国立情報学研究所で電子化したコンテンツを使用している。

No description available.

国立情報学研究所で電子化したコンテンツを使用している。

国立情報学研究所で電子化したコンテンツを使用している。

国立情報学研究所で電子化したコンテンツを使用している。

国立情報学研究所で電子化したコンテンツを使用している。

在高度醫療化的現代社會當中，醫病關係是一個不容忽視的重要議題。二十世紀的醫療科技突飛猛進，但是病患所接受的醫療品質卻是越來越低劣。醫生過度強調科學與理性，失去對病人的尊重，因而導致醫療系統凌駕於人性之上的情境。《哈維》與《心靈病房》分別描述了病患在醫院所經歷的治療過程。透過這兩齣戲的比較，本文發現二十世紀下半葉的醫療系統對待病患的態度並無改善。透過傅柯與生命倫理學的觀點，本文旨在說明二十世紀醫療系統對人性所造成的迫害，並且探討醫療體系的威權如何被建立以及病患的自主權如何被剝奪。 　　本論文分為四章。第一章說明柴絲和愛德森的生平背景、《哈維》與《心靈病房》的相關評論以及本論文的理論架構。第二章透過傅柯的觀點闡述醫護人員無形中施加於病患身上的醫療暴力。第三章透過生命倫理學的角度分析病患任由醫療體系擺佈的過程。第四章總結醫護人員對病患的操控以及病患在醫療系統中所遭遇的困境，並且重申醫療系統應該以「以病患為中心」的醫療模式取代傳統霸權式的醫療。 / In the madicalized society, the doctor-patient relationship is a significant issue because medical science has had tremendous breakthroughs in the twentieth century, yet the quality of hospital care has become worse. Doctors, over-relying on science and rationality, lose respect for their patients, which leads to a situation of medical apparatuses above humanity. Mary Chase’s Harvey and Margaret Edson’s Wit describe patients’ experience in hospital respectively. Through the comparison and contrast of the plays, this thesis cannot see any improvement in doctors’ treatment of patients. Therefore, aiming at demonstrating the dehumanizing evil of medical apparatuses, this thesis elaborates the construction of medical authority from the perspective of Foucault’s analysis of disciplinary power and reflects on the deprival of patients’ autonomy with the approach of biomedical ethics. This thesis is divided into four chapters. Chapter One introduces the backgrounds of the authors, literature review of Harvey and Wit and the theoretical frameworks of Foucault and biomedical ethics. Chapter Two, focusing on the rigid disciplinary power of medical apparatuses, illustrates hospital staff’s evil practice on patients. Chapter Three demonstrates the dehumanized patients under the manipulation of medical discipline and unethical treatment. Chapter Four concludes hospital staff’s manipulation of patients and patients’ dilemmas in medical institution and then reiterates the significance of the patient-centered treatment.

紐倫堡法典之後，生物醫學研究中人類受試者的處境開始受到關注。為避免受試者遭到濫用，進而保障其權益，國際間陸續頒佈與人體研究受試者保護相關之倫理規範，而各國亦逐步將倫理規範落實為國內法規，作為管制手段。涉及受試者之人體研究倫理規範與法規中，自紐倫堡法典以降，逐步確立以告知後同意以及倫理審查為核心，建立確保受試者自主權之管制機制，作為平衡受試者與研究者兩方在知識與處境上的不平等的關係。 本文以當代生物醫學上告知後同意法則發展，以及人體研究受試者保護之相關行政管制為取徑，首先，考察人體研究所涉及的法律、倫理的爭議，以及相關倫理規範發展。進而探討告知後同意在當代生命倫理與醫療法律之意義、內涵，以及如何實踐於生物醫學人體研究上作為確保受試者自主權之手段及所遭遇之限制。其次，分析並比較美國、荷蘭以及我國受試者保護之法規體系，並進一步討論其特色與優、劣。最後，探討我國人體研究受試者保護法規範之現況與不足，並提出法律修正上的建議。 / Since Nuremberg Code, the biomedical researches involving human subjects, based upon the informed consent and human autonomy, has drawn the increasing public attention. The related normative restrictions as well as legal regulations have been regarded as a significant way to abuse-avoidance and interest-protection on the part of human subjects involved. Thus, it becomes a confirmed tendency that the constitution of normative and legal foundation with a consideration of informed consent and ethico-medical review can ensure the human autonomy and strike a balance between the researchers and human subjects. In this thesis, we focus on the development of informed consent and the related normative/legal regulations. Several issues which we will deal with can list as follows: firstly, the trajectory and its legal/ethical controversies, with which the biomedical researches involving human subjects develop and revolve, will be clarified, so as to investigate the ethical/legal implications of informed consent and human autonomy. Secondly, by making a comparison of legal regulations among the United States, Holland and Taiwan, we will illustrate the advantages and drawbacks that different legal systems have on the biomedical researches involving human subjects. At the last part of this thesis, several possible suggestions will be provided to the future legislation on the biomedical researches involving human subjects.