Narrative Based Medicine / Edition 1

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Overview

Edited by two leading general practitioners and with contributions from over 20 authors, this book covers a wide range of topics to do with narrative in medicine. It includes a wealth of real examples of patients narratives and addresses theoretical and practical issues including the use of narrative as a therapeutic tool, teaching narrative to students, philosophical issues, narrative in legal and ethical decisions, narrative in nursing, and the narrative medical record.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Albert Liebman, MD (Medical College of Wisconsin)
Description: This soft-cover book consists of essays by multiple contributors on the narrative in healthcare. The editors, who also serve as contributors, are part-time general practitioners in London. The other 27 contributors are drawn from a variety of backgrounds, including history, psychiatry, epidemiology and public health, biology, computer science, the humanities, nursing, and anthropology. Three chapters consist of patient accounts of their illnesses.
Purpose: The introduction sets forth the proposition that the subject of narrative in medical education and practice has been neglected. In Chapter 1 the editors marshal the argument that the learned expertise of constructing a medical history and its emphasis on the "scientific" neglects skills that are "fundamentally linguistic, empathetic, and interpretive." The book represents the marshaling of evidence to turn attention to the interpretive aspect of the patient narrative. The worthy objective of the book is to once again bring the intricately woven fabric of disease and illness that includes the biologic, social, cultural, and experiential context of the patient to the attention of healthcare practitioners. The diverse backgrounds of the essayists highlight the theme from a variety of perspectives.
Audience: The editors state that it is intended for healthcare professionals. Hoever, it would appear that they are particularly addressing issues of the education and medical practice style of physicians, particularly general practitioners.
Features: The book is composed of 25 chapters divided into 6 sections. Some of the highlights include a previously published piece by Stephen Jay Gould on his illness and observations on variability in biology and statistics; a report from two of the teachers in the Michigan State course for medical students in literature; and the essay by one of the editors, entitled "Narrative Based Medicine in an Evidence Based World." The references at the end of each chapter are extensive and of high quality. The editors include an appendix of "some recommended readings" to "enliven the study of medicine or other health sciences."
Assessment: There have been many previous clarion calls for attention to the patient's story and the psycho-social context of medical practice. Among these are Balint's classic book, The Doctor, His Patient and the Illness, published in 1957, and his work with practitioners in that period emphasizing the patient's story in medical care. This book, however, applies post-modern forms of analyses to the issues of the subjective and science in medical practice.
From the Publisher
"Add NBM to your EBM and discard your medical mythology" - Journal of the Royal Society of Medicine
Albert Liebman
This soft-cover book consists of essays by multiple contributors on the narrative in healthcare. The editors, who also serve as contributors, are part-time general practitioners in London. The other 27 contributors are drawn from a variety of backgrounds, including history, psychiatry, epidemiology and public health, biology, computer science, the humanities, nursing, and anthropology. Three chapters consist of patient accounts of their illnesses. The introduction sets forth the proposition that the subject of narrative in medical education and practice has been neglected. In Chapter 1 the editors marshal the argument that the learned expertise of constructing a medical history and its emphasis on the ""scientific"" neglects skills that are ""fundamentally linguistic, empathetic, and interpretive."" The book represents the marshaling of evidence to turn attention to the interpretive aspect of the patient narrative. The worthy objective of the book is to once again bring the intricately woven fabric of disease and illness that includes the biologic, social, cultural, and experiential context of the patient to the attention of healthcare practitioners. The diverse backgrounds of the essayists highlight the theme from a variety of perspectives. The editors state that it is intended for healthcare professionals. Hoever, it would appear that they are particularly addressing issues of the education and medical practice style of physicians, particularly general practitioners. The book is composed of 25 chapters divided into 6 sections. Some of the highlights include a previously published piece by Stephen Jay Gould on his illness and observations on variability in biology andstatistics; a report from two of the teachers in the Michigan State course for medical students in literature; and the essay by one of the editors, entitled ""Narrative Based Medicine in an Evidence Based World."" The references at the end of each chapter are extensive and of high quality. The editors include an appendix of ""some recommended readings"" to ""enliven the study of medicine or other health sciences."" There have been many previous clarion calls for attention to the patient's story and the psycho-social context of medical practice. Among these are Balint's classic book, The Doctor, His Patient and the Illness, published in 1957, and his work with practitioners in that period emphasizing the patient's story in medical care. This book, however, applies post-modern forms of analyses to the issues of the subjective and science in medical practice.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780727912237
  • Publisher: Wiley
  • Publication date: 11/17/1998
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 304
  • Product dimensions: 5.40 (w) x 8.40 (h) x 0.80 (d)

Table of Contents

Contributors
Foreword
Acknowledgments
Introduction
1 Why study narrative? 3
2 The words we live in 17
Illness Stories
3 The median isn't the message 29
4 The night my life changed 34
5 The good bleed guide 38
6 Stories of dying: therapeutic writing in hospice care 45
7 Narratives of childhood epilepsy: have I got epilepsy or has it got me? 55
The conker tree 70
Narrative in Medicine
8 Pain narratives 75
9 Following the story: continuity of care in general practice 83
10 Narrative and mental health in primary care 93
11 Sirens, stray dogs, and the narrative of Hilda Thomson 103
12 Narrative in surgery 110
Dear Tom 118
Learning and Teaching Narrative
13 Literature in medicine 123
14 Teaching humanities in the undergraduate medical curriculum 128
15 The golden narrative in British medicine 140
16 Nursing, narrative, and the moral imagination 149
Dead notes 159
Understanding Narrative in Health Care
17 Stories we hear and stories we tell...analysing talk in clinical practice 165
18 Narrative in psychotherapy 176
19 The electronic medical record and the "story stuff": a narrativistic model 185
20 Anecdote in clinical practice 202
The Database of Individual Patient Experience 212
Broader Perspectives on Narrative in Health Care
21 Narrative in medical ethics 217
22 Anthropology and narrative 225
23 The wounded storyteller: narrative strands in medical negligence 234
24 Narrative based medicine in an evidence based world 247
25 Organ music 266
App.: Some recommended reading 273
Index 279
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