dc.contributor.advisor | 徐美苓 | zh_TW |
dc.contributor.advisor | Hsu, Mei Ling | en_US |
dc.contributor.author (作者) | 劉瑋佳 | zh_TW |
dc.contributor.author (作者) | Laurinaityte, Viktorija | en_US |
dc.creator (作者) | 劉瑋佳 | zh_TW |
dc.creator (作者) | Laurinaityte, Viktorija | en_US |
dc.date (日期) | 2009 | en_US |
dc.date.accessioned | 8-十二月-2010 12:31:56 (UTC+8) | - |
dc.date.available | 8-十二月-2010 12:31:56 (UTC+8) | - |
dc.date.issued (上傳時間) | 8-十二月-2010 12:31:56 (UTC+8) | - |
dc.identifier (其他 識別碼) | G0096461012 | en_US |
dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/49487 | - |
dc.description (描述) | 碩士 | zh_TW |
dc.description (描述) | 國立政治大學 | zh_TW |
dc.description (描述) | 國際傳播英語碩士學位學程(IMICS) | zh_TW |
dc.description (描述) | 96461012 | zh_TW |
dc.description (描述) | 98 | zh_TW |
dc.description.abstract (摘要) | Studies in medical anthropology and health sociology have shown the intensification of exchanges between Chinese and Western medicine. However, there is a lack of literature exploring this phenomenon from the human communication perspective. To fill this gap, this study aims to analyze patterns and processes taking place during the interaction between Chinese and Western medicine by inquiring into professional identity of the Chinese medical practitioners. To implement this goal, a qualitative exploratory research was conducted in the Yusheng Chinese Medical Clinic, employing the methods of participant observation and interviewing. Drawing on the communication theory of identity and applying positioning as an analytical tool, it was found that professional ideology, adherence to Chinese medical theory, and sociohistorical situatedness were the most salient factors determining positional shifts in the discourses with Western medicine. In some discursive practices, the relationship between the two medical systems was dichotomized. In other ones, it was perceived in terms of partnership or even unification. Accordingly, the complex and dynamic picture of professional identity was captured. The shift from emphases on being a good physician to being a good Chinese medical physician, as well as discrepancies between perceived professional self and enacted professional self, were observed. Based on the findings, this study calls for the discussions on the relevance of the yin-yang mode in interpreting the interaction between Chinese and Western medicine in the context of globalization. | en_US |
dc.description.tableofcontents | Abstract iAcknowledgment ii1. Introduction 12. Literature Review 52.1 Setting the Context 52.1.1 Medicine as Culture 52.1.2 Great Divides 82.1.3 Different Globalization Modes of Chinese Medicine 102.1.4 Chinese Medicine Meets Western Medicine 152.1.5 Chinese Medicine in Taiwan 202.2 Discussing Identity 232.2.1 Conceptual Confusion About Identity 232.2.2 Identity from the Communication Perspective 252.2.3 Positioning and Identity Construction 293. Method 333.1 Introducing the Case: Yusheng Chinese Medical Clinic 333.2 Data Collection and Analysis 363.3 Stance of the Researcher and Ethical Concerns 394. Results 434.1 Primary Observations 434.2 Professional Obligations 474.2.1 Correct Diagnosis 474.2.2 Effective Communication with Patients 504.2.3 Optimal Treatment 544.3 Issue of Confidence 574.4 One Patient vs. Two Medical Systems 635. Discussion and Conclusions 67References 75 Appendix 1: Schedule of Participant Observations 84Appendix 2: Schedule of In-Depth Interviews 85 | zh_TW |
dc.format.extent | 1321025 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | en_US | - |
dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0096461012 | en_US |
dc.subject (關鍵詞) | 中醫 | zh_TW |
dc.subject (關鍵詞) | 西醫 | zh_TW |
dc.subject (關鍵詞) | 全球化 | zh_TW |
dc.subject (關鍵詞) | 專業認同 | zh_TW |
dc.subject (關鍵詞) | 定位理論 | zh_TW |
dc.subject (關鍵詞) | 陰陽 | zh_TW |
dc.subject (關鍵詞) | Chinese medicine | en_US |
dc.subject (關鍵詞) | Western medicine | en_US |
dc.subject (關鍵詞) | Globalization | en_US |
dc.subject (關鍵詞) | Professional identity | en_US |
dc.subject (關鍵詞) | Positioning theory | en_US |
dc.subject (關鍵詞) | Yin and Yang | en_US |
dc.title (題名) | 中參西錄--一間中醫診所中醫師的專業認同初探 | zh_TW |
dc.title (題名) | Chinese at heart, western where appropriate: an exploration of professional identity in a chinese medical clinicchinese at heart, western where appropriate: an exploration of professional identity in a chinese medical clinic | en_US |
dc.type (資料類型) | thesis | en |
dc.relation.reference (參考文獻) | Altschuler, D. L. (2005). A unique time and location-based Li’s diagnostic method of injuries: A case study of paralysis caused by spinal trauma. The Journal of Traditional Medicine, 16, 202-209. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Baer, H. A., Singer, M., & Susser, I. (2003). Medical anthropology and the world system. Westport, CT: Praeger. | zh_TW |
dc.relation.reference (參考文獻) | Barnes, L. (2005). Multiple meanings of Chinese healing in the United States. In L. Barnes & S. Sered (Eds.), Religion and healing in America (pp. 307-332). New York: Oxford University Press. | zh_TW |
dc.relation.reference (參考文獻) | Barnes, L. (2009). Practitioner decisions to engage in Chinese medicine: Cultural messages under the skin. Medical Anthropology, 28(2), 141-165. | zh_TW |
dc.relation.reference (參考文獻) | Berger, A. A. (2000). Media and communication research methods: An introduction to qualitative and quantitative approaches. Thousand Oaks, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Berger, P. L., & Luckmann, T. (1990). The social construction of reality: A treatise in the sociology of knowledge. New York: Anchor. | zh_TW |
dc.relation.reference (參考文獻) | Breslau, J. (2001). Pathways through the border of biomedicine and traditional Chinese medicine: A meeting of medical systems in a Japanese psychiatry department. Culture, Medicine and Psychiatry, 25, 251-275. | zh_TW |
dc.relation.reference (參考文獻) | Brubaker, R., & Cooper, F. (2000). Beyond "identity". Theory and Society, 29(1), 1-47. | zh_TW |
dc.relation.reference (參考文獻) | Chan, K. (2005). Chinese medicinal materials and their interface with Western medical concepts. Journal of Ethnopharmacology, 96 (1-2), 1-18. | zh_TW |
dc.relation.reference (參考文獻) | Charon, M. (1992). Symbolic interactionism: an introduction, an interpretation, an integration. Englewood Cliffs, NJ: Prentice Hall. | zh_TW |
dc.relation.reference (參考文獻) | Chen, C. F, Shum, Y. C., & Hsieh M. T. (2002). The progress of Chinese medicine in Taiwan. In K. Chan & H. Lee (Eds.), The way forward for Chinese medicine (pp. 303-315). London: Taylor & Francis. | zh_TW |
dc.relation.reference (參考文獻) | Chi, C., , Lee, J. L., Lai, J. S., Chen, C. Y., Chang, S. K., & Chen, S. C. (1996). The practice of Chinese medicine in Taiwan. Social Sciences and Medicine, 43(9), 1329-1348. | zh_TW |
dc.relation.reference (參考文獻) | Davies, B., & Harre, R. (1990). Positioning: The discursive production of selves. Journal for the Theory of Social Behaviour, 20, 43-63. | zh_TW |
dc.relation.reference (參考文獻) | Davies, B., & Harre, R. (1999). Positioning and personhood. In R. Harre & L. Van Langenhove (Eds.), Positioning theory (pp. 32-52). Oxford: Blackwell. | zh_TW |
dc.relation.reference (參考文獻) | Department of Health of Republic of China. (2009). Series of health care statistics 2008: Annual report of official statistics. Retrieved from http://www.doh.gov.tw/CHT2006/DM/ DM2_2.aspx?now_fod_list_no= 10238&class_no=440&level_no=1 (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | DeWalt, K. M., & DeWalt, B. R. (2002). Participant observation: A guide for fieldworkers. Walnut Creek, CA: Alta Mira Press. | zh_TW |
dc.relation.reference (參考文獻) | Farquhar, J. (1987). Problems of knowledge in contemporary Chinese medicine. Social Science and Medicine, 24(12), 1013-1021. | zh_TW |
dc.relation.reference (參考文獻) | Foucault, M. (1994). The birth of the clinic: An archeology of medical perception. New York: Vintage Books. | zh_TW |
dc.relation.reference (參考文獻) | Fox, N. (1993). Postmodernism, sociology and health. Philadelphia: Open University Press. | zh_TW |
dc.relation.reference (參考文獻) | Fruehauf, H. (2009). Chinese medicine in crisis: Science, politics, and the making of TCM. In Classical Chinese medicine. Retrieved from http://www.classicalchinesemedicine.org/ ccm/tcmgermany05.htm | zh_TW |
dc.relation.reference (參考文獻) | Giddens, A. (1990). The consequence of modernity. Stanford, CA: Stanford University Press. | zh_TW |
dc.relation.reference (參考文獻) | Griffin, A. (2008). ‘Designer doctors’: professional identity and a portfolio career as a general practice educator. Education for Primary Care, 19, 355–359. | zh_TW |
dc.relation.reference (參考文獻) | Gunaratne, S. A. (2005). The Dao of the press: A humanocentric theory. Cresskill, NJ: Hampton Press. | zh_TW |
dc.relation.reference (參考文獻) | Gunaratne, S. A. (2009). Globalization: A non-Western perspective: The bias of social science/communication oligopoly. Communication, Culture & Critique, 2, 60–82. | zh_TW |
dc.relation.reference (參考文獻) | Hammersley, M., & Wilkinson, P. (2007). Ethnography: Principles in practice. London: Taylor & Francis. | zh_TW |
dc.relation.reference (參考文獻) | Harre, R. (1993). Social being. Oxford: Blackwell. | zh_TW |
dc.relation.reference (參考文獻) | Harre, R., & Van Langenhove, L. (1991). Varieties of positioning. Journal of the Theory of Social Behaviour, 21(4), 393-408. | zh_TW |
dc.relation.reference (參考文獻) | Harvey, D. (1990). The condition of postmodernity: An enquiry into the origins of cultural change. Cambridge, MA: Blackwell. | zh_TW |
dc.relation.reference (參考文獻) | Hecht, M. L., Warren, J. R., Jung, E., & Krieger, J. L. (2005). The communication theory of identity. In W. B. Gudykunst (Ed.), Theorizing about intercultural communication (pp. 257-278). Thousand Oaks, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Hinrichs, T. J. (1998). New geographies of Chinese medicine. Osiris, 287-325. | zh_TW |
dc.relation.reference (參考文獻) | Ho, E. Y. (2006). Behold the power of qi: The importance of qi in the discourse of acupuncture. Research on Language and Social Interaction, 39(4), 411-440. | zh_TW |
dc.relation.reference (參考文獻) | Hodder, I. (1994). The interpretation of documents and material culture. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 393-402). Thousand Oaks, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Hogg, M. A. (1993). Group cohesiveness: A critical review and some new directions. European Review of Social Psychology, 4, 85-111. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, E. (1999). The transmission of Chinese medicine. Cambridge, UK: Cambridge University Press. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, E. (2009). Chinese propriety medicines: An “alternative modernity?” The case of the anti-malarial substance artemisinin in East Africa. Medical Anthropology: Cross-Cultural Studies in Health and Illness, 28(2), 111 - 140. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, E. (Ed.). (2001). Innovation in Chinese medicine. Cambridge, UK: Cambridge University Press. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, M., Hsieh, J., Huang, K., & Wang, Y. (2007, June). Lay discourse of body, health, and medical use in a coexistent culture of Chinese and Western medicine: A challenge to the elitist-based medical correctness in Taiwan. Paper presented at the Conference on Harmony, Diversity and Intercultural Communication, Harbin, PR China. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, M., & Lin, C. (2006, November). Mediated discourse of traditional Chinese and folk medicine during the 2003 SARS crisis in Taiwan. Paper presented at the Annual Convention of the National Communication Association, San Antonio, U.S.A. | zh_TW |
dc.relation.reference (參考文獻) | Hsu, M., & Wang, M. (2005, November). Positioning between Western and Chinese medical beliefs as mediated by risk perception in Taiwan: A discourse analysis of the 2003 legitimacy controversy of herbs containing aristolochic acid. Paper presented at the Annual Convention of the National Communication Association, Boston, U.S.A. | zh_TW |
dc.relation.reference (參考文獻) | Jennings, M. (2005). Chinese medicine and medical pluralism in Dar es Salaam: Globalisation or glocalisation? International Relations, 19(4), 457-473. | zh_TW |
dc.relation.reference (參考文獻) | Jones, C., & Porter, R. (1994). Introduction. In C. Jones & R. Porter (Eds.), Reassessing Foucault: Power, medicine, and the body (pp. 1-16). New York: Routledge. | zh_TW |
dc.relation.reference (參考文獻) | Jones, I., & Green, J. (2006). Shifting discourses of professionalism: A case study of general practitioners in the United Kingdom. Sociology of Health and Illness, 28, 927–950. | zh_TW |
dc.relation.reference (參考文獻) | Jung, E., & Hecht, M. L. (2004). Elaborating the communication theory of identity: Identity gaps and communication outcomes. Communication Quarterly, 52(3), 265-283. | zh_TW |
dc.relation.reference (參考文獻) | Jung, E., & Hecht, M.L. (2008). Identity gaps and level of depression among Korean immigrants. Health Communication, 23(4), 313-325. | zh_TW |
dc.relation.reference (參考文獻) | Kaptchuk, T. J. (2000). The web that has no weaver: Understanding Chinese medicine. New York: McGraw Hill. | zh_TW |
dc.relation.reference (參考文獻) | Kawulich, B. (2005). Participant observation as a data collection method. Forum Qualitative Sozialforschung, 6(2). Retrieved from http://www.qualitative-research.net/index.php/fqs/ article/view/466/997. | zh_TW |
dc.relation.reference (參考文獻) | Kellner, D. (1992). Popular culture and the construction of postmodern identities. In S. Lash & J. Friedman (Eds.), Modernity and identity (pp.141-177). Cambridge, UK: Blackwell. | zh_TW |
dc.relation.reference (參考文獻) | Kleinman, A. (1980). Patients and healers in the context of culture. Berkeley, CA: University of California Press. | zh_TW |
dc.relation.reference (參考文獻) | Knauft, B. (2002). Introduction. In B. Knauft (Ed.), Critically modern: Alternatives, alterities, anthropologies (pp. 1-56). Bloomington, IN: Indiana University Press. | zh_TW |
dc.relation.reference (參考文獻) | Kuriyama, S. (2003). The expressiveness of the body and the divergence of Greek and Chinese medicine. New York: Zone Books. | zh_TW |
dc.relation.reference (參考文獻) | Latour, B. (1993). We have never been modern. Cambridge, MA: Harvard University Press. | zh_TW |
dc.relation.reference (參考文獻) | Leslie, C. (2001). Backing into the future. Medical Anthropology Quarterly, 15 (4), 428-439. | zh_TW |
dc.relation.reference (參考文獻) | Lew-Ting, C. (2005). Antibiomedicine belief and integrative health seeking in Taiwan. Social Science & Medicine, 50, 2111-2116. | zh_TW |
dc.relation.reference (參考文獻) | Li, J. M. (2009). Out of place: Travels throughout Chinese medical history. Taipei: Asian Culture. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Li, J. W. (1998). History of medical cultural exchange between China and foreign countries. Changsha: Hunan Education Publishing. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Li, Y. L. (2010, January). Chinese medicine doctor Chen-Yu Lee. Career. Retrieved from | zh_TW |
dc.relation.reference (參考文獻) | http://news.sina.com.tw/magazine/article/4244-1.html (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Linehan, C., & McCarthy, J. (2000). Positioning in practice: Understanding participation in the social world. Journal for the Theory of Social Behaviour, 30(4), 435-453. | zh_TW |
dc.relation.reference (參考文獻) | Liu, L. H. (1995). Translingual practice: Literature, national culture, and translated modernity in China, 1900-1937. Stanford, CA: Stanford University Press. | zh_TW |
dc.relation.reference (參考文獻) | Lynch, K. D. (2007). Modeling role enactment: Linking role theory and social cognition. Journal for the Theory of Social Behaviour, 37(4), 379-399. | zh_TW |
dc.relation.reference (參考文獻) | Lupton, D. (2003). Medicine as culture: Illness, disease and the body in Western society. London: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Malinowski, B. (1948). Magic, science and religion and other essays. Garden City, NY: Doubleday. | zh_TW |
dc.relation.reference (參考文獻) | Ministry of Examination. (2005, July 22). Professional and technical special examinations for doctors of Chinese medicine, psychologists, respiratory therapists, and medical laboratory assistants. Retrieved from http://english.moex.gov.tw/ct.asp?xItem=9809&ctNode=2269. | zh_TW |
dc.relation.reference (參考文獻) | Nader, L. (Ed.). (1996). Naked science: anthropological inquiry into boundaries, power, and knowledge. New York: Routledge. | zh_TW |
dc.relation.reference (參考文獻) | Patton, M. Q. (2002). Qualitative research and evaluation methods. Newbury Park, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Porkert, M. (1974). The theoretical foundations of Chinese medicine: Systems of correspondence. Cambridge, MA: MIT Press. | zh_TW |
dc.relation.reference (參考文獻) | Qu, J. C. (2004). When Chinese medicine meets Western medicine: History and reflections. Hong Kong: Joint Publishing. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Robertson, R. (1995). Glocalization: Time-space and homogeneity-heterogeneity. In M. Featherstone, S. Lash & R. Robertson (Eds.), Global modernity (pp. 25–44). London: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Ryan, G. W., & Bernard, H. R. (2007). Techniques to identify themes. In A. Bryman (Ed.), Qualitative research (Vol. 2, pp.85-109). London: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Scambler, G. (1987). Introduction. In G. Scambler (Ed.), Sociological theory and medical sociology (pp. 1-7). London: Tavistock. | zh_TW |
dc.relation.reference (參考文獻) | Schensul, S. L., Schensul, J. J., & LeCompte, M. D. (1999). Essential ethnographic methods: Observations, interviews, and questionnaires. Walnut Creek, CA: Alta Mira Press. | zh_TW |
dc.relation.reference (參考文獻) | Shaffir, W. B., & Stebbins, R. A. (2001). Experiencing fieldwork: An inside view of qualitative research. Newbury Park, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Spence, J. D. (1990). The search for modern China. New York: Norton. | zh_TW |
dc.relation.reference (參考文獻) | Stets, J. E., & Burke, P. J. (2000). Social identity theory and identity theory. Social Psychology Quarterly, 63(3), 224-237. | zh_TW |
dc.relation.reference (參考文獻) | Tambiah, S. (1990). Magic, science, religion, and the scope of rationality. Cambridge, UK: Cambridge University Press. | zh_TW |
dc.relation.reference (參考文獻) | Taylor, S., & Field, D. (Eds.). (2007). Sociology of health and health care. Malden, MA: Blackwell. | zh_TW |
dc.relation.reference (參考文獻) | Turner, J. C. (1991). Social influence. Milton Keynes, UK: Open University Press. | zh_TW |
dc.relation.reference (參考文獻) | Unschuld, P. U. (1992). Epistemological issues and changing legitimation: Traditional Chinese medicine in the twentieth century. In C. Leslie & A. Young (Eds.), Path to Asian medical knowledge (pp. 44-61). Berkeley, CA: University of California Press. | zh_TW |
dc.relation.reference (參考文獻) | Unschuld, P. U. (1997). Chinesische Medizin. München: Verlag C.H. Beck. | zh_TW |
dc.relation.reference (參考文獻) | Unschuld, P. U. (2003). Was ist Medizin? Westliche und ösliche Wege der Heilkunst. München: Verlag C.H. Beck. | zh_TW |
dc.relation.reference (參考文獻) | Wadsworth, B. C., Hecht, M. L., & Jung, E. (2008). The role of identity gaps, discrimination, and acculturation in international students’ educational satisfaction in American classrooms. Communication Education, 57, 64-87. | zh_TW |
dc.relation.reference (參考文獻) | Wan, B. C. (2008, May 22). Sudden change of Western medicines for Chinese medicines might be risky. TSSD News. Retrieved from http://www.udn.com/2008/5/22/NEWS/HEALTH/ HEA2/4351883.shtml. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Wang, G. (2009). Going beyond the dualistic view of culture and market economy: Learning | zh_TW |
dc.relation.reference (參考文獻) | from the localization of reality television in Greater China. Chinese Journal of Communication, 2(2), 127–139. | zh_TW |
dc.relation.reference (參考文獻) | Weick, K. (1995). Sensemaking in organizations. Thousand Oaks, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Wu, J. (1982). Study on social medical behavior of Taiwanese residents. Public Health, 8, 25-49. | zh_TW |
dc.relation.reference (參考文獻) | Yin, R. (1994). Case study research: Design and methods. Beverly Hills, CA: Sage. | zh_TW |
dc.relation.reference (參考文獻) | Zeng, S. Y. (2003). The passage of oral transmission of Chinese medicine: Doctor Chen-Yu Lee. In S. L. Su & X. F. Cha (Eds.), The album of Taiwan’s oral history of Chinese medicine. Taipei: Traditional Chinese Medicine Association. (in Chinese) | zh_TW |
dc.relation.reference (參考文獻) | Zhan, M. (2001). Does it take a miracle? Negotiating knowledges, identities, and communities of traditional Chinese medicine. Cultural Anthropology, 16(4), 453-480. | zh_TW |
dc.relation.reference (參考文獻) | Zhan, M. (2009). Practitioner decisions to engage in Chinese medicine: Cultural messages under the skin. Medical Anthropology, 28(2), 141-165. | zh_TW |
dc.relation.reference (參考文獻) | Zhang, C. F. (2008, June 2). Some hospitals pilot integrated Chinese-Western medical treatment. China Times: Health. Retrieved from http://health.chinatimes.com/contents.aspx?cid= 1,15&id=1456. (in Chinese) | zh_TW |