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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
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Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2025年10月
Journal

Towards symbiosis：a phenomenological study on the challenges of

technological alterity in generative artificial intelligence and the

subjectivity crisis of medical students

1
WEN Jinwang ，MO Nan 2
1. School of Health，2. School of Marxism，Fujian Medical University，Fuzhou 350122，China
Abstract：The integration of generative artificial intelligence into contemporary medical education has
become both a descriptive and actionable paradigm shift within the field. Yet，this integration also carries
inherent risks of technical alterity and a crisis of medical students’subjectivity，including the alienation of
skills，within embodied relationships，account ability risks under algorithmic governance，the domination of
data rationality through technological intentionality，coupled with the alienation of humanistic values from the
subject. Critical reflection on technology implies a symbiotic co ⁃ construction that reconstructs the embodied
cognition in human ⁃ technology collaborative educational models. It is necessary to cultivate students’

algorithmic literacy and governance，returning from technological rationality to bodily rationality to reshape
humanistic values among medical students.
Key words：generative artificial intelligence；technical alterity；medical education；medical students