The hermeneutics of symptoms.
Hermeneutics
Narrative medicine
Phenomenology
Subjectivity
Symptoms
Journal
Medicine, health care, and philosophy
ISSN: 1572-8633
Titre abrégé: Med Health Care Philos
Pays: Netherlands
ID NLM: 9815900
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
19
01
2022
accepted:
02
04
2022
revised:
22
02
2022
pubmed:
4
5
2022
medline:
2
9
2022
entrez:
3
5
2022
Statut:
ppublish
Résumé
The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it - a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine - the study of the interpretation of human experience in medical terms - has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This paper examines the hermeneutical activity of symptom-construction more closely. I propose a fourfold account of the clinical function of symptoms: as theoretical entities; as tools for communication; as guides to palliative intervention; and as candidates for medical explanation or intervention. I also highlight roles they might play in illness experience. I use this framework to discuss four potential failures of symptom-interpretation: failure of symptom-type and symptom-token recognition; loss of the complete picture of illness experience through overwhelming emphasis on its symptomatic interpretation; and intersubjective feedback effects of symptom description altering the ill person's own perceptions of their phenomenal experience. I conclude with some suggestions of potential remedies for failures in the process of symptom-construction.
Identifiants
pubmed: 35503189
doi: 10.1007/s11019-022-10086-z
pii: 10.1007/s11019-022-10086-z
pmc: PMC9427902
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
395-412Subventions
Organisme : National Institute for Health Research
ID : National Institute for Health Research
Informations de copyright
© 2022. Crown.
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