紀慧君

Huei-Chun Chi

地方知識、個人經驗敘事、疾病書寫、敘事分析、發聲

local knowledge, personal experience narrative, illness narrative, narrative analysis, voice

本研究分析罹癌醫師如何通過個人經驗敘事，評價與反思作用於自身的癌症治療。過往，在實證醫學規訓下，醫師會以互斥架構理解實證醫學與地方知識，將地方知識視為不科學或不理性等另類現象。然而，因著罹癌的身體經驗，受傷醫者重新理解實證醫學與地方知識的關係，為以往漠視的地方知識發聲。受傷醫者以既是病人又是醫師之特殊性，反省實證醫學之規訓，這顯示出他們以親身經驗與醫學視野，體會實證醫學與地方知識並存的時代意義。

This study analyzed how physicians with cancer use their personal experience as narratives to evaluate and reflect on their own cancer treatment. Physicians use evidence-based medicine to employ a mutually exclusive framework that explains evidence-based medicine and local knowledge, and they regard local knowledge as unscientific or irrational. However, after receiving a diagnosis of cancer, physicians transition from the role of a doctor to that of a patient. This provides a rare opportunity to reconsider the relationship between evidence-based medicine and local knowledge. They have a chance to voice their local knowledge. In sum, through personal experience and a change in medical perspective, these wounded healers not only reflect on the discipline of evidence-based medicine but also experience its coexistence with local knowledge.