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題名 病入高原
"Disease" in City L作者 張岸
Zhang, An貢獻者 郭力昕
張岸
Zhang, An關鍵詞 精神病院
紀實攝影
人類學
權力
規訓
反抗
原住民
民俗醫療
Mental hospital
Documentary photography
Anthropology
Power
Discipline
Aborigines
Traditional medicine日期 2017 上傳時間 5-Apr-2017 15:43:25 (UTC+8) 摘要 本創作分為兩條主軸,一條為攝影作品集取向的攝影製作,另一條為研究結果取向的創作論述與田野研究。兩者在內容呈現上互為輔佐,在方法上互相補充。筆者通過在雲南L市的紀實攝影與相關闡釋,為閱聽人提供一副較為真實的精神病患的生存圖景。在X精神病院中的醫護人員與病人之間的確存在著巨大的權力落差,其中權力的運作方式基本符合Foucault的描述:與空間緊密的結合。病區中的規章制度與大大小小的日常活動依依顯示出醫護人員對病人的控制。醫生在診斷與治療的過程中並未完全依循西方醫學,而是加入了地方知識。病人也在個體層面上有著微小的反抗,雖然有效,但也未破壞醫院秩序的正常運轉。而在LJ村拍攝的民族誌影片中,顯示出了村中年輕人與老一輩在地方文化傳承上的斷裂。相較於民俗治療儀式,他們更願意相信西方醫療體系,更加傾向於去現代醫院中進行診斷與治療。
This paper is mainly based on two guidelines: the photography creation aiming at photo collection, and the discussion and field research for research achievements. Theses two guidelines work as supplement for each other. Through the record by photography and related discussion in L City, Yunnan, I hope that the real current situation for mental patients could be showed to readers.Indeed, there is a great “power gap” between the staff and patients in psychiatric hospital, in which the way the staff use their power almost complies with Foucault’s description: “Space, Knowledge and Power”. All the rules and daily activities in the area indicate the control of the staff to patients in different degree. The doctors don’t completely rely on western medical for healing, instead they add traditional knowledge, for which patients sometimes make small fight for. Although these small fights are effective, they don’t make effect on the normal operation of the hospital.In terms of the ethnography film recorded in L Village, it indicates a disruption between the young and the old on the inheritance for traditional culture. The young generation is more likely to choose modern hospital for disease, rather than relying on traditional method.參考文獻 王海龍. (2007). 視覺人類學. 上海: 上海文藝.黃文翔, 吳婉莉, & 文榮光. (1983). 精神疾病患者求助行為的研究.李亦園. (1978). 信仰與文化. 臺北: 巨流.李永祥. (2009). 彝族的疾病觀念與傳統療法. 民族研究, 4, 45-55.李宗焜. (2001). 從甲骨文看商代的疾病與醫療. 中央研究院歷史語言研究所集刊, 339-391.李建光. (2008). 論權力的異化及其回歸——以醫患關係中醫師權力為例. 職大學報, (2), 52-54.李強, & 高文珺. (2009). 心理疾病汙名影響研究與展望. 南開學報 (哲學社會科學版), 2009(4), 123-132.余德慧. (2006). 臺灣巫宗教的心靈療遇: 心靈工坊 Master 21 (Vol. 21). 心靈工坊.林富士. (1995). 東漢晚期的疾疫與宗教. 中央研究院歷史語言研究所集刊,66(3), 1-51.林富士. (2001). 略論早期道教與房中術的關係. 中央研究院歷史語言研究所集刊, 72, 2233-300.林憲. (1980). 文化與精神病理.臺北:水牛孟慧英. (2015). 人類學視野中的薩滿醫療研究. 社會科學文獻出版社.莊孔韶. (2005). “虎日” 的人類學發現與實踐-兼論《 虎日》 影視人類學片的應用新方 向. 廣西民族研究, 2005(2), 51-65.栗克清, 崔澤, 崔利軍, 江琴普, 武浩然, 張武文, ... & 徐建國. (2007). 河北省精神障 礙的現況調查. 中華精神科雜誌, 40(1), 36-40.烏仁其其格. (2006). 蒙古族薩滿醫療的醫學人類學闡釋. (Doctoral dissertation, 中央民族大學).徐迎華. (2010). 南昌市精神衛生服務的現狀及改善對策研究 (Master`s thesis, 南昌大 學).徐俊芳, 於風華, & 王健. (2013). 重性精神疾病的住院費用和管理現狀的統計分析. 中國衛生經濟, 32(10), 53-56.徐義強. (2014). 近四十年來臺灣醫療人類學研究回顧與反思. 世界民族, (4), 57-68.翁乃群, 杜娟, 金黎燕, & 侯紅蕊. (2004). 海洛因, 性, 血液及其製品的流動 與愛滋 病, 性病的傳播. 民族研究, (6), 40-49.郭淑雲. (2007). 國外薩滿生理和心理問題研究述評. 民族研究, (4), 91-100.張珣. (1983). 臺灣漢人的醫療體系與醫療行為-一個臺灣北部農村的醫學人類學研究. 中 央研究院民族學研究所集刊, 56, 29-58.張珣. (1989). 疾病與文化. 臺北: 稻鄉.黃悅勤, 劉肇瑞, 程輝, 羅曉敏, 陳曦, & 倪英. (2011). 北京市常見精神障礙流行病學現 況調查. In 中華醫學會精神病學分會第九次全國學術會議論文集.蒲慕州. (2002). 古代宗教與信仰. 國立臺灣大學.楊善華, & 梁晨. (2009). 農民眼中疾病的分類及其 “儀式性治療”——以河北 Y 縣 NH 村為例. 社會科學, (3), 82-88.魯文興, 黃悅勤, 羅傳琳, 陳紅光, 向興華, 劉肇瑞, ... & 黃萍. (2015). 雲南省西盟佤 族自治縣精神障礙現況調查. 中國心理衛生雜誌, 29(11), 817-825.劉小幸. (2007). 彝族醫療保健. 雲南人民出版社.嚴保平, 李建峰, 栗克清, 張勇, 付希光, 魏志剛, ... & 孫秀麗. (2014). 城市與農村普通人群精神衛生知識知曉率及對精神疾病的態度. 現代預防醫學, 41(9), 1636-1639.錢銘怡. (2006). 變態心理學. 北京大學出版社.Ahern, E. M. (1973). The cult of the dead in a Chinese village. Stanford University Press.Bentall R P. Doctoring the mind: Is our current treatment of mental illness really any good?[M]. NYU Press, 2009.Corrigan, P. W., & Kleinlein, P. (2005). The Impact of Mental Illness Stigma.Foucault, M. (1988). Madness and civilization: A history of insanity in the age of reason. Vintage.Garson, J. G., & Read, C. H. (Eds.). (1892). Notes and Queries on Anthropology. The Institute.Foucault, M. (1988). Madness and civilization: A history of insanity in the age of reason. Vintage.Geertz, C. (2008). The interpretation of cultures. Basic books.Gould-Martin, K. (1975). Medical systems in a Taiwan village: Ong-ia-kong, the plague god as modern physician. US Department of Health, Education and Welfare, National Institutes of Health.Harner, M. (1980). The Way of the Shamans: A Guide to Power and Healing.Kehoe, A. B. (2000). Shamans and religion: An anthropological exploration in critical thinking. London: Waveland PressKleinman, A., Kunstadter, P., Alexander, E. R., & Gale, J. L. (1975). Medicine in Chinese cultures: comparative studies of health care in Chinese and other societies. US DHEW Publication, (NIH) 75-653).Kleinman, A. (1980). Patiens and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. Berkeley: University of California Press.Kleinman, A. (1988). The illness narratives: Suffering, healing, and the human condition. Basic books.Lee, S., Chiu, M. Y., Tsang, A., Chui, H., & Kleinman, A. (2006). Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong. Social Science & Medicine, 62(7), 1685-1696.Levinson, D., & Ember, M. (Eds.). (1996). Encyclopedia of cultural anthropology (Vol. 4). New York: Holt.Lutkehaus, N., & Cool, J. (1999). 29 Paradigms Lost and Found: The” Crisis of Representation” and Visual Anthropology.Link, B. G., Cullen, F. T., Struening, E., Shrout, P. E., & Dohrenwend, B. P. (1989). A modified labeling theory approach to mental disorders: An empirical assessment. American Sociological Review, 400-423.MacDougall, D. (1997). The visual in anthropology. Rethinking visual anthropology, 276-295.Mead, M. (1995). Visual anthropology in a discipline of words. Principles of visual anthropology, 3, 3-12.Parsons, T. (1951). Illness and the role of the physician: A sociological perspective. American Journal of orthopsychiatry, 21(3), 452-460.Seymour-Smith, C. (1986). Macmillan dictionary of anthropology.Shen, Y. C., Zhang, M. Y., Huang, Y. Q., He, Y. L., Liu, Z. R., Cheng, H., ... & Kessler, R. C. (2006). Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychological medicine, 36(02), 257-267.Toren, C. (1993). Making history: the significance of childhood cognition for a comparative anthropology of mind. Man, 461-478.Haviland, W. A. (2002). Cultural anthropology. Wadsworth Publishing Company. 描述 碩士
國立政治大學
傳播學院傳播碩士學位學程
103464068資料來源 http://thesis.lib.nccu.edu.tw/record/#G0103464068 資料類型 thesis dc.contributor.advisor 郭力昕 zh_TW dc.contributor.author (Authors) 張岸 zh_TW dc.contributor.author (Authors) Zhang, An en_US dc.creator (作者) 張岸 zh_TW dc.creator (作者) Zhang, An en_US dc.date (日期) 2017 en_US dc.date.accessioned 5-Apr-2017 15:43:25 (UTC+8) - dc.date.available 5-Apr-2017 15:43:25 (UTC+8) - dc.date.issued (上傳時間) 5-Apr-2017 15:43:25 (UTC+8) - dc.identifier (Other Identifiers) G0103464068 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/108148 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 傳播學院傳播碩士學位學程 zh_TW dc.description (描述) 103464068 zh_TW dc.description.abstract (摘要) 本創作分為兩條主軸,一條為攝影作品集取向的攝影製作,另一條為研究結果取向的創作論述與田野研究。兩者在內容呈現上互為輔佐,在方法上互相補充。筆者通過在雲南L市的紀實攝影與相關闡釋,為閱聽人提供一副較為真實的精神病患的生存圖景。在X精神病院中的醫護人員與病人之間的確存在著巨大的權力落差,其中權力的運作方式基本符合Foucault的描述:與空間緊密的結合。病區中的規章制度與大大小小的日常活動依依顯示出醫護人員對病人的控制。醫生在診斷與治療的過程中並未完全依循西方醫學,而是加入了地方知識。病人也在個體層面上有著微小的反抗,雖然有效,但也未破壞醫院秩序的正常運轉。而在LJ村拍攝的民族誌影片中,顯示出了村中年輕人與老一輩在地方文化傳承上的斷裂。相較於民俗治療儀式,他們更願意相信西方醫療體系,更加傾向於去現代醫院中進行診斷與治療。 zh_TW dc.description.abstract (摘要) This paper is mainly based on two guidelines: the photography creation aiming at photo collection, and the discussion and field research for research achievements. Theses two guidelines work as supplement for each other. Through the record by photography and related discussion in L City, Yunnan, I hope that the real current situation for mental patients could be showed to readers.Indeed, there is a great “power gap” between the staff and patients in psychiatric hospital, in which the way the staff use their power almost complies with Foucault’s description: “Space, Knowledge and Power”. All the rules and daily activities in the area indicate the control of the staff to patients in different degree. The doctors don’t completely rely on western medical for healing, instead they add traditional knowledge, for which patients sometimes make small fight for. Although these small fights are effective, they don’t make effect on the normal operation of the hospital.In terms of the ethnography film recorded in L Village, it indicates a disruption between the young and the old on the inheritance for traditional culture. The young generation is more likely to choose modern hospital for disease, rather than relying on traditional method. en_US dc.description.tableofcontents 壹、創作背景與動機.............................1一、創作背景..................................1二、創作動機..................................3貳、文獻回顧..................................5一、多重醫療體系並行下的經濟落後地區..............6 二、疾病與醫療行為的跨文化人類學研究..............7三、雲南原住民醫療現狀.........................10叁、創作方式.................................11一、視覺人類學................................11二、影像與文字的雙重作品.......................12三、研究聲明.................................14肆、X醫院中的權力關係..........................15一、X醫院基本情況.............................15二、病區中的空間與權力運作......................16(一)「環形監獄」.............................17(二)作息、空間與權力.........................23(三)小結...................................27三、權力:誕生、加強與反抗......................27(一)權力的誕生..............................28(二)權力的強化..............................30(三)權力關係中的反抗.........................323.1儀式中的反抗與科技.........................323.2個體反抗.................................34(四)補充與反思..............................36伍、多重視角下的精神疾病認知與求醫行為...........39一、醫生視角................................39二、個體病患視角.............................44三、「巫術」:LJ村的例子......................48陸、看.見「瘋人院」影展.......................53柒、結語....................................55參考文獻....................................57附錄一 圖附錄...............................60附錄二 民族誌影片............................85附錄三 田野札記..............................87 zh_TW dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0103464068 en_US dc.subject (關鍵詞) 精神病院 zh_TW dc.subject (關鍵詞) 紀實攝影 zh_TW dc.subject (關鍵詞) 人類學 zh_TW dc.subject (關鍵詞) 權力 zh_TW dc.subject (關鍵詞) 規訓 zh_TW dc.subject (關鍵詞) 反抗 zh_TW dc.subject (關鍵詞) 原住民 zh_TW dc.subject (關鍵詞) 民俗醫療 zh_TW dc.subject (關鍵詞) Mental hospital en_US dc.subject (關鍵詞) Documentary photography en_US dc.subject (關鍵詞) Anthropology en_US dc.subject (關鍵詞) Power en_US dc.subject (關鍵詞) Discipline en_US dc.subject (關鍵詞) Aborigines en_US dc.subject (關鍵詞) Traditional medicine en_US dc.title (題名) 病入高原 zh_TW dc.title (題名) "Disease" in City L zh_TW dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 王海龍. 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