鄉醫／相依在她方──林義馨、吳佳璇作品中的離島醫療景觀與書寫視角

本文討論林義馨和吳佳璇兩位醫師的離島醫療書寫，探析來自台灣的她們筆下呈現的離島醫療景觀，以及書寫離島時採取的視角。林義馨是以喜劇策略寫澎湖的「妙聞奇遇」，表層帶有知識菁英看待「地方」的眼光；但她實際是由此揭露當地的社會問題；尤其對照寫「外人」（台灣人）的部分，更得見作者對澎湖的認同，其喜劇化的寫作，可以視為在地的她對澎湖社會的治療行動。至於吳佳璇在以達悟族為主體的蘭嶼，她不固守台灣版本的醫學威權，修訂原本的醫學知識和經驗，尋求因地制宜的方式；並在向來僅專注當地「不足」的焦點之外，肯定蘭嶼的異質性，翻轉離島和台灣之間的主從關係。

關鍵字

醫師作家；醫療書寫；離島；澎湖；蘭嶼

並列摘要

This article discussed the medical writings regarding offshore islands by two female Taiwanese physicians, Yi-Hsin Lin and Chia-Hsuan Wu, and analyzed the medical conditions of offshore islands described by them, as well as their viewpoints on the offshore islands. It was found that Yi-Hsin Lin described the wonderful encounters in Penghu with a comic strategy. At first glance, it has the intellectual elites' viewpoints of looking at the local society, but the fact is, she used this method to expose local social problems. Especially in the comparison part regarding outsiders (people from Taiwan Main Island), the author's self-identity with Penghu could be seen more clearly. Comic writing could be regarded as a treatment for Penghu society by the author as a native. As for Chia-Hsuan Wu, she lives on Orchid Island where the majority is the Tao People. Without sticking to the Taiwanese version of medical authority, she revised the original medical knowledge and experience and sought methods to adapt to local conditions. Moreover, in addition to focusing on the local deficiencies, she also affirmed the particularities of Orchid Island and reversed the master-slave relationship between the offshore islands and Taiwan Main Island.

並列關鍵字

physician writers ； medical writings ； outlying islands ； Penghu ； Lanyu

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