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題名 凌駕於人性之上的醫療系統：柴絲《哈維》與愛德森《心靈病房》之研究
Medical Apparatuses above Humanity: A Study of Mary Chase’s Harvey and Margaret Edson’s Wit
作者 蘇巧宜
Su, Ciao Yi
貢獻者 姜翠芬
Jiang, Tsui Fen
蘇巧宜
Su, Ciao Yi
關鍵詞 哈維
瑪莉．柴絲
心靈病房
瑪格莉特．愛德森
傅柯
生命倫理學
Harvey
Mary Chase
Wit
Margaret Edson
Foucault
biomedical ethics
日期 2011
上傳時間 30-十月-2012 10:53:15 (UTC+8)
摘要 　　在高度醫療化的現代社會當中，醫病關係是一個不容忽視的重要議題。二十世紀的醫療科技突飛猛進，但是病患所接受的醫療品質卻是越來越低劣。醫生過度強調科學與理性，失去對病人的尊重，因而導致醫療系統凌駕於人性之上的情境。《哈維》與《心靈病房》分別描述了病患在醫院所經歷的治療過程。透過這兩齣戲的比較，本文發現二十世紀下半葉的醫療系統對待病患的態度並無改善。透過傅柯與生命倫理學的觀點，本文旨在說明二十世紀醫療系統對人性所造成的迫害，並且探討醫療體系的威權如何被建立以及病患的自主權如何被剝奪。
     　　本論文分為四章。第一章說明柴絲和愛德森的生平背景、《哈維》與《心靈病房》的相關評論以及本論文的理論架構。第二章透過傅柯的觀點闡述醫護人員無形中施加於病患身上的醫療暴力。第三章透過生命倫理學的角度分析病患任由醫療體系擺佈的過程。第四章總結醫護人員對病患的操控以及病患在醫療系統中所遭遇的困境，並且重申醫療系統應該以「以病患為中心」的醫療模式取代傳統霸權式的醫療。
In the madicalized society, the doctor-patient relationship is a significant issue because medical science has had tremendous breakthroughs in the twentieth century, yet the quality of hospital care has become worse. Doctors, over-relying on science and rationality, lose respect for their patients, which leads to a situation of medical apparatuses above humanity. Mary Chase’s Harvey and Margaret Edson’s Wit describe patients’ experience in hospital respectively. Through the comparison and contrast of the plays, this thesis cannot see any improvement in doctors’ treatment of patients. Therefore, aiming at demonstrating the dehumanizing evil of medical apparatuses, this thesis elaborates the construction of medical authority from the perspective of Foucault’s analysis of disciplinary power and reflects on the deprival of patients’ autonomy with the approach of biomedical ethics.
      This thesis is divided into four chapters. Chapter One introduces the backgrounds of the authors, literature review of Harvey and Wit and the theoretical frameworks of Foucault and biomedical ethics. Chapter Two, focusing on the rigid disciplinary power of medical apparatuses, illustrates hospital staff’s evil practice on patients. Chapter Three demonstrates the dehumanized patients under the manipulation of medical discipline and unethical treatment. Chapter Four concludes hospital staff’s manipulation of patients and patients’ dilemmas in medical institution and then reiterates the significance of the patient-centered treatment.
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描述 碩士
國立政治大學
英國語文學研究所
97551010
100
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0097551010
資料類型 thesis
dc.contributor.advisor 姜翠芬zh_TW
dc.contributor.advisor Jiang, Tsui Fenen_US
dc.contributor.author (作者) 蘇巧宜zh_TW
dc.contributor.author (作者) Su, Ciao Yien_US
dc.creator (作者) 蘇巧宜zh_TW
dc.creator (作者) Su, Ciao Yien_US
dc.date (日期) 2011en_US
dc.date.accessioned 30-十月-2012 10:53:15 (UTC+8)-
dc.date.available 30-十月-2012 10:53:15 (UTC+8)-
dc.date.issued (上傳時間) 30-十月-2012 10:53:15 (UTC+8)-
dc.identifier (其他 識別碼) G0097551010en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/54366-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 英國語文學研究所zh_TW
dc.description (描述) 97551010zh_TW
dc.description (描述) 100zh_TW
dc.description.abstract (摘要) 　　在高度醫療化的現代社會當中，醫病關係是一個不容忽視的重要議題。二十世紀的醫療科技突飛猛進，但是病患所接受的醫療品質卻是越來越低劣。醫生過度強調科學與理性，失去對病人的尊重，因而導致醫療系統凌駕於人性之上的情境。《哈維》與《心靈病房》分別描述了病患在醫院所經歷的治療過程。透過這兩齣戲的比較，本文發現二十世紀下半葉的醫療系統對待病患的態度並無改善。透過傅柯與生命倫理學的觀點，本文旨在說明二十世紀醫療系統對人性所造成的迫害，並且探討醫療體系的威權如何被建立以及病患的自主權如何被剝奪。
     　　本論文分為四章。第一章說明柴絲和愛德森的生平背景、《哈維》與《心靈病房》的相關評論以及本論文的理論架構。第二章透過傅柯的觀點闡述醫護人員無形中施加於病患身上的醫療暴力。第三章透過生命倫理學的角度分析病患任由醫療體系擺佈的過程。第四章總結醫護人員對病患的操控以及病患在醫療系統中所遭遇的困境，並且重申醫療系統應該以「以病患為中心」的醫療模式取代傳統霸權式的醫療。		zh_TW
dc.description.abstract (摘要) In the madicalized society, the doctor-patient relationship is a significant issue because medical science has had tremendous breakthroughs in the twentieth century, yet the quality of hospital care has become worse. Doctors, over-relying on science and rationality, lose respect for their patients, which leads to a situation of medical apparatuses above humanity. Mary Chase’s Harvey and Margaret Edson’s Wit describe patients’ experience in hospital respectively. Through the comparison and contrast of the plays, this thesis cannot see any improvement in doctors’ treatment of patients. Therefore, aiming at demonstrating the dehumanizing evil of medical apparatuses, this thesis elaborates the construction of medical authority from the perspective of Foucault’s analysis of disciplinary power and reflects on the deprival of patients’ autonomy with the approach of biomedical ethics.
      This thesis is divided into four chapters. Chapter One introduces the backgrounds of the authors, literature review of Harvey and Wit and the theoretical frameworks of Foucault and biomedical ethics. Chapter Two, focusing on the rigid disciplinary power of medical apparatuses, illustrates hospital staff’s evil practice on patients. Chapter Three demonstrates the dehumanized patients under the manipulation of medical discipline and unethical treatment. Chapter Four concludes hospital staff’s manipulation of patients and patients’ dilemmas in medical institution and then reiterates the significance of the patient-centered treatment.		en_US
dc.description.tableofcontents Table of Contents
     
     Acknowledgements..........iii
     Chinese Abstract..........vii
     English Abstract..........viii
     
     Chapter One: Introduction
     1.1 Introduction: The Twentieth Century American Drama and Medicine..........1
     1.2 The Authors and the Plays..........3
     1.2.1 Mary Chase and Harvey..........3
     1.2.1.1 Plot Summary of Harvey..........4
     1.2.1.2 Literature Review of Harvey..........5
     1.2.2 Margaret Edson and Wit..........6
     1.2.2.1 Plot Summary of Wit..........7
     1.2.2.2 Literature Review of Wit..........8
     1.3 Theoretical Approach..........11
     1.3.1 Foucault’s Approach of Disciplinary Power..........11
     1.3.2 The Concern of Biomedical Ethics..........14
     1.4 The Purpose and the Organization of This Thesis..........17
     
     Chapter Two: The Rigid Disciplinary Power of Medical Apparatuses
     2.1 Introduction: Hospital as a Discipline Container..........21
     2.2 The Mechanism of Disciplinary Power..........24
     2.3 The Disciplinary Technique of Medical Apparatuses..........32
     2.3.1 Chief Doctors: Dr. Chumley in Harvey and Dr. Kelekian in Wit..........32
     2.3.2 Resident Doctors: Dr. Sanderson in Harvey and Dr. Jason in Wit..........36
     2.3.3 Medical Technicians: Wilson in Harvey and the Technicians in Wit..........42
     2.3.4 Nurse : Nurse Kelly in Harvey and Nurse Susie in Wit..........44
     2.4 Conclusion..........50
     
     Chapter Three: The Dehumanized Patient under the Unethical Disciplinary Treatment
     3.1 Introduction..........53
     3.2 The Approaches of Biomedical Ethics..........54
     3.2.1 The Principle of Autonomy..........55
     3.2.2 The Principle of Nonmaleficence..........56
     3.2.3 The Principle of Beneficence..........57
     3.2.4 The Principle of Justice..........57
     3.2.5 The Biomedical Ethics of Experimentation on Human Subjects..........58
     3.3 The Dehumanized Human Bodies in the Hospital..........60
     3.3.1 The Bodies Under Medical Discipline..........64
     3.3.1.1 Hydrotherapy as a Subjugating Method..........65
     3.3.1.2 “Not Me, But My Ovaries”..........69
     3.3.2 The Bodies Under Unethical Experiment..........74
     3.3.2.1 Medical Conspiracy..........74
     3.3.2.2 “She’s Research!”..........78
     3.4 Conclusion..........86
     
     Chapter Four: Conclusion..........89
     
     Works Cited..........95		zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0097551010en_US
dc.subject (關鍵詞) 哈維zh_TW
dc.subject (關鍵詞) 瑪莉．柴絲zh_TW
dc.subject (關鍵詞) 心靈病房zh_TW
dc.subject (關鍵詞) 瑪格莉特．愛德森zh_TW
dc.subject (關鍵詞) 傅柯zh_TW
dc.subject (關鍵詞) 生命倫理學zh_TW
dc.subject (關鍵詞) Harveyen_US
dc.subject (關鍵詞) Mary Chaseen_US
dc.subject (關鍵詞) Witen_US
dc.subject (關鍵詞) Margaret Edsonen_US
dc.subject (關鍵詞) Foucaulten_US
dc.subject (關鍵詞) biomedical ethicsen_US
dc.title (題名) 凌駕於人性之上的醫療系統：柴絲《哈維》與愛德森《心靈病房》之研究zh_TW
dc.title (題名) Medical Apparatuses above Humanity: A Study of Mary Chase’s Harvey and Margaret Edson’s Witen_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) Adachi, Toshitaka. “Significance and Potential Adaptability of Western Medical Humanities Programs to the Postgraduate Medical Education in Japan.” Diss. New Jersey: Drew University, 2008.
     Angelos, Peter and Muneera R. Kapadia. “Physicians and Cancer Patients: Communication and Advance Directives.” Ethical Issues in Cancer Patient Care. Second Edition. Ed. Peter Angelos. Boston: Springer Science + Business Media, LLC, 2008.
     Althusser, Louis. For Marx. Trans. B. Brewster. New York: Verso, 1969.
     ---. Lenin and Philosophy, and Other Essays. Trans. B. Brewster. London: New Left Books, 1971.
     ---. Philosophy and the Spontaneous Philosophy of the Scientists, and Other Essays. Ed. G. Elliott. Trans. B. Brewster et al. New York: Verso, 1990.
     Armstrong, David. ‘Bodies of Knowledge: Foucault and the problem of human anatomy.’ Sociological Theory and Medical Sociology. Ed. Graham Scambler. New York: Tavistock Publications, 1987.
     ---. “Bodies of Knowledge/Knowledge of Bodies.” Reassessing Foucault: Power, Medicine, and the Body. Ed. Colin Jones and Roy Porter. New York: Routledge, 1994.
     Barnes, Clive. “Unseen White Rabbit Returns.” New York Times (25 Feb. 1970). Rpt. in Drama Criticism. Ed. Lawrence J. Trudeau and Linda M. Ross. Vol. 1. Detroit: Gale Research, 1991. Literature Resource Center. Web. 29 Sep. 2011< http://go.galegroup.com/ps/i.do?&id=GALE%7CH1420009194&v=2.1&u=nccu&it=r&p=LitRC&sw=w>
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