Intersubjectivity and language in the clinical encounter
Towards a theory of communication in health
DOI:
https://doi.org/10.21814/2i.6450Keywords:
Language, Medicine, Health Communication, Wilhelm von HumboldtAbstract
Medicine is theoretically grounded in the construction of an eminently rationalist and mechanistic discourse, detached from the subjective historicity inherent in humanistic approaches that emphasize the way of life or the quality of existence. This disconnect has, since the mid-20th century, given rise to a countercurrent advocating for the “re-humanization” of medicine, primarily centered on language. Since the core of medical practice is the clinical encounter, it is essential to understand how language, in its discursive function, aligns with rational and empirical knowledge, as well as with the subjects involved in this dialogical relationship. Our analysis begins with a critique of the Kantian model—which considers language merely as a vehicle—drawing particularly on Humboldt’s insights. This perspective is then integrated with epistemological theories and recent theoretical developments from a hermeneutic-phenomenological framework, aiming to map out the medical sciences and their associated discourses. This approach will not only clarify the role of language in medicine but also incorporate insights from other fields of knowledge relevant to healthcare practices. Ultimately, this characterization could pave the way for a general theory of communication in health, fostering a deeper understanding and enhancing interactions between healthcare professionals and their patients—making them, more inclusive and humane.
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