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Narrative Medicine: Honoring the Stories of Illness

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Trained in medicine and in literary studies, Rita Charon is a pioneer in and authority on narrative medicine. In this important and long-awaited book she provides a comprehensive and systematic introduction to the conceptual principles underlying narrative medicine, as well as a practical guide for implementing narrative methods in health care. A true milestone in the field, it will interest general readers as well as experts in medicine, medical humanities, clinical education, ...
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Narrative Medicine: Honoring the Stories of Illness

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Overview

Trained in medicine and in literary studies, Rita Charon is a pioneer in and authority on narrative medicine. In this important and long-awaited book she provides a comprehensive and systematic introduction to the conceptual principles underlying narrative medicine, as well as a practical guide for implementing narrative methods in health care. A true milestone in the field, it will interest general readers as well as experts in medicine, medical humanities, clinical education, and literary theory.
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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: Dr. Charon presents her thoughts about the medical profession's failure to hear the life stories of patients. In contrast, she shares many stories of her patients over the years and how many of these patients could not find answers to their problems because their physicians were unable or unwilling to spend the time to understand what they were indirectly telling them.
Purpose: The author offers "narrative medicine" as a new form of clinical practice in which physicians develop a "competence to recognize, absorb, interpret and be moved by the stories of illness." She brings her extensive experience with both patient care and the English language to challenge readers to listen and then feel with the patient the nonclinical aspects of medicine. The author presents a compelling discussion.
Audience: The audience is clearly medical practitioners of all ages and specialties. The author introduces her concepts to her medical students and, as part of their clinical rotation, has them write their thoughts in relation to their patients, the parallel chart. There is much wisdom in this approach for the mental well-being of her students as they traverse the field of residency training.
Features: The author presents the equivalent of a semester course in blending a study of English literature and language, the practice of medicine, and the philosophical foundations for maturing physicians. It takes a significant amount of time to read and reflect on Dr. Charon's work. At first reading, the work appears tremendously wordy (a 13-page preface). But after spending the time to consider what the author is presenting, the beauty of her words shines through. She has incorporated a great number of classic literature and film references that entice readers to investigate further and see how they fit in the discussion. She has also explored her personal thoughts and philosophies of these works. One of the sections that initially appears tangential to the discussion is about the role of autobiographies in literature and history. After reading it however, it becomes quite clear how it perfectly supports the author's premise.
Assessment: This is a great book, but not one for fast assimilation. This is a book that takes much work to understand, but readers will be warmly rewarded for their efforts. I highly recommend that all involved in patient care read this a number of times, with each reading separated by a few years, so that they may understand where they have come from, where they currently are, and where they should be headed. Well done.
From the Publisher
"Narrative Medicine is practical enough to be benefiical to the clinician, yet sufficiently theoretical to serve as a seminal text in the field. Even master clinicians can gain from the knowledge and skills presented here. Charon has written an inspired and inspiring book; and, in her stories of patients and studetns, she is a role model for us all."—Perspectives

"This is a great book...Well done."—Doody's, a 5 star review

"Rita Charon addresses such issues in her most-welcome book, Narrative Medicine: Honoring Medicine: Honoring the Stories of Illness, a "primer," as she calls it, for the emergent field of "narrative medicine" that she has helped define. The book combines theory-drawn from literary studies, philosophy, anthropology, psychotherapy- and rich narratives from her own patients' and students' lives. It is a compelling mix, backed by the unusual authority of a physician who is also a literary scholar."—Perspectives

"A compelling mix, backed by the unusual authority of a physician who is also a literary scholar."—Lancet

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Product Details

  • ISBN-13: 9780195166750
  • Publisher: Oxford University Press, USA
  • Publication date: 3/2/2006
  • Pages: 288
  • Product dimensions: 9.30 (w) x 6.20 (h) x 1.20 (d)

Meet the Author

Columbia University College of Physicians and Surgeons
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Table of Contents

1 The sources of narrative medicine 3
2 Bridging health care's divides 17
3 Narrative features of medicine 39
4 Telling one's life 65
5 The patient, the body, and the self 85
6 Close reading 107
7 Attention, representation, and affiliation 131
8 The parallel chart 155
9 Bearing witness 177
10 The bioethics of narrative medicine 203
11 A narrative vision for health care 219
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