华人生死学
濒死范畴:临床与田野关于死亡跨界研究的哲学思辨
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题记:受《华人生死学杂志》约稿,北京大学医学部王一方教授为此撰写了一篇有关死亡跨界研究的哲学思辨。这是他积蕴心中很久却不曾落笔的话题,缘由是思之未彻,心中依然存有敬畏:“一是与其学术身份相贴近,一直关注死亡哲学命题;二是哲学具有纲领性思考的权利,可以“侵犯”其他学科的疆域,借别家的酒杯来浇心中的块垒,貌似宏阔,未必深远。三是逃避实证研究的严谨文体,思维跑野马,行文野狐禅,不受羁绊

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Near-death Category: Clinical Practice and FieldworkA Philosophical Reflection on Cross-Disciplinary Death Research
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    摘要:

    本文以濒死的哲学修辞开篇,展开关于临床与田野的方法学探索,医学方法中的临床并非单一的观察与处置,而是蕴含着人文与技术的内在张力,在技术化死亡语境下,濒死临床逐渐走向非人化,叙事医学的兴起带来全人医学的复兴,田野研究成为新范式,但田野研究也有社会学与人类学之别,量化研究与质性研究,找规律与找隐喻,数据之眼与意义之眼,成为濒死研究的新范畴,如何把握好张力,是田野研究的新命题,最后,针对濒死叙事的主体性问题展开论述,反思了濒死叙事的他者立场,呼吁建构主客一体的濒死研究格局。

    Abstract:

    This paper begins with a philosophical framing of the near-death, initiating a methodological inquiry into clinical practice and fieldwork. Within medical epistemology, clinical practice extends beyond mere observation and intervention, embodying the inherent tension between humanity and technology. In the context of the increasing medicalization and technologization of dying, clinical encounters at the end of life risk becoming progressively dehumanized. The emergence of narrative medicine has fostered a renewed emphasis on whole-person care, with fieldwork increasingly recognized as a complementary methodological paradigm. Fieldwork encompasses multiple methodological distinctions, including sociological and anthropological perspectives, quantitative and qualitative approaches, and analytic orientations toward pattern identification versus meaning interpretation, through which data and meaning emerge as key conceptual categories in near-death research. How to properly handle the tension is a new issue in fieldwork. Finally, the discussion focuses on the issue of subjectivity in near-death narratives, examines the perspectives of secondary actors represented within the narrative and calls for the development of an integrative subject-object framework in near-death research.

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  • 收稿日期:2026-02-28
  • 最后修改日期:2026-02-28
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  • 在线发布日期: 2026-03-02
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