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narrative medicine : ウィキペディア英語版
narrative medicine
Narrative medicine is a medical approach that recognizes the value of people's narratives in clinical practice, research, and education.
==History==

Since the 1970s, critics have alleged that Western medicine has fallen victim to the professionalism movement. According to this critique, many medical schools and residency programs train physicians to treat medical problems merely as problems to be solved, without taking into account the specific psychological and personal history of the patient. As of the late 1990s, physicians like Rachel Naomi Remen and Rita Charon have argued that medical practice should be structured around the narratives of patients. Charon stated:
"Sick people need physicians who can understand their diseases, treat their medical problems, and accompany them through their illnesses."

The value of narrative medicine has been summarized as follows:〔 Tricia Greenhalgh and Brian Hurwitz. ("Narrative based medicine: Why study narrative?" ) BMJ 1999, 318:48-50.〕

*In the diagnostic encounter, narratives:
*
*Are the phenomenal form in which patients experience ill health
*
*Encourage empathy and promote understanding between clinician and patient
*
*Allow for the construction of meaning
*
*May supply useful analytical clues and categories
*In the therapeutic process, narratives:
*
*Encourage a holistic approach to management
*
*Are intrinsically therapeutic or palliative
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*May suggest or precipitate additional therapeutic options
*In the education of patients and health professionals, narratives:
*
*Are often memorable
*
*Are grounded in experience
*
*Encourage reflection
*In research, narratives:
*
*Help to set a patient centered agenda
*
*May challenge received wisdom
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*May generate new hypotheses

Narrative medicine aims not only to validate the experience of the patient, but also to encourage creativity and self-reflection in the physician.
In 2009, Columbia University created a master's program in Narrative Medicine.〔("Learning to Listen" ) New York Times (2009-12-29)〕

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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