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2024年6月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 255 ·
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共中央马克思恩格斯列宁斯大林著作编译局，译. 北 2009，17（9）：1050-1055
京：人民出版社，1972：18 ［23］ 刘小珍，李奕慧，唐宏. 医护人员共情能力及影响因素
［22］ 胡文彬，高健，康铁君，等. 大学生共情与父母教养方 调查分析［J］. 护理学杂志，2017，32（4）：54-57
式的关系及影响因素研究［J］. 中国健康心理学杂志， （本文编辑：姜 鑫）

What is the philosophical basis of narrative medicine

——Reflection based on inter⁃subjectivity
1 2
QIU Longhu ，GU Meixi
1. School of Marxism，Guangzhou University of Traditional Chinese Medicine，Guangzhou 510006；2. School of Humanities and
Management，Guangdong Medical University，Dongguan 523808，China
Abstract：Narrative medicine，which is popular worldwide，is replacing evidence⁃based medicine，and its
philosophical basis is an important issue that urgently needs to be explored in the academic field. Charon puts
forward that inter ⁃ subjectivity，as the core content of its philosophical foundation，would face three major
difficulties that cannot be solved：the uncertainty of subject status，the paradox of inter⁃subjectivity itself，and
the misinterpretation of the doctor⁃patient relationship as a result of the subjective abstraction of doctor⁃patient
individual. Only by absorbing the intervitality of rationalism and irrationalism， and completing the
transcendence of inter⁃subjectivity from Marx’s dialectical analysis of the natural and social attributes of life，is
the core content of the philosophical foundation of narrative medicine in which doctors and patients empathize
and make decisions together.
Key words：narrative medicine；inter⁃subjectivity；inter⁃life；empathy；Marx