Improving doctor–patient communication through an autobiographical narrative theory

Improving doctor–patient communication through an autobiographical narrative theory
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通过自传体叙事理论改善医患沟通

DOI:
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发表时间:
2015
期刊:
影响因子:
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通讯作者:
Andrea Smorti
Andrea Smorti
中科院分区:
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文献类型:
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作者:
C. Fioretti;Andrea Smorti

文献摘要

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本文探讨了病人与医生的沟通,特别是在这种微妙的关系中,每个合作伙伴要求从其他的,在目前的研究中的认知研究有关自传体记忆和叙事。它解释说,叙事是一个共同建设和共享过程之间的故事讲述者和听众-在这种情况下,病人和医生,谁一起工作的故事的回忆。它进一步强调,需要一个强大的和考虑以病人为中心的做法和叙事的理论结构之间的连接,因为它涉及到自传体记忆的社会发展。通过对医患沟通和疾病叙述的现有证据的分析,提出了一个“基于叙述的医学”(NBM)模型。
This paper examines patient–physician communication, and in particular what each partner in this delicate relationship requests from the other, in the light of current research in cognitive studies relating to autobiographical memory and narrative. It explains that narratives are the result of a co-construction and sharing process between a storyteller and a listener – in this context, the patient and the physician, who work together on the story of the anamnesis. It further stresses the need for a robust and considered connection between patient-centred practices and theoretical constructs of narrative as it relates to the social development of autobiographical memory. Through an analysis of current evidence on doctor–patient communication and narratives of illness, a model of ‘narrative-based medicine’ (NBM) is proposed.