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医学中的故事探寻:精神医学中叙事技巧的运用。

Finding the Story in Medicine: The Use of Narrative Techniques in Psychiatry.

机构信息

Department of Psychiatry, Denver Health, 660 Bannock St, Suite 4754, Denver, CO 80204, USA; University of Colorado, School of Medicine, 13001 E 17th Pl, Aurora, CO 80045, USA.

Department of Psychiatry, Massachusetts General Hospital, 125 Nashua Street, Suite #324, Boston, MA 02114, USA.

出版信息

Psychiatr Clin North Am. 2021 Jun;44(2):263-281. doi: 10.1016/j.psc.2021.03.006.

DOI:10.1016/j.psc.2021.03.006
PMID:34049648
Abstract

Narrative medicine is a patient-centered educational approach that promotes humanistic engagement of medical practitioners; it offers a unique framework for understanding medical encounters and promotes empathic connections through enhancement of observation, listening, and reflection. The andragogy of narrative medicine uniquely engages adult learners and may enhance academic learning. This article explores the evidence for narrative medicine and discusses its unique applications and potential within psychiatry. An adaptable narrative medicine curriculum is proposed for use in a 4-year psychiatric residency curriculum to allow for easy adoption of narrative medicine as an underutilized best educational practice.

摘要

叙事医学是一种以患者为中心的教育方法,它促进了医疗从业者的人文参与;它为理解医疗接触提供了一个独特的框架,并通过增强观察、倾听和反思来促进同理心的联系。叙事医学的成人教育学独特地吸引了成年学习者,并可能增强学术学习。本文探讨了叙事医学的证据,并讨论了其在精神病学中的独特应用和潜力。提出了一个适应性强的叙事医学课程,用于 4 年制精神病学住院医师课程,以便更容易地采用叙事医学作为一种未充分利用的最佳教育实践。

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Cancer Manag Res. 2025 Sep 10;17:1925-1934. doi: 10.2147/CMAR.S521105. eCollection 2025.
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Clinical narrative competence and humanistic care ability of nurses in assisted reproductive technology: a cross-sectional study.辅助生殖技术中护士的临床叙事能力与人文关怀能力:一项横断面研究。
BMC Nurs. 2024 Feb 15;23(1):119. doi: 10.1186/s12912-024-01791-6.
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Narrative Medicine in Hospice and Palliative Care: A Longitudinal Fellowship Curriculum Pilot.
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Am J Hosp Palliat Care. 2024 Oct;41(10):1161-1165. doi: 10.1177/10499091231223717. Epub 2023 Dec 21.
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The role of patients' stories in medicine: a systematic scoping review.患者故事在医学中的作用:系统范围综述。
BMC Palliat Care. 2023 Dec 12;22(1):199. doi: 10.1186/s12904-023-01319-w.