Abstract
How does the body shape the clinical encounter? In contemporary debates, evidence-based medicine is thought to favor exclusively the body as object: palpated by the clinician’s hands, submitted to a laser, and captured in a medical image. Such approach to medicine has been challenged by alternative conceptions and practices, notably grounded on a phenomenological characterization of the body as distinctively subjective. Among such alternatives, narrative approaches to illness and medicine encourage, on the patient’s side, a self-empowerment through the mastery of one’s own illness story and, on the clinician’s side, an empathic attitude allowing the interpretation of such narratives. In turn, such approaches are challenged by the consideration of the patient’s and the clinician’s relation to sufferance. Before the clinician can take the patient’s sufferance as an object of scrutiny, at an intentional level, he may be experiencing it, at a pre-intentional level, through his own body, thanks to a bodily intersubjectivity in which one body resonates with the other. Moreover, also at a pre-intentional level, the patient’s suffering is irreducible to any resonating affect in the clinician’s body. As such, to suffer is to be passively subjected to self-entrapment. Only the encounter with another subject can open and thus alleviate such suffering, when the patient addresses it to the clinician as a call for recognition and when the clinician assumes the responsibility to give hospitality and to respond to such suffering. Such is the responsive stance held in the clinical encounter.
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References
Charon R (2001) Narrative medicine. A model for empathy, reflection, profession and trust. JAMA 286:1897–1902
Charon R (2008a) Where does narrative medicine come from? Drives, diseases, attention, and the body. In: Rudnytsky PL, Charon R (eds) Psychoanalysis and narrative medicine. State University of New York Press, Albany, pp 23–36
Charon R (2008b) Material and metaphor: narrative treatment for the embodied self. In: Rudnytsky PL, Charon R (eds) Psychoanalysis and narrative medicine. State University of New York Press, Albany, pp 287–294
Csordas T (1993) Somatic modes of attention. Cult Anthropol 8:135–156
Csordas T (1994) The sacred self: a cultural phenomenology of charismatic healing. University of California Press, Berkeley
Csordas T (2008) Intersubjectivity and intercorporeality. Subjectivity 22:110–121
Eakin PJ (1992) Touching the world: reference in autobiography. Princeton University Press, Princeton
Eakin PJ (2001) Breaking rules: the consequences of self-narration. Biography 24(1):113–127
Eakin PJ (2004) What are we reading when we read autobiography? Narrative 12(2):121–132
Eakin PJ (2006) Narrative identity and narrative imperialism. Narrative 14(2):180–187
Frank A (1995) The wounded storyteller: body, illness, and ethics. University of Chicago Press, Chicago
Gadamer HG (1998) Philosophie de la santé. Grasset, Paris
Garden R (2007) The problem of empathy. New Literary History 38(3):551–567
Garden R (2010) Telling stories about illness and disability: the limits and lessons of narrative. Perspect Biol Med 53(1):121–135
Henry M (1975) Philosophy and phenomenology of the body (trans: Etzkorn G). Martinus Nijhoff, The Hague
Henry M (1976) The essence of manifestation (trans: Etzkorn G). Martinus Nijhoff, The Hague
Henry M (1995) Phénoménologie non-intentionnelle : une tâche de la phénoménologie à venir. In: Janicaud D (ed) L’intentionnalité en question. Vrin, Paris
Henry M (2000) Incarnation. Le Seuil, Paris
Ingerslev Ryberg L, Legrand D (2016) Clinical response to bodily symptoms in psychopathology. Philos Psychiatry Psychol 23:3
Kleinberg-Levin D (1999) A responsive voice: language without the modern subject. Chiasmi Int 1:65–103
Kleinberg-Levin D (2008) Before the voice of reason: echoes of responsibility in Merleau-Ponty’s ecology and Levinas’s ethics. State University of New York Press, New York
Komesaroff P (2001) The many faces of the clinic: a Levinasian view. In: Toombs K (ed) Handbook of phenomenology and medicine. Kluwer, Dordrecht, pp 317–330
Komesaroff PA (2008) Experiments in love and death: medicine, postmodernism, microethics and the body. Melbourne University Publishing, Melbourne
Lacan J (2002) Beyond the “reality principle”. In: Ecrits (trans: Fink B). Norton, New York, pp 58–74
Leder D (1992) A tale of two bodies: the cartesian corpse and the lived body. In: Leder D (ed) The body in medical thought and practice. Philosophy and medicine, vol 43. Kluwer, Dordrecht, pp 17–35
Legrand D (2011) Phenomenological dimensions of bodily self-consciousness. In: Gallagher S (ed) Oxford handbook of the self. Oxford University Press, Oxford, pp 204–227
Legrand D (2012) Self-consciousness and world-consciousness. In: Zahavi D (ed) Oxford handbook of contemporary phenomenology. Oxford University Press, Oxford
Legrand D (2013) The patient’s voice in psychoanalysis, narrative medicine and patient-based research: What is the clinical impact of patient-based research? Bull Graduate Sch Educ (Hiroshima University) part I 62:29–38
Legrand D (2015) The body and its image in the clinical encounter. In: Elpidorou A, Dahlstrom D, Hopp W (eds) The reappearance of the mind: essays on the intersections between phenomenology and the philosophy of mind. Routledge, London
Levinas E (1979) Totality and infinity (trans: Lingis A). Martinus Nijhoff Publishers/Duquesne University Press
Levinas E (1991) Otherwise than being or beyond the essence (trans: Lingis A). Kluwer, Dordrecht
Levinas E (1998) Useless suffering. In: Entre nous, On Thinking-of-the-Other (Trans: Smith MB, Harshav B). Columbia University Press, New York
Levinas E (2000) God, death and time (trans: Bergo B). Stanford University Press
Lingis A (2008) Foreword. In: Komesaroff PA (ed) Experiments in love and death: medicine, postmodernism, microethics and the body. Melbourne University Publishing, Melbourne, pp ix–xii
Macnaughton J (2009) The art of medicine. The dangerous practice of empathy. Lancet 373:1940–1941
Merleau-Ponty M (1962) Phenomenology of perception (trans: Smith C). Routledge, London/New York
Phelan J (2005) Editor’s Column: Who’s Here? Narrative, 13, 3:205–210
Rose N (1998) Inventing our selves: psychology, power, and personhood. Cambridge University Press, Cambridge
Rose N (2007) The politics of life itself: biomedicine, power, and subjectivity in the twenty-first century. Princeton University Press, Princeton
Sartwell C (2000) End of story. State University of New York Press, New York
Slatman J (2009) Transparent bodies: revealing the myth of interiority. In: van de Vall R, Zwijnenberg R (eds) The body within. Art, medicine and visualization. Brill’s studies on art, art history, and intellectual history, vol 3. Brill Academic, Leiden, pp 107–122
Slatman J (2014) Multiple dimensions of embodiment in medical practices. Med Healthc Philos. 17, 4:549–57
Zaner RM (1992) Parted bodies, departed souls: the body in ancient medicine and anatomy. In: Leder D (ed) The body in medical thought and practice. Philosophy and medicine, vol 43. Kluwer, Dordrecht, pp 101–122
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Legrand, D. (2017). The Living Body and the Lived Body in the Clinical Encounter: How Does the Body Shape Ethical Practice. In: Schramme, T., Edwards, S. (eds) Handbook of the Philosophy of Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8688-1_66
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