Division of Geriatrics and Palliative Medicine (I.K.), Weill Cornell Medical College, New York, New York, USA.
UCSF: University of California San Francisco (J.R.K., L.S.), San Francisco, California, USA; UCSF MERI CENTER : University of California San Francisco (G.K.), San Francisco, California, USA.
J Pain Symptom Manage. 2022 Aug;64(2):e91-e100. doi: 10.1016/j.jpainsymman.2022.04.170. Epub 2022 May 15.
In healthcare institutions across the country, the role of poetry continues to emerge within the liminal spaces between the medical humanities and clinical care. While the field of narrative medicine is well-developed generally, formal review of the state of poetry as a healing modality is limited. Poetry in the medical humanities literature has often been described by its indefinability as much as by its impact on healing. The power of poetry in healthcare is thought to be multi-faceted and deserves to be explored further. Poetry can be medicine for both patient and clinician. "Poetic Medicine" is a modality that has been utilized for the healing of grief, loss, wounds of the psyche and spirit, and as a process for expanding resiliency in healthcare-applications that are particularly relevant to the practice of hospice and palliative medicine-for patient and clinician alike. While numerous approaches share common themes, current programs bringing poetry into healthcare have been operating largely in isolation from each other-with a lack of national consensus on definitions or structures of interventions. Such isolation is a major restriction to the study and growth of Poetic Medicine. While it is not known with certitude, the number of Poetic Medicine programs in healthcare in the United States appears to be growing. In this paper, we propose an initial framework to define the role and impact of poetry in healthcare and then describe two different, well-established Poetic Medicine programs in the United States.
在全国范围内的医疗机构中，诗歌的作用继续在医学人文科学和临床护理之间的边缘空间中显现出来。尽管叙事医学领域已经相当发达，但对诗歌作为一种治疗方式的现状进行正式审查的情况有限。医学人文科学文献中的诗歌往往因其难以定义而不是因其对治疗的影响而被描述。诗歌在医疗保健中的力量被认为是多方面的，值得进一步探索。诗歌可以是医患双方的良药。“诗意医学”是一种模式，已被用于治疗悲伤、失落、心灵和精神创伤，以及作为一种增强医疗保健弹性的过程——这些应用与临终关怀和姑息医学的实践特别相关——对患者和临床医生都适用。虽然许多方法有共同的主题，但目前将诗歌引入医疗保健的项目在很大程度上相互孤立——缺乏关于干预措施定义或结构的全国共识。这种孤立是诗意医学研究和发展的主要限制。虽然不能确定，但美国医疗保健中的诗意医学项目数量似乎在不断增加。在本文中，我们提出了一个初步框架来定义诗歌在医疗保健中的作用和影响，然后描述了美国的两个不同的、成熟的诗意医学项目。
