rx narrative: story as medicine
Post on 16-Jul-2015
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“We use them to derive meaning
from experience and to pass along knowledge, values, and wisdom.”
@LouiseAronson
“Story was crucial to our evolution—more so than opposable thumbs.
Opposable thumbs let us hang on; story told us what to hang on to.” Lisa Cron
“Stories seem to contain that timeless thread
of human connection. This is what our
brains were wired for reaching out and
interacting with others.”
PNAS.org: Speaker–listener neural coupling underlies
successful communication by Greg J. Stephens, Lauren
J. Silbert and Uri Hasson
https://www.youtube.com/watch?v=q1a7tiA1Qzo
Conflicting illness stories will hinder treatment because the
meaning we give to our illness is significant in terms of compliance,
managing our illness, and contributing to our well-being.
“Seriously ill
people are
wounded not
just in body
but in voice.”
Illness Is A Call For Stories
narrative wreckage
“When doctors can see illness
from their patients' eyes they
become better doctors.”
Ronald Drusin, MD, vice dean for education at Columbia's College of Physicians and Surgeons
.
Sayantani DasGupta
@sayantani16
“Long before doctors had anything of
interest in their black bags – no MRIs, no
lab tests, no all body CAT scans – what
they had was the ability to show up, what
they had was the ability to listen, and
bear witness to someone’s life, death,
illness, suffering, and everything else
that comes in between.”
“The simple yet complex art of listening is, in and of
itself, a clinical intervention.
Listening constitutes the very heart and soul of the
clinical encounter..””
“Please Hear What I'm Not Saying: The Art of Listening in the Clinical
Encounter” Mary T Shannon. Perm J. 2011 Spring; 15(2): e114–e117.
http
Health care is supposed to build on the story with each contact, but if we don’t know the story, each contact becomes a closed episode of its own, disconnected from every other episode. Fragmentation results as the outcome of a nonstoried approach to health care.
Narrative Medicine: Relationships, Stories, and Healing
Lewis Mehl-Madrona MD
“The ability to acknowledge,
absorb, interpret, and
act on the stories and plights of
others.” Rita Charon
Narrative Medicine
Charon R. Narrative medicine. New
“A medicine practiced without a genuine awareness of what patients go through may fulfil its technical goals but it is an empty medicine, or at best, half a medicine.”
Charon R. Narrative medicine. New York: Oxford University Press; 2006
Narrative medicine represents a storied understanding of health.
It’s a return to listening to the
patient’s story.
Saving and prolonging life incur an obligation to
accompany patients on their illness journeys.
Thomas R. Egnew. Suffering, Meaning, and Healing: Challenges of Contemporary Medicine. Annals of Family Medicine. 2009.
“I want my patients' passions listed on their
charts. Because if that's not there, then the only
thing I read is ‘endometrial cancer,’ carpal-tunnel
syndrome, fibromyalgia, chronic fatigue, and
mother died when she was 40 of breast cancer. I
don't want to look at this person and simply
think, she's doomed. I want to know what her
passion is in life. Who is this person sitting in
front of me?”
Pamela Wible @pamelawiblemd
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