Narrative Medicine fortifies clinical practice with the narrative competence to recognize, absorb, metabolize, interpret, and be moved by the stories of illness. Through narrative training, the Program in Narrative Medicine helps doctors, nurses, social workers, and therapists to improve the effectiveness of care by developing the capacity for attention, reflection, representation, and affiliation with patients and colleagues. Our research and outreach missions are conceptualizing, evaluating, and spear-heading these ideas and practices nationally and internationally.
Relevance of narrative medicine
The operative practice of medicine must have narrative competence structured within it, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Narrative competence practiced within medicine, called narrative medicine, is projected as a model for compassionate and operative medical health practice. Implementing approaches such as reflective writing and close reading of literature enables narrative medicine to observe and highlight four of medicals- central narrative situations: doctor and patient, doctor and self, doctor and colleagues, and doctors and society. Within narrative medicine, doctors can access and join their patients in illness, acknowledging individual journeys through medicine, recognize and understand duties towards other health professionals, and install significant discourse with the general public about health care. Through spanning the divisions that separate doctors from patients, themselves, work-colleagues, and society, the study of narrative medicine gives prospects for empathic, nourishing, and respectful health care.
Integration in the medical curriculum
Ill individuals need physicians who can treat their medical problems, accompany them through their illnesses and recognize as well as understand their diseases. Regardless of medicine's current astounding high-tech advancement in treating and diagnosing various illnesses, doctors occasionally lack the abilities to identify and understand the dilemmas of their patients, to join fairly and courageously with patients in their illnesses, and to extend empathy toward those who suffer. A medical scientifically driven medicine alone cannot aid a patient contend with the loss of meaning in suffering or health. Alongside scientific competence, doctors need the capability to be stirred to act on the patient's behalf, listen to the stories of the patient, capture and honor their meanings. This is narrative medicine, that is, the ability that human beings use to interpret, absorb and reply to stories. This essay pronounces narrative competence and proposes that it permits the doctor to practice medicine with reflection, trustworthiness, empathy and professionalism. This medicine can be labeled as narrative medicine.
Empathic engagement
As the doctor listens to the patient, the physician trails the narrative strand of the story, imagines the situation of the teller (the biological, familial, cultural, and existential situation), identifies the numerous and often opposing meanings of the words used and the events labeled, and in some way enters into and is moved by the narrative world of the patient
Listening to stories of sickness and identifying that there are often no clear answers to patients' narrative queries request the courage and openhandedness to bear and to tolerate witness to imbalanced losses and unsystematic tragedies. If the doctor cannot achieve these narrative responsibilities, the patient will not articulate the whole story, and might not feel heard and might not ask the most frightening questions.
Reflection in practice
As reflective doctors, practitioners have revolved to a study of the humanities, particularly literature, to develop in their individual understanding of sickness. Reading groups and literature sessions have developed an ordinary place in hospital and medical schools, both for physicians to read well-written stories about illness and to extend their abilities as interpreters, readers, observers and conjurers of the worlds of others.
Insightful and reflective doctors can recognize and understand their own personal emotional reactions to patients, can make logic of their own personal life journeys, and so can award what is called for and called forth in facing sick and dying patients
Research implication
Narrative medicine recommends that many scopes of teaching, practice and medical research are instilled with narrative thoughts and can be molded to be more active with narrative competence. Even now, a spur-of-the-moment interest in narrative medicine has developed from many centers in Europe and abroad, approving the practicality and fit of these agendas and practices for medicine and other health care professions. As the intangible image of narrative medicine becomes clear, research schemas and action plans disclose
Discussion
As an ideal for medical practice, narrative medicine offers a model of care and delivers the conceptual and practical ways to endeavor toward that model. Knowledgeable by such models as biopsychosocial medicine and patient-centered medicine to look broadly at the patient and the illness, narrative medicine delivers the methods to recognize the personal influences between patient and doctors, the meaning of medical practice for the individual doctor, doctors' collective profession of their principles, and medicine's discourse with the society it serves. Narrative medicine instantaneously proposes doctors the methods to improve the efficacy of their work with their colleagues, public, themselves and the patients.
To approve the model of narrative medicine delivers entree to a great body of theory and practice that observes and highlights narrative acts. From the humanities, and particularly literary studies, doctors can learn how to accomplish the narrative features of their practice with new effectiveness. Not so much a new specialty as a new setting for clinical work, narrative medicine can give doctors and surgeons the skills, means, and texts to learn how to instill the details and matters of health and illness with their significances and implications for individual patients and doctors
Medicine not alone but also philosophy, sociology, history, law, nursing and government have lately acknowledged the significance of narrative understanding. Narrative knowledge is what one uses to recognize the importance and significance of patient stories through emotional, emblematic and cognitive means. This kind of understanding provides a rich, resonant idea of a singular person's situation as it discloses in time, whether in such texts as novels, newspaper stories, movies, and scripture or in such life settings as courtrooms, battlefields, marriages, and illnesses.
Conclusion
This essay has sketched out the development of narrative medicine, a medicine imbued with respect for the narrative scopes of sickness and caregiving. On the basis of previous information my final opinion is that the application of this theme in the curriculum of medical training is relevant. It is hereby important that there is a diverse team was considered the final detailed elaboration of this subject in the curriculum. It is important that doctors understand the underlying ideas and theories, so it is clear why they are given their assignments within the professional development line execution. Through systematic and rigorous training in such narrative skills as close reading, reflective writing, and authentic discourse with patients, physicians and medical students can improve their care of individual patients, commitment to their own health and fulfillment, care of their colleagues, and continued fidelity to medicine's ideals. By bridging the divides that separate the physician from the patient, the self, colleagues, and society, narrative medicine can help physicians offer accurate, engaged, authentic, and effective care of the sick.
References
[1]- Verhalen verhalen - Ad Kaptein, Sjaak van der Geest, Frans Meulenberg
[2]- Why, why did you have me treated?’: the psychotic experience in a literary narrative -A A Kaptein,1 J J E Koopman,1 J A Weinman,2 M J Gosselink3
[3] - Cancer Ward : Patient Perceptions in Oncology- Ad A. Kaptein and Antonia C. Lyons
[4]Julic Young: Mass Media and medicine: Challenges and opportunity