展現,分析身體場域的醫療面向與醫療化之社會建構。權力涉入、疾病的指涉與身體病徵的詮釋是屬於身體場域醫療化的概念;而社會建構則是涵蓋對於日常生活的作息與健康身體的形塑。以身體的展示舞台來闡釋空間與時間概念。而身體隱密度的透明化與空間狹窄性以及主體性之客體化現象,用以詮釋空間與角色的關係。於表演的互動時間,發現到診療時間的急迫性、權力凝視不同年齡兒童之時間一致性與醫病互動時間不受家長學歷之影響。


  在結論與建議中,發現到小兒科醫師之權力機制與社會隱藏價值體系、空間與時間的雙重監控、醫病角色扮演的信息傳遞現象與權威維持、醫療診斷權力的身體規訓以及醫療化建構社會真實:一個醫療規訓新時代的誕生。

英文提要:

  The substance of this dissertation focuses on the tangle relation in body, power and medicalization, and then with concrete practical treatise of the discourse field of pediatrician. It develops the history of medicine and the mode of doctor-patient to link the relation of body and medical science to discuss the definition of health and illness, and it is also used as body stage of hegemony by medical science that displays the symbol of power support. The author makes the role of sickness and label, power discourse of Foucault, the drama theory of Goffman and augmentation of medicalization and social control to build the connection of all. Besides, the method of research by using participant observation and depth interview to be the analysis of triangulation.


  The finding of analysis focuses on the influence of its professional realm of social change. From macro view of system level in structure to micro system, the author discusses the tongue and nonlinguistic communication of social control behavior that has effect of interpretative discourse and the doctor-patient role interaction. Power intervention in the relation of doctor and patient, and naming the illness are below to the concept of medicalization. Social constructivism is shaped and built by the routine of daily life and well condition of healthy body. With the density of disappearance of body and the narrow space that makes the corpus of body from subjectivity to objectivity, and it is combined by two parts, one is urgent in the time of curing, and the other is to gaze every one of the children in different age by power approach. It’s interesting that the finding has not affected for the education of parents, and the length of time of interaction is dealing by pediatrician.


  In conclusion and suggestion, the author figure out the power condition of pediatrician, the role of doctor that conceals the value of system, space and time dual to supervise and control kids, information that cures illness the role play to deliver the phenomenon and the maintenance of the authority and medical treatment to examine the body of patient by supremacy of power. It’s the era of neo-medical discipline, and medical treatment turns to construct the reality of society.