Narrative medicine - A model for empathy, reflection, profession, and trust
Narrative medicine - A model for empathy, reflection, profession, and trust
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DOI：
10.1001/jama.286.15.1897
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发表时间：
2001-10-17
影响因子：
120.7
通讯作者：
Charon, R
中科院分区：
文献类型：
--
作者：
Charon, R
有效的医学实践需要叙事能力，也就是承认，吸收，解释和对他人的故事和困境采取行动的能力。叙事能力的医学实践，被称为叙事医学，被提出作为一种模式，人道和有效的医疗实践。采用文献的密切阅读和反思性写作等方法，使叙事医学能够检查和阐明医学的4个中心叙事情境：医生和患者，医生和自己，医生和同事，医生和社会。有了叙述能力，医生可以接触并加入他们的病人，认识到他们自己的医疗历程，承认与其他医疗保健专业人员的亲属关系和责任，并与公众就医疗保健展开重要的对话。通过弥合医生与患者、患者自己、同事和社会之间的鸿沟，叙事医学为尊重、移情和滋养医疗提供了新的机会。
The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care.