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Medical Humanities

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19 papers 25 to 100 followers
By Ronald Lands Benign hematologist
Linda M Hunt, Hannah S Bell, Allison M Baker, Heather A Howard
With rapid consolidation of American medicine into large-scale corporations, corporate strategies are coming to the forefront in health care delivery, requiring a dramatic increase in the amount and detail of documentation, implemented through use of electronic health records (EHRs). EHRs are structured to prioritize the interests of a myriad of political and corporate stakeholders, resulting in a complex, multi-layered, and cumbersome health records system, largely not directly relevant to clinical care. Drawing on observations conducted in outpatient specialty clinics, we consider how EHRs prioritize institutional needs manifested as a long list of requisites that must be documented with each consultation...
March 31, 2017: Medical Anthropology Quarterly
Miguel Kottow
Phenomenology in medicine's main contribution is to present a first-person narrative of illness, in an effort to aid medicine in reaching an accurate disease diagnosis and establishing a personal relationship with patients whose lived experience changes dramatically when severe disease and disabling condition is confirmed. Once disease is diagnosed, the lived experience of illness is reconstructed into a living-with-disease narrative that medicine's biological approach has widely neglected. Key concepts like health, sickness, illness, disease and the clinical encounter are being diversely and ambiguously used, leading to distortions in socio-medical practices such as medicalization, pharmaceuticalization, emphasis on surveillance medicine...
March 4, 2017: Medicine, Health Care, and Philosophy
Shane Neilson
Like many other disciplines, medicine often resorts to metaphor in order to explain complicated concepts that are imperfectly understood. But what happens when medicine's metaphors close off thinking, restricting interpretations and opinions to those of the negative kind? This paper considers the deleterious effects of destructive metaphors that cluster around pain. First, the metaphoric basis of all knowledge is introduced. Next, a particular subset of medical metaphors in the domain of neurology (doors/keys/wires) are shown to encourage mechanistic thinking...
March 2016: Medical Humanities
David J Hellerstein
"The City of the Hospital" is a creative nonfiction writing workshop for medical students, which the author has conducted annually since 2002. Part of the required preclinical Narrative Medicine curriculum at the Columbia University College of Physicians and Surgeons, this six-week intensive workshop includes close readings of literary works and in-class assignments that are then edited by fellow class members and rewritten for final submission. Over the years, students have produced a wide range of compelling essays and stories, and they describe the class as having an effect that lasts throughout their further medical training...
December 2015: Journal of Medical Humanities
Joshua M Liao, Brian J Secemsky
Narrative medical writing can be utilized to help increase the value and patient-centeredness of health care. By supporting initiatives in areas such as population health management, quality improvement and health disparities, it provides benefits that are particularly relevant to physicians focused on health care improvement, reform and redesign. Graduate medical education (GME) represents a key time and opportunity for internists to learn and practice this form of writing. However, due to a number of local and systems factors, many have limited opportunities to engage in narrative medical writing compared to other non-clinical activities...
November 2015: Journal of General Internal Medicine
Ronald H Lands
No abstract text is available yet for this article.
November 2015: Journal of General Internal Medicine
James Read
No abstract text is available yet for this article.
October 2016: Clinical Teacher
John H Davidson
The "curative potential" in almost any clinical setting depends on a caregiver establishing and maintaining an empathic connection with patients so as to achieve "narrative competence" in discerning and acting in accord with their preferences and best interests. The "narrative medicine" model of shared "close reading of literature and reflective writing" among clinicians as a means of fostering a capacity for clinical empathy has gained validation with recent empirical studies demonstrating the enhancement of theory of mind (ToM), broadly conceived as empathy, in readers of literary fiction...
April 2015: Rambam Maimonides Medical Journal
Kathryn P Celauro
No abstract text is available yet for this article.
July 2, 2013: Annals of Internal Medicine
Eva Elizabeth Bolt, Marianne C Snijdewind, Dick L Willems, Agnes van der Heide, Bregje D Onwuteaka-Philipsen
BACKGROUND: Euthanasia and physician-assisted suicide (EAS) in patients with psychiatric disease, dementia or patients who are tired of living (without severe morbidity) is highly controversial. Although such cases can fall under the Dutch Euthanasia Act, Dutch physicians seem reluctant to perform EAS, and it is not clear whether or not physicians reject the possibility of EAS in these cases. AIM: To determine whether physicians can conceive of granting requests for EAS in patients with cancer, another physical disease, psychiatric disease, dementia or patients who are tired of living, and to evaluate whether physician characteristics are associated with conceivability...
August 2015: Journal of Medical Ethics
Danielle Ofri
Medical caregivers are always telling stories because stories provide meaning to much of their working lives. Although there is surely an element of shock value in the stories that medical professionals choose to share, the compulsion to tell a story is largely motivated by the profound emotions kindled by the clinical experience. This impulse needs to be recognized by the profession, even nurtured. However, as Wells and colleagues highlight in this issue, social media adds a new twist to storytelling. Exponential amplification combined with lack of space for nuance is a toxic brew...
August 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Marco Annoni, Giuseppe Schiavone, Luca Chiapperino, Giovanni Boniolo
In the last few decades genomics has completely reshaped the way in which patients and physicians experience and make sense of illness. In this paper we build upon a real case - namely that of breast cancer genetic testing - in order to point to the shortcomings of the paradigm currently driving healthcare delivery. In particular, we put forward a viable analytical model for the construction of a proper decisional process broadening the scope of medical gaze onto human experience of illness. This model revolves around four main conceptual axes: (i) communicating information; (ii) informing decisions; (iii) respecting narratives; (iv) empowering decision-making...
December 31, 2012: Critical Reviews in Oncology/hematology
Graziano Martignoni, Nicola Grignoli, Valentina Di Bernardo, Martina Malacrida, Guenda Bernegger, Fabrizio Barazzoni, Roberto Malacrida
The Medical Humanities go beyond bioethics, cross over multiple disciplines and represent a new way of perceiving, seeing and thinking about illness. They represent a different view that gives value to the human side of treatment, that recognizes in self-narration an authentic and living foundation. Today, the technical aspects of medicine need more than ever to be accompanied by content derived from the arts and social or human sciences that focus on other, but not less important, aspects of being sick or in health...
December 31, 2012: Critical Reviews in Oncology/hematology
Ross M Boyce
No abstract text is available yet for this article.
November 4, 2014: Annals of Internal Medicine
Kevin J Kovatch
No abstract text is available yet for this article.
October 1, 2014: JAMA: the Journal of the American Medical Association
David W Dowdy
No abstract text is available yet for this article.
October 8, 2014: JAMA: the Journal of the American Medical Association
Srinivas Mandavilli
No abstract text is available yet for this article.
October 15, 2014: JAMA: the Journal of the American Medical Association
S C Schatzki
No abstract text is available yet for this article.
October 1999: AJR. American Journal of Roentgenology
Seamus O'Mahony
This essay aims to provoke debate on how and what the medical humanities should teach. It argues that the field has been dominated (to its detriment) by two misguided movements, postmodernism and narrative medicine, and that it should be redirected from utilitarian aims towards the goal of exposing medical students to a climate of thought and reflection.
2013: Perspectives in Biology and Medicine
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