Knowledge and power: foucault's ideas in the doctor-patient relationship
知识与权力：福柯思想在医患关系中的应用

摘要

福柯的权力知识理论指出，知识与权力相互依存，知识的生产不仅是真理发现的过程，也隐含了权力的运作逻辑。在传统医学领域，医生依托其专业知识，通过技术规训和话语主导在医疗实践中占据重要地位。随现代医学发展，患者对健康的参与需求增加，医患关系受到医学知识体系、医院和媒体等多重因素的影响，逐步向更加互动化的方向发展。权力主体具有双重性，构建和谐的医患关系需要打破单向的权力结构，优化医患沟通和信息共享机制，提升患者自我管理责任，促进从以疾病为中心向以患者为中心的关系转型，实现医患之间的平等合作。

Abstract

Foucault's theory of power knowledge states that knowledge and power are interdependent, and that the production of knowledge is not only a process of truth discovery, but also implies the operational logic of power. In the field of traditional medicine, doctors rely on their professional knowledge and occupy an important position in medical practice through technical discipline and discourse domination. With the development of modern medicine, patients' demand for participation in health has increased, and the doctor-patient relationship has been influenced by multiple factors such as the medical knowledge system, hospitals and the media, and has gradually developed in a more interactive direction. The subject of power has duality, and the construction of a harmonious doctor-patient relationship requires breaking the unidirectional power structure, optimizing the communication and information sharing mechanism between doctors and patients, enhancing the responsibility of patients' self-management, promoting the transformation from disease-centered to patient-centered relationship, and realizing the equal cooperation between doctors and patients.