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poems and narrative medicine

Mark J Kissler, Ben Saxton, Ricardo Nuila, Dorene F Balmer
As an early and important experience in medical education, dissection in the gross anatomy lab is a locus of professional formation. Because students often think of their professional development in evolving, narrative terms, the authors propose that close attention to these narratives might add to understanding of professional formation in progress. They solicited written reflections from students, to explore ways that both the content and form of written reflections might illuminate themes relevant to professional formation, and to describe some elements of professional formation in the context of one institution (Baylor College of Medicine, Houston, Texas)...
June 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Ad A Kaptein, Frans Meulenberg, Joshua M Smyth
The nature and severity of respiratory disease are typically expressed with biomedical measures such as pulmonary function, X-rays, blood tests, and other physiological characteristics. The impact of respiratory illness on the sufferer, however, is reflected in the stories patients tell: to themselves, their social environment, and their health care providers. Behavioral research often applies standardized questionnaires to assess this subjective impact. Additional approaches to sampling patients' experience of respiratory illness may, however, provide important and clinically useful information that is not captured by other methods...
March 2015: Journal of Health Psychology
Arden G Christen, Joan A Christen
In the September 1884 issue of Frank Leslie's Popular Monthly magazine, a fictional dramatic short story was published concerning the dental use of nitrous oxide. Entitled, "Cora Gray," it was written by the well-known American journalist and poet John Whittaker Watson (1815-1848), who authored hundreds of sentimental, tragic and dramatic poems, serials and stories concerning the destitute lives and deaths of downtrodden young women of that time. His greatest poetic effort, "Beautiful Snow," (1869) tells of a young prostitute who freezes to death in a snow bank...
July 2014: Journal of the History of Dentistry
Jordan S Potash, Julie Y Chen, Cindy L K Lam, Vivian T W Chau
BACKGROUND: To provide patient-centred holistic care, doctors must possess good interpersonal and empathic skills. Medical schools traditionally adopt a skills-based approach to such training but creative engagement with the arts has also been effective. A novel arts-based approach may help medical students develop empathic understanding of patients and thus contribute to medical students' transformative process into compassionate doctors. This study aimed to evaluate the impact of an arts-making workshop on medical student empathy...
2014: BMC Medical Education
George C Kalantzis, Costas B Tsiamis, Effie L Poulakou-Rebelakou
Cyclops are among the best-known monsters of Greek mythology, also mentioned in art and literature. According to the most recent scientific knowledge, the malformations caused by defective development of the anterior brain and midline mesodermal structures include cyclopia (synophthalmos), ethmocephaly, cebocephaly and arrhinencephaly. These severe forebrain lesions often are accompanied by severe systemic malformations, and affected infants rarely survive. Neither true cyclopia nor synophthalmos are compatible with life because an anomalous development of the brain is involved...
2013: Italian Journal of Anatomy and Embryology, Archivio Italiano di Anatomia Ed Embriologia
Ciara Breathnach
Narratives of the experience of pulmonary tuberculosis (TB) are relatively rare in the Irish context. A scourge of the early twentieth century, TB was as much a social as a physically debilitating disease that rendered sufferers silent about their experience. Thus, the personal diaries and letters of Irish poet, Seán Ó Ríordáin, (1916-1977) are rare. This article presents translations of his personal papers in a historico-medical context to chronicle Ó Ríordáin's experience of a life marred by respiratory disease...
June 2014: Medical Humanities
Anil Gurtoo, Piyush Ranjan, Ritika Sud, Archana Kumari
BACKGROUND & OBJECTIVES: The field of medical education in our country remains deeply fragmented and polarised between the biomedical technical domains which are overrepresented and the humanitarian domains which are under-represented within the universe of medical pedagogy. To overcome this imbalance, we designed a module that integrates the two domains in a holistic biomedical and socio-cultural framework with the objective of providing unified field of learning experience to the undergraduate medical students attending rotatory clinical postings in a medical college in New Delhi, India...
January 2013: Indian Journal of Medical Research
Howard F Stein
This paper explores the contexts and relationships in which EMR/EHR technology is used in healthcare settings. It approaches the EMR/EHR as an issue in clinical ethics. The author recognizes the immense contribution that healthcare informatics makes to coordinating and integrating medical care at the level of individual physician, nurse, and institutions. At the same time the author raises a cautionary note about some unrecognized dimensions of the use and experience of the EMR/EHR. The author argues that the EMR/EHR can consciously and unconsciously become an instrument of assembly line-like physician "productivity" and "production reports" that depersonalize patient and physician alike...
August 2012: Journal of the Oklahoma State Medical Association
Kenneth W Heaton
OBJECTIVE: To find out if Shakespeare, famed for his insights into human nature, is exceptional in how much his characters express grief through somatic symptoms and signs, and by physical illness. METHODS: The texts of all large-scale works currently attributed to Shakespeare (39 plays, 3 long narrative poems) were systematically searched for bodily changes and for evidence of grief as dominating the character's emotional state at the time. The findings were compared with those from a search of 46 works, similar in genre, by 15 prominent playwrights active at the same time as Shakespeare...
October 2012: Journal of Psychosomatic Research
Hendrik Voss
This review considers novels, plays and poems dealing with movement disorders in order to show the relevance in the literary context. The motifs are arranged and compared following a modern neurological nosology according to Parkinson syndromes, dystonia, myoclonus, tics, hemifacial spasm, Tourette syndrome, Huntington's disease and hyperekplexia. There is considerable variety in how movement disorders are depicted and how much influence they have on the plot structures. Their usage ranges from a brief reference in order to accentuate aspects of a character's personality or social position, such as in Shakespeare, Dickens, Tolstoy or Galdós; to truly constituting one of the plot's main themes as, for example, with the representation of Lewy body disease in Franzen's The Corrections and Huntington's disease in Vonnegut's Galápagos, Sawyer's Frameshift or McEwan's Saturday...
October 2012: Journal of Neurology, Neurosurgery, and Psychiatry
Cynthia Whissell
This research was designed to test the hypothesis that Milton's poem Paradise Lost is meaningfully patterned with respect to sound. Thirty-six segments from 12 Books of Paradise Lost were scored (Whissell, 2000) in terms of their proportional use of Pleasant, Cheerful, Active, Nasty, Unpleasant, Sad, Passive, and Soft sounds. Paradise Lost includes more Active, Nasty, and Unpleasant sounds and fewer Pleasant, Passive, Soft, and Sad sounds than a representative sample of anthologized poetry. The way in which emotional sounds are patterned (e...
August 2011: Perceptual and Motor Skills
Malcolm Nicolson
Robert Burns's poem, Death and Doctor Hornbook, 1785, tells of the drunken narrator's late night encounter with Death. The Grim Reaper is annoyed that ‘Dr Hornbook’, a local schoolteacher who has taken to selling medications and giving medical advice, is successfully thwarting his efforts to gather victims. The poet fears that the local gravedigger will be unemployed but Death reassures him that this will not be the case since Hornbook kills more than he cures. Previous commentators have regarded the poem as a simple satire on amateur doctoring...
June 2010: Medical Humanities
Kenneth W Heaton
OBJECTIVES: To determine how often Shakespeare's characters faint, fit, or die from extreme emotion; to assess Shakespeare's uniqueness in this regard; and to examine the plausibility of these dramatised events. DESIGN: Line by line search through modern editions of these late 16th and early 17th century works for accounts of characters fainting, fitting, or dying while under strong emotion and for no other apparent reason. DATA SOURCES: All 39 canonical plays by Shakespeare and his three long narrative poems; 18 similar works by seven of Shakespeare's best known contemporaries...
December 23, 2006: BMJ: British Medical Journal
Johanna Shapiro, Randall Longenecker
Rural family medicine residencies and practices continue to have difficulty attracting applicants and practitioners. Students facing decisions about rural training or practice may be deterred by negative stereotypes or a lack of understanding about rural experience. Renewed efforts to foster students' interest and influence students' intent toward rural practice are sorely needed. The authors report one such innovative strategy that used literary sources, many written by rural physicians, to trigger discussion and reflection among a group of 11 medical students who volunteered in 2004 to participate in a two-day retreat sponsored by The Ohio State University College of Medicine Rural Health Scholars program...
August 2005: Academic Medicine: Journal of the Association of American Medical Colleges
Joseph R Silvio
Federico Garcia Lorca, one of the 20th century's greatest playwrights, wrote his masterpiece, Yerma, shortly after feeling betrayed and abandoned by his closest friend Salvador Dali. At the same time, he also wrote a poem entitled "When I was Ten" that captured the pain and loneliness he experienced when his family moved from the country, where he was happy and surrounded by loving and admiring friends and family, to the city, where he was lonely and ridiculed in school for his effeminate manner. This temporal association suggests that Lorca was struggling with the same painful affects in adulthood as he had as a child and that he was employing the same coping mechanism he had developed early in his life, that of creating a fantasy that served as a secondary self-object to repair self-fragmentation caused by a rupture in a crucial primary self-object relationship...
2005: Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
David P Sklar, David Doezema, Steve McLaughlin, Deborah Helitzer
Both professionalism and interpersonal communication are core competencies for emergency medicine residents as well as residents from other specialties. The authors describe a weekly, small-group seminar lasting one year for emergency medicine residents that incorporates didactic materials, case studies, narrative expression (stories and poems), and small-group discussion. Examples of cases and narrative expressions are provided and a rationale for utilizing the format is explained. A theoretical model for evaluation measures is also included...
November 2002: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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