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Narrative medicine emerged in response to a commodified health care system that places corporate and bureaucratic concerns over the needs of the patient. This book provides an introduction to the principles of narrative medicine and guidance for implementing narrative methods.
Seeks to restore the pivotal role of the patient’s own story in the healing process • Shows how conventional medicine tends to ignore the account of the patient • Presents case histories where disease is addressed and healed through the narrative process • Proposes a reinvention of medicine to include the indigenous healing methods that for thousands of years have drawn their effectiveness from telling and listening Modern medicine, with its high-tech and managed-care approach, has eliminated much of what constitutes the art of healing: those elements of doctoring that go beyond the medications prescribed. The typically brief office visit leaves little time for doctors to listen to their patients, though it is in these narratives that disease is both revealed and perpetuated--and can be released and treated. Lewis Mehl-Madrona’s Narrative Medicine examines the foundations of the indigenous use of story as a healing modality. Citing numerous case histories that demonstrate the profound power of narrative in healing, the author shows how when we learn to dialogue with disease, we come to understand the power of the “story” we tell about our illness and our possibilities for better health. He shows how this approach also includes examining our relationships to our extended community to find any underlying disharmony that may need healing. Mehl-Madrona points the way to a new model of medicine--a health care system that draws its effectiveness from listening to the healing wisdom of the past and also to the present-day voices of its patients.
The Principles and Practice of Narrative Medicine articulates the ideas, methods, and practices of narrative medicine. Written by the originators of the field, this book provides the authoritative starting place for any clinicians or scholars committed to learning of and eventually teaching or practicing narrative medicine.
A timely, authoritative, and entertaining history of medicine in America by an eminent physician Despite all that has been written and said about American medicine, narrative accounts of its history are uncommon. Until Ira Rutkow’s Seeking the Cure, there have been no modern works, either for the lay reader or the physician, that convey the extraordinary story of medicine in the United States. Yet for more than three centuries, the flowering of medicine—its triumphal progress from ignorance to science—has proven crucial to Americans’ under-standing of their country and themselves. Seeking the Cure tells the tale of American medicine with a series of little-known anecdotes that bring to life the grand and unceasing struggle by physicians to shed unsound, if venerated, beliefs and practices and adopt new medicines and treatments, often in the face of controversy and scorn. Rutkow expertly weaves the stories of individual doctors—what they believed and how they practiced—with the economic, political, and social issues facing the nation. Among the book’s many historical personages are Cotton Mather, Benjamin Franklin, George Washington (whose timely adoption of a controversial medical practice probably saved the Continental Army), Benjamin Rush, James Garfield (who was killed by his doctors, not by an assassin’s bullet), and Joseph Lister. The book touches such diverse topics as smallpox and the Revolutionary War, the establishment of the first medical schools, medicine during the Civil War, railroad medicine and the beginnings of specialization, the rise of the medical-industrial complex, and the thrilling yet costly advent of modern disease-curing technologies utterly unimaginable a generation ago, such as gene therapies, body scanners, and robotic surgeries. In our time of spirited national debate over the future of American health care amid a seemingly infinite flow of new medical discoveries and pharmaceutical products, Rutkow’s account provides readers with an essential historic, social, and even philosophical context. Working in the grand American literary tradition established by such eminent writer-doctors as Oliver Wendell Holmes, William Carlos Williams, Sherwin Nuland, and Oliver Sacks, he combines the historian’s perspective with the physician’s seasoned expertise. Capacious, learned, and gracefully told, Seeking the Cure will satisfy armchair historians and doctors alike, for, as Rutkow shows, the history of American medicine is a portrait of America itself.
Health practitioners working in gray zones, or between official and unofficial medicines, played a fundamental role in shaping Latin America from the colonial period onward. The Gray Zones of Medicine offers a human, relatable, complex examination of the history of health and healing in Latin America across five centuries. Contributors uncover how biographical narratives of individual actors—outside those of hegemonic biomedical knowledge, careers of successful doctors, public health initiatives, and research and medical institutions—can provide a unique window into larger social, cultural, political, and economic historical changes and continuities in the region. They reveal the power of such stories to illuminate intricacies and resilient features of the history of health and disease, and they demonstrate the importance of escaping analytical constraints posed by binary frameworks of legality/illegality, learned/popular, and orthodoxy/heterodoxy when writing about the past. Through an accessible and story-like format, this book unlocks the potential of historical narratives of healings to understand and give nuance to processes too frequently articulated through intellectual medical histories or the lenses of empires, nation-states, and their institutions.
'Marvels of Medicine is one more valuable addition to the field and stands as an example of the intertextual delights available to us when we bring these skill sets to our reading of early medical writing. [...] The reader finds a rich blend of analysis of medical terminology and rhetorical strategies that opens up these medical works to a broader scholarship for consideration and shows how they added to the rise of a particular Latin-American consciousness and stand at an intersection of medicine and coloniality. [...] Marvels of Medicine offers a very interesting prism through which to engage with medical, social and literary thought in early modern scholarship and creates scope for similar intertextual analysis in this and later periods of medical writing.' - Fiona Clark, Bulletin of Spanish Studies
Offers an innovative plan to eliminate inequalities in American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system—and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.
In this wide-ranging exploration of American medical culture, John Harley Warner offers the first in-depth study of a powerful intellectual and social influence: the radical empiricism of the Paris Clinical School. After the French Revolution, Paris emerged as the most vibrant center of Western medicine, bringing fundamental changes in understanding disease and attitudes toward the human body as an object of scientific knowledge. Between the 1810s and the 1860s, hundreds of Americans studied in Parisian hospitals and dissection rooms, and then applied their new knowledge to advance their careers at home and reform American medicine. By reconstructing their experiences and interpretations, by comparing American with English depictions of French medicine, and by showing how American memories of Paris shaped the later reception of German ideals of scientific medicine, Warner reveals that the French impulse was a key ingredient in creating the modern medicine American doctors and patients live with today. Impressed by the opportunity to learn through direct hands-on physical examination and dissection, many American students in Paris began to decry the elaborate theoretical schemes they held responsible for the degraded state of American medicine. These reformers launched an empiricist crusade "against the spirit of system," which promised social, economic, and intellectual uplift for their profession. Using private diaries, family letters, and student notebooks, and exploring regionalism, gender, and class, Warner draws readers into the world of medical Americans while investigating tensions between the physician's identity as scientist and as healer.