Shapiro Johanna, Ross Valerie
Department of Family Medicine, University of California-Irvine, 92868-3298, USA.
Fam Med. 2002 Feb;34(2):96-100.
This article presents narrative theory and therapy as an approach with significant potential for providing family physicians with additional tools to assist them in dealing with difficult clinician-patient encounters. We first define narrative therapy, then briefly describe its theoretical assumptions in relation to psychosocial concepts already familiar to family physicians. Important aspects of narrative therapy are examined, including the unique role of questioning in the narrative process; understanding and helping patients change their problem-saturated stories; renaming and externalizing the patient problem; and the use of rituals, documents, and audience in recognizing and reinforcing patient change. The article concludes with thoughts about how narrative approaches can contribute to more-healing doctor-patient relationships.
本文介绍了叙事理论与疗法，作为一种具有巨大潜力的方法，可为家庭医生提供额外工具，以帮助他们应对艰难的医患沟通。我们首先定义叙事疗法，然后简要描述其与家庭医生已熟悉的社会心理概念相关的理论假设。本文探讨了叙事疗法的重要方面，包括提问在叙事过程中的独特作用；理解并帮助患者改变充满问题的故事；对患者问题进行重新命名并使其外化；以及利用仪式、文档和受众来识别并强化患者的改变。文章最后思考了叙事方法如何有助于建立更具治愈力的医患关系。
