Child and Adolescent Psychiatry, Children's University Hospital Temple St, Dublin 1, Republic of Ireland.
UCD Child and Adolescent Psychiatry, University College Dublin, Dublin 4, Republic of Ireland.
Ir J Psychol Med. 2020 Dec;37(4):278-282. doi: 10.1017/ipm.2020.36. Epub 2020 May 14.
The coronavirus crisis occurs at a time when many clinicians have already experienced burnout. One in three Irish doctors were suffering from burnout in the 2019 National Study of Wellbeing of Hospital Doctors in Ireland; rates are also high in Irish Psychiatry. We present a perspective on the use of narrative in medicine and recognise that storytelling, and the patient history are very much at the heart of medicine. Clinician storytelling, such as Schwartz Rounds and Balint group work, has very much come to the fore in Irish Psychiatry and in training. Projects such as MindReading have explored overlaps between clinicians, humanities experts and experts by experience. We give an overview of some approaches from the movement around narrative in medicine to bolster this. We explore why clinicians write as ways to support identification, catharsis and a way to process experiences. Clinicians and patients may also use literature and poetry to promote coping. The historical context and practical strategies are highlighted, particularly with reference to poetry use during the current crisis.
冠状病毒危机发生之际,许多临床医生已经经历了职业倦怠。在 2019 年爱尔兰全国医院医生幸福感研究中,三分之一的爱尔兰医生患有职业倦怠;爱尔兰精神病学中的发病率也很高。我们提出了一种医学叙事的观点,并认识到讲故事和病史在医学中非常重要。临床医生讲故事,如 Schwartz 圆形会议和巴林特小组工作,在爱尔兰精神病学和培训中已经非常流行。MindReading 等项目探讨了临床医生、人文专家和经验专家之间的重叠。我们概述了一些来自叙事医学运动的方法,以支持这一点。我们探讨了为什么临床医生写作是支持识别、宣泄和处理经验的一种方式。临床医生和患者也可能使用文学和诗歌来促进应对。突出了历史背景和实用策略,特别是在当前危机期间使用诗歌的情况。