随着现代性的发展,中国社会的信任模式经历了由传统社会的人际信任逐渐向现代社会的制度信任转移的变迁。在此过程中,医患信任“非对称性”在传统社会所获得的合法性也随之瓦解,正是在这样的社会变迁背景之下,医患冲突频发、医患关系紧张,一时间医患关系议题也被推向风口浪尖。本文基于社会变迁的逻辑揭示了当前医患关系紧张的根本原因,并由此进一步探讨了由“非对称性”瓦解所造成的负效应及其背后所隐含的认知与情感转换机制。提出只有以动态的视角,把医患关系看作互动过程中的关系问题,从个人和制度两方面着手进行改良,才能真正疏解由“非对称性”合法性丧失引起的负效应。
<<The development of modernity has witnessed the transformation of the mode of social trust from that of particular trust in traditional society to institutional trust in modernized society. The legitimacy of the “asymmetric nature” of doctor-patient relationship which had been thought highly of during traditional era is now crashing down due to the process of social transform. The issue concerning the relationship between doctor and patient has been widely discussed attributes to the rising severity of doctor-patient conflicts in society at large. Based on the social transform perspective,this article analyzed the cause of doctor-patient conflicts,as well as the consequential effects and the underlying switching mechanism between cognition and emotion. Only by viewing the doctor-patient relationship as a dynamic process of interaction,can the negative effects be mitigated and minimized.
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