title: The disease-subject as a subject of literature.
abstract: Based on the distinction between living body and lived body, we describe the disease-subject as representing the impact of disease on the existential life-project of the subject. Traditionally, an individual's subjectivity experiences disorders of the body and describes ensuing pain, discomfort and unpleasantness. The idea of a disease-subject goes further, representing the lived body suffering existential disruption and the possible limitations that disease most probably will impose. In this limit situation, the disease-subject will have to elaborate a new life-story, a new character or way-of-being-in-the-world, it will become a different subject. Health care professionals need to realize that patients are not mere observers of their body, for they are immersed in a reassesment of values, relationships, priorities, perhaps even life-plans. Becoming acquainted with literature's capacity to create characters, modify narratives and depict life-stories in crisis, might sharpen physicians' hermeneutic acumen and make them more receptive to the quandaries of disease-subjects facing major medical and existential decisions in the wake of disruptive disease.
authors.affiliation: Universitat zu Köln, Philosophische Fakultät, Romanisches Seminar, Albertus-Magnus-Platz, 50923, Köln. kottow@terra.cl
authors.forename: Andrea R
authors.initials: AR
authors.lastname: Kottow
authors.forename: Michael H
authors.initials: MH
authors.lastname: Kottow
mesh_terms: D003657:Decision Making; D004194:Disease / Q000523:psychology*; D006801:Humans; D008093:Literature, Modern; D008513:Medicine in Literature; D010817:Physician-Patient Relations