Där litterärt språk möter läkarspråk

Litteraturens potential för undervisning i medicinsk humaniora

Författare

  • Anna Hultman Lunds universitet
  • Katarina Bernhardsson Lunds universitet
  • Christina Skagert Lunds universitet

DOI:

https://doi.org/10.54797/tfl.v54i2.23545

Nyckelord:

medical humanities, narrative medicine, medical education, heteroglossia, Mikhail Bakhtin, Jahan Ramazani

Abstract

This article discusses how fiction and its collisions between different linguistic registers have both literary and pedagogical potential. Taking its point of departure in literary texts used in the medical humanities teaching at the medical school at Lund University, various types of collisions between literary language and medical language are analysed. To conceptualize the collisions between the two registers, the article uses Mikhail Bakhtin's concept of heteroglossia and Jahan Ramazani's development of the concept in relation to poetry. The article identifies three different types of collisions. Firstly, collisions that entails a conflict, which shows the shortcomings and weak points of the medical language and perspective, and the danger of being absorbed in an abstract objectivity in the encounter with individual patients. Secondly, collisions that create an illusionary conflict, which are not as polemical but rather emphasize that the medical language needs to be supplemented with other languages and perspectives. Thirdly, collisions that instead emphasises a coexistence between the different languages and how medical language constitutes a linguistic resource in literature.

The analysis is contextualized with previous research in medical education and narrative medicine and three aspects of the potential of the collisions are discussed in depth: defamiliarization, perspective and epistemological diversity. The linguistic collisions capture how medical language can be used as a literary device. At the same time, they are emblematic of the dual character of the medical profession: a profession that, on the one hand, is firmly rooted in the natural sciences, and on the other is humanistic in a broad sense – a caring profession characterized by patient encounters that contain life stories, feelings, and experiences. The article places itself both within the field of medical humanities, and, through its material and its focus on literary form and linguistic collisions, within the field of literary studies.

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Författarbiografier

Anna Hultman, Lunds universitet

Doktor i litteraturvetenskap och vik. lektor i litteraturvetenskap och medicinsk humaniora vid Lunds universitet. Hennes forskningsintressen rör såväl medicinsk humaniora som sexualitets- och litteraturhistoria och pornografistudier, och hon är en av deltagarna i projektet ”Listening pleasures: Sexual health and audio apps in a time of digital intimacy”.

Katarina Bernhardsson, Lunds universitet

Docent i litteraturvetenskap, lektor i medicinsk humaniora och bitr. centrumledare för Birgit Rausing Centrum för Medicinsk Humaniora, allt vid Lunds universitet. Hennes forskningsintressen rör bland annat litterära och självbiografiska berättelser om sjukdom och anhörigskap samt läsmetoden shared reading.

Christina Skagert, Lunds universitet

Doktorand i litteraturvetenskap vid Lunds universitet. Hennes forskningsprojekt avhandlar Sonja Åkessons poetik genom relationen mellan metapoesi och kroppslighet i poesin. Hon undervisar i både litteraturhistoria och medicinsk humaniora.

Referenser

Ahlzén, Rolf. Why should physicians read? Understanding clinical judgement and its relation to literary experience. Durham/Karlstad, 2010.

Alberti, Fay Bound. Matters of the Heart. History, Medicine and Emotion. New York: Oxford University Press, 2010.

Andersson, Sven-Olof et al., red. Professionell utveckling inom läkaryrket. Stockholm: Liber, 2012.

Bachtin, Michail. The Dialogic Imagination. Four essays by M.M. Bakhtin. Caryl Emerson & Michael Holquist övers. Austin: University of Texas Press, [1981] 1982.

Banner, Olivia, Nathan Carlin, Thomas R. Cole red. Teaching Health Humanities. Oxford: Oxford University Press, 2019. DOI: https://doi.org/10.1093/med/9780190636890.001.0001

Bernhardsson, Katarina. Litterära besvär. Skildringar av sjukdom i samtida svensk prosa. Lund: Ellerströms, 2010.

Bernhardsson, Katarina, Lundin, Immi & Stenbeck, Evelina. Litteratur & läkekonst. Nio seminarier i medicinsk humaniora. Göteborg: Makadam, 2021.

Bleakley, Alan. Medical Humanities and medical education. How the medical humanities can shape better doctors. London: Routledge, 2015. DOI: https://doi.org/10.4324/9781315771724

Bondevik, Hilde, Knut Stene-Johansen. Sykdom som litteratur: 13 utvalgte diagnoser, Oslo: Unipub forlag, 2011.

Bulgakov, Michail. ”Ett bakvänt dop”. I Morfin och andra berättelser, Lars Erik Blomqvist övers. Stockholm: Modernista, [1925–26] 2020.

Charon, Rita et al. The principles and practice of narrative medicine. New York: Oxford University Press, 2017. DOI: https://doi.org/10.1093/med/9780199360192.001.0001

Cole, Thomas R., Carlin, Nathan S., Carson, Ronald A. Medical Humanities. An Introduction. Cambridge: Cambridge University Press, 2015.

Danius, Sara, Den blå tvålen. Romanen och konsten att göra saker och ting synliga. Stockholm: Albert Bonniers förlag, 2013.

DasGupta, Sayantani. ”Narrative Medicine, Narrative Humility: Listening to the Streams of Stories”. Creative Nonfiction (2014:52), 6–7. https://www.jstor.org/stable/26374730.

Dennhardt, Silke et al. ”Rethinking research in the medical humanities: a scoping review and narrative synthesis of quantitative outcome studies”. Medical Education vol. 50 (2016:3), 285–99. https://doi.org/10.1111/medu.12812. DOI: https://doi.org/10.1111/medu.12812

Ghazi, Sam. Sömn är tyngre än vatten. Skellefteå: Ord & Visor, 2007.

Gustafsson, Anna W. et al. ”An intricate dance of intersubjectivity. The social and cognitive benefits of a digital shared reading group”. Scientific Study of Literature vol. 12 (2022: 1–2), 103–132. https://doi.org/10.1075/ssol.22010.gus. DOI: https://doi.org/10.1075/ssol.22010.gus

Hemon, Aleksandar, ”The Aquarium. A child’s isolating illness”. The New Yorker, 2011-06-13. https://www.newyorker.com/magazine/2011/06/13/the-aquarium.

Hilger, Stephanie M., red. New directions in literature and medicine studies. London: Palgrave Macmillan, 2017. DOI: https://doi.org/10.1057/978-1-137-51988-7

Högskoleförordningen (1993:100), bilaga 2: Examensordning, ”Läkarexamen”. https://www.riksdagen.se/sv/dokument-och-lagar/dokument/svensk-forfattningssamling/hogskoleforordning-1993100_sfs-1993-100/.

Jones, Therese, Delese Wear, Lester D. Friedman, red., Health Humanities Reader. New Brunswick: Rutgers University Press, 2014.

Klingspor, Agneta. Stängt pga hälsosjäl. Stockholm: Mormor, 2010.

Mazzarella, Merete. ”Om att använda skönlitteratur”, Tidskrift för litteraturvetenskap, vol. 31 (2001:3), 74–80.

Mazzarella, Merete, Den goda beröringen. Om kropp, hälsa, vård och litteratur, Stockholm, 2005.

Moniz, Tracy et al. ”How Are the Arts and Humanities Used in Medical Education? Results of a Scoping Review”. Academic Medicine vol. 96 (2021:8), 1213–1222. https://doi.org/10.1097/ACM.0000000000004118. DOI: https://doi.org/10.1097/ACM.0000000000004118

Moniz, Tracy et al. ”The prism model: advancing a theory of practice for arts and humanities in medical education”. Perspectives on Medical Education vol. 10 (2021:4), 207–214. https://doi.org/10.1007/s40037-021-00661-0. DOI: https://doi.org/10.1007/S40037-021-00661-0

Montgomery, Kathryn. How Doctors Think. Clinical Judgment and the Practice of Medicine. Oxford: Oxford University Press, 2005. DOI: https://doi.org/10.1093/oso/9780195187120.001.0001

Nesby, Linda. Sinne, samhold og kjendiser. Sykdomsskildringer i skandinavisk samtidslitteratur. Oslo: Universitetsforlaget, 2021. DOI: https://doi.org/10.18261/9788215045122-2021

Outka, Elizabeth. Viral Modernism. The Influenza Pandemic and Interwar Literature. New York: Columbia University Press, 2019. DOI: https://doi.org/10.7312/outk18574

Pettersson, Margareta, Anette Årheim. ”Att läsa människor. Om litteraturläsning i läkarutbildningen”. Tidskrift för litteraturvetenskap vol. 40 (2010:3–4), 27–37. DOI: https://doi.org/10.54797/tfl.v40i3-4.11908

Phelan, James. Narrative medicine. A rhetorical Rx. New York: Routledge, 2022. DOI: https://doi.org/10.4324/9781003018865

Piemonte, Nicole M. & Kumagai, Arno K., ”Teaching for Humanism: Engaging Humanities to Foster Critical Dialogues in Medical Education”. I Teaching Health Humanities, red. Olivia Banner, Nathan Carlin & Thomas R. Cole, 36–60. Oxford: Oxford University Press, 2019. DOI: https://doi.org/10.1093/med/9780190636890.003.0003

Ramazani, Jahan. Poetry and its Others. News, Prayer, Song and the Dialogue of Genres. Chicago: The University of Chicago Press, 2014. DOI: https://doi.org/10.7208/chicago/9780226083421.001.0001

Rydén Gramner, Anja. Cold Heart, Warm Heart – On fiction, interaction, and emotion in medical education. Linköping: Department of Behavioural Sciences and Learning, 2022. DOI: https://doi.org/10.3384/9789179292355

Shapiro, Johanna et al. ”Medical Humanities and Their Discontents: Definitions, Critiques, and Implications”. Academic medicine vol. 84 (2009:2), 192–198. https://doi.org/10.1097/ACM.0b013e3181938bca. DOI: https://doi.org/10.1097/ACM.0b013e3181938bca

Sklovskij, Viktor. ”Konsten som grepp”. Jeanette Emt övers. I Modern litteraturteori: Från rysk formalism till dekonstruktion, bd 1, red. Claes Entzenberg & Cecilia Hansson, 15–32. Lund: Studentlitteratur, [1917] 2010.

Stagno, Susan & Michael Blackie, red. From Reading to Healing. Teaching Medical Professionalism through Literature. Kent: The Kent State University Press, 2019. https://doi.org/10.21977/D92110063. DOI: https://doi.org/10.1353/book66991

Stone, John, ”Autopsy in the form of an Elegy”. I Music from Apartment 8. New and Selected Poems. Baton Rouge: Louisiana State University Press, 2004.

Tolstoj, Leo. Ivan Iljitjs död. Bengt Jangfeldt övers. Stockholm: Modernista, [1886] 2015.

Wijkmark, Carl-Henning. Stundande natten. Stockholm: Norstedts, 2007.

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Publicerad

2025-02-11

Referera så här

Hultman, A., Bernhardsson, K., & Skagert, C. (2025). Där litterärt språk möter läkarspråk: Litteraturens potential för undervisning i medicinsk humaniora. Tidskrift för Litteraturvetenskap, 54(2). https://doi.org/10.54797/tfl.v54i2.23545

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