의료적 서사의 공동 창조: 「이중 작가 초롱」의 이중 재현과 환자-의료인 서사

Abstract

This paper explores the concept of ‘co-creation of narrative’ in medical settings through Lee’s work “Double Writer Chorong.” In the work, Chorong's narrative demonstrates a situation of “wrong” encounter of dual representations of the same content, and this paper argues that this always have been repeated in how doctors and patients represent health and illness. Specifically, medical professionals objectify and standardize illness through scientific, biomedical approaches, while patients understand their illness based on their subjective experiences and emotional meanings. These two narrative forms reveal the gap between clinical diagnosis and patient experience, and the challenge lies in how to bridge this gap. In the medical context, while the biomedical model has shown excellent utility in disease diagnosis and treatment thus far, it has been criticized for alienating patients’ personal and psychological dimensions. On the other hand, while patient narratives richly reveal the intimate meanings of suffering, they have limitations in conveying clear information required in medical communication. Ultimately, the key issue is not about determining which side holds the truth, but about creating a space for co-creation by acknowledging the complementary value of both narratives. Through a narrative medicine approach, this paper explores how the co-creation of narratives can function as a methodology for combining clinical practice and patient experience. While patients and medical professionals have always produced narratives together, either pathophysiological information or personal context has typically been given primacy in this process. However, when the two modes of representation meet to create a new representation, richer meanings of treatment and care become possible in the clinical setting. What narrative medicine offers to clinical practice is this possibility of co-creation between patient-clinician.