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In the 21st century, academic medical centers across the United States continue to make scientific breakthroughs, to make improvements in patient care, and to p- vide the most advanced information and guidance in matters affecting public health. The signs of growth are everywhere—in new research buildings, new pa- nerships with industry, new forms of molecular medicine, and new sensitivity to the role of the human spirit in healing. This growth is due in large part to the dedication and productivity of our faculty, who are providing more patient care, more research, more teaching, and more community service than ever before. Today, there are roughly 135,000 physicians, scientists, and othe...
Health Humanities in contemporary times has enabled exploration of the unexplored chartered terrains in literary paradigms. Scholars in the field of Humanities and Sciences have been engaging with the praxis of applying concepts from both disciplines revising the approach towards Health Care and Humanities. Due to interdisciplinary and multidisciplinary methodologies of reading literary texts, they have been reinforcing a paradigm shift from the conventional understanding of narratives in Literature and Health Care. Traditional discursive boundaries between the disciplines of Health and Humanities are collapsing due to a comprehensive and nuanced interpretation of the shared ontological foun...
Medical Humanities may be broadly conceptualized as a discipline wherein medicine and its specialties intersect with those of the humanities and social sciences. As such it is a hybrid area of study where the impact of disease and healing science on culture is assessed and expressed in the particular language of the disciplines concerned with the human experience. However, as much as at first sight this definition appears to be clear, it does not reflect how the interaction of medicine with the humanities has evolved to become a separate field of study. In this publication we have explored, through the analysis of a group of selected multidisciplinary essays, the dynamics of this process. Th...
Medical Humanities and Narrative Medicine have been increasingly relevant in view of the challenges that new health technologies and the digital world pose to truly person-centered healthcare. By Narrative Medicine we understand the practice of healthcare with narrative skills that allow professionals to recognize the suffering of others and of themselves; be able to interpret verbal and non-verbal narratives of illness; and be motivated to act in a way that respects the Person of the Patient and of the Professional. Surgery, like other medical specialties, requires space for reflection and debate on the meaning of humanism and its impact on the quality of care. This requirement is more pres...
We are constantly being warned, but we seldom heed warnings. Cautioned about authoritarian leaders, climate change, technological dystopias, or other catastrophes, we fail to take action or even take them seriously. Too often warnings are dismissed—much like the artists, scientists, environmentalists, and intellectuals who deliver them. Why don’t we listen? Santiago Zabala asks us to think of philosophy as a warning, a call to heed ominous “signs from the future.” He argues that warnings—as distinct from predictions—invite us to see the possibility of a radical break from the present. Predictions tell us to submit to the inevitable, but warnings ask us to take part in shaping a d...
Narrative medicine, an interdisciplinary field that brings together the studies of literature and medicine, offers both a way of understanding patient identity and a method for developing a clinician’s responsiveness to patients. While recognizing the value of narrative medicine in clinical encounters, including the ethical aspects of patient discourse, Tara Flanagan examines the limits of narrative practices for patients with cognitive and verbal deficits. In Narrative Medicine in Hospice Care: Identity, Practice, and Ethics through the Lens of Paul Ricoeur, Flanagan contends that the models of selfhood and care found in the work of Ricoeur can offer a framework for clinicians and caregivers regardless of the verbal and cognitive capabilities of a patient at the end of life. In particular, Ricoeur’s concept of patient identity connects with the narrative method of life review in hospice and offers an opportunity to address the religious and spiritual dimensions of the patient experience.
Exploring the potential for storytelling as a creative practice for health and well-being, Michael Wilson considers how the art form might help us reconsider the power relationships in healthcare contexts and restore agency to patients, in partnership with medical professionals.
Narrative medicine is a fresh discipline of health care that helps patients and health professionals to tell and listen to the complex and unique stories of illness. The Principles and Practice of Narrative Medicine expresses the collective experience and discoveries of the originators of the field. Arising at Columbia University in 2000 from roots in the humanities and patient-centered care, narrative medicine draws patients, doctors, nurses, therapists, and health activists together to re-imagine a health care based on trust and trustworthiness, humility, and mutual recognition. Over a decade of education and research has crystallized the goals and methods of narrative medicine, leading to...
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