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La realite de la pratique medicale dont La Maladie de Sachs entend temoigner semble s’appuyer sur l’experience du Dr Sachs comme sur celle de l’auteur, Martin Winckler, lui aussi medecin, celui-ci se confondant d’ailleurs a la fin du roman avec celui-la. Pourtant, il est permis de douter de la qualite de ce reel. Ainsi, le procede consistant a faire intervenir, au milieu des rares narrations du Dr Sachs, une multitude de voix (celles des patients, de la mere, des amis, etc.), loin de renforcer l’effet de reel, participe a son alteration, ces voix etant contaminees par le savoir et le vocabulaire medicaux du narrateur-auteur. De plus, ces voix epousent la vision de la medecine de Sachs/Winckler, vision largement pessimiste. Bref, au lieu de peindre le reel, le roman en cree une image subjective, celle que le Dr Sachs percoit, notamment au travers de sa maladie, desesperance melee de revolte, toutes deux issues de l’impuissance cruellement ressentie par le jeune Dr Sachs face a la mort de son pere.AbstractLa Maladie de Sachs bears witness to a reality of medical practice seemingly drawn from the experiences of both Dr. Sachs and the author. In fact, at the end of the novel, Martin Winckler, himself a physician, merges with his character. However, one might doubt the accuracy of this reality. The intervention, in the middle of Dr. Sachs’ rare narratives, of a multitude of voices (those of his patients, his mother, his friends, etc.) instead of reinforcing this impression of reality, contributes to its deterioration because these voices are contaminated by the medical knowledge and vocabulary of the narrator-author. In addition, these voices share Sachs/Winckler’s mostly pessimistic view of medicine. Instead of depicting the true reality, the novel creates a subjective image, based on what Dr. Sachs perceives, in part through his illness. This image arises out of the desperation and revolt flowing from the powerlessness cruelly felt by a young Dr. Sachs when confronted with his father’s death.

<em>La Maladie de Sachs</em> : le réel construit entre les pôles opposés du savoir et de la subjectivité