Analysis on Pediatric Sick Role and Doctor-patient Relationship Based on Parsons’ Theory of "Sick Role" / 中国医学伦理学

With the development of medicine technology and the increasing of people’s demand for quality of life, the complexity of doctor-patient relationships is also increasing. Pediatrics is one of the departments with the most concentrated and complex doctor-patient conflicts, therefore, it is necessary to analyze the sick roles and doctor-patient relationships in pediatrics. This paper explained the connotation of the sick role and the doctor-patient social interaction pattern based on Parsons’ theory of "sick role", and analyzed the particularity of the pediatric sick roles in China according to China’s national conditions. Meanwhile, combining the group characteristics and social background of pediatric sick role, this paper elaborated the sociological crux of pediatric doctor-patient relationship in China, and conducted a critical analysis on Parsons’ theory of "sick role".

O estudo de práticas médicas: o cenário da sociologia das profissões / L'étude des pratiques médicales: l'écran de la sociologie des professions / Study of medical practices: the framework of the sociology of professions

Résumé La sociologie de la médecine s'est constituée à partir du modèle de la sociologie américaine des professions qui a émergé au cours des années 1930 (modèle qui a aussi marqué les historiens de la médecine). Cet article retrace le contexte dans lequel a émergé puis s'est institutionnalisé la sociologie des professions aux États-Unis à partir notamment des travaux des Talcott Parsons, Everett Hughes et Eliot Freidson. Aujourd'hui encore les questionnements portés sur les pratiques médicales en subissent fortement l'empreinte alors même que la sociologie des professions comporte des postulats discutés et discutables et des points aveugles importants, tel le lien entre l'État et la médecine.

Abstract The sociology of medicine is constituted from the model of the American sociology of professions, which has emerged in the 1930s (a model that has also marked the historians of medicine). This article traces the context in which the sociology of professions emerged and later became institutionalized in the United States, notably from the works by Talcott Parsons, Everett Hughes and Eliot Freidson. Even now, questionings about medical practices are strongly influenced by these authors, while the sociology of professions include debated and debatable postulates and important blind spots, such as the link between State and medicine.

Resumo A sociologia da medicina é feita a partir do modelo da sociologia americana das profissões que surgiu no decorrer da década de 1930 (modelo que também marcou os historiadores da medicina). O artigo traz de volta o contexto em que a sociologia das profissões surgiu e, em seguida, quando foi institucionalizada nos Estados Unidos, sobretudo a partir dos trabalhos de Talcott Parsons, Everett Hughes e Eliot Freidson. Ainda hoje os questionamentos realizados em práticas médicas são fortemente influenciados por essa empreitada, enquanto a sociologia das profissões comporta suposições discutidas e discutíveis e pontos cegos importantes, tais como a ligação entre o Estado e a medicina.