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題名 中參西錄--一間中醫診所中醫師的專業認同初探
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
作者 劉瑋佳
Laurinaityte, Viktorija
貢獻者 徐美苓
Hsu, Mei Ling
劉瑋佳
Laurinaityte, Viktorija
關鍵詞 中醫
西醫
全球化
專業認同
定位理論
陰陽
Chinese medicine
Western medicine
Globalization
Professional identity
Positioning theory
Yin and Yang
日期 2009
上傳時間 8-十二月-2010 12:31:56 (UTC+8)
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.
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Brubaker, R., & Cooper, F. (2000). Beyond "identity". Theory and Society, 29(1), 1-47.
Chan, K. (2005). Chinese medicinal materials and their interface with Western medical concepts. Journal of Ethnopharmacology, 96 (1-2), 1-18.
Charon, M. (1992). Symbolic interactionism: an introduction, an interpretation, an integration. Englewood Cliffs, NJ: Prentice Hall.
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.
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.
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描述 碩士
國立政治大學
國際傳播英語碩士學位學程(IMICS)
96461012
98
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0096461012
資料類型 thesis
dc.contributor.advisor 徐美苓zh_TW
dc.contributor.advisor Hsu, Mei Lingen_US
dc.contributor.author (作者) 劉瑋佳zh_TW
dc.contributor.author (作者) Laurinaityte, Viktorijaen_US
dc.creator (作者) 劉瑋佳zh_TW
dc.creator (作者) Laurinaityte, Viktorijaen_US
dc.date (日期) 2009en_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) G0096461012en_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) 96461012zh_TW
dc.description (描述) 98zh_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 i
Acknowledgment ii
1. Introduction 1
2. Literature Review 5
2.1 Setting the Context 5
2.1.1 Medicine as Culture 5
2.1.2 Great Divides 8
2.1.3 Different Globalization Modes of Chinese Medicine 10
2.1.4 Chinese Medicine Meets Western Medicine 15
2.1.5 Chinese Medicine in Taiwan 20
2.2 Discussing Identity 23
2.2.1 Conceptual Confusion About Identity 23
2.2.2 Identity from the Communication Perspective 25
2.2.3 Positioning and Identity Construction 29
3. Method 33
3.1 Introducing the Case: Yusheng Chinese Medical Clinic 33
3.2 Data Collection and Analysis 36
3.3 Stance of the Researcher and Ethical Concerns 39
4. Results 43
4.1 Primary Observations 43
4.2 Professional Obligations 47
4.2.1 Correct Diagnosis 47
4.2.2 Effective Communication with Patients 50
4.2.3 Optimal Treatment 54
4.3 Issue of Confidence 57
4.4 One Patient vs. Two Medical Systems 63
5. Discussion and Conclusions 67
References 75
Appendix 1: Schedule of Participant Observations 84
Appendix 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/#G0096461012en_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 medicineen_US
dc.subject (關鍵詞) Western medicineen_US
dc.subject (關鍵詞) Globalizationen_US
dc.subject (關鍵詞) Professional identityen_US
dc.subject (關鍵詞) Positioning theoryen_US
dc.subject (關鍵詞) Yin and Yangen_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 clinicen_US
dc.type (資料類型) thesisen
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.htmzh_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
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