药物馈赠中的医疗观念、社会认知与文化信仰

发布时间：2018-08-20 16:43

【摘要】：“赠药”是历史上中国汉族社会普通人之间实施的一种医疗活动,也是一种以礼物交换为形式的社会互动。以《论语》“康子馈药”及其解释为主要对象,探讨中国传统社会文化情境下礼物交换的一般性规则以及这种规则在药物馈赠活动中如何受到技术因素、亦即蕴含于“赠药”活动之中的医疗风险的强烈影响。分析表明,中国人并非对“赠药”活动蕴含的医疗风险毫无意识,相反地,他们似乎有意利用这种风险,用以表达对双方关系的认可或期待。衡量一次“赠药”行为是否合理的标准,是赠礼者与受礼者共同认定双方具有一种理想化的、高度一体化的亲密关系,对这种关系的推测超越了维护个体利益乃至生命权的需要。医疗风险与社会联结间的张力是理解“赠药”活动文化规则与运作逻辑的关键。
[Abstract]:"giving medicine" is a kind of medical activity between the ordinary people in Chinese Han society in history, and it is also a kind of social interaction in the form of gift exchange. Taking the Analects of Analects of Confucius as the main object, this paper discusses the general rules of gift exchange in the context of traditional Chinese society and culture, and how this rule is subjected to technical factors in drug gift activities. In other words, there is a strong effect of medical risk in drug donation activities. The analysis shows that the Chinese are not unaware of the medical risks involved in the "drug donation" campaign, but rather seem to be deliberately using the risk to express their approval or expectation of the relationship. The standard to measure whether a "drug donation" behavior is reasonable is that the giver and the recipient jointly decide that both sides have an idealized, highly integrated intimate relationship. Speculation about this relationship transcends the need to safeguard individual interests and even the right to life. The tension between medical risk and social connection is the key to understand the cultural rules and operational logic of drug donation activities.
【作者单位】：中山大学哲学系;中山大学中山医学院医学人文中心;
【分类号】：C912.4

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