Marital & Family Therapy/Art Therapy, Loyola Marymount University College of Communication and Fine Arts, Los Angeles, California, USA
Med Humanit. 2023 Jun;49(2):308-320. doi: 10.1136/medhum-2022-012480. Epub 2022 Oct 3.
Narrative medicine is an interdisciplinary field that complements and expands on conventional healthcare training by supporting narrative competence skills and creativity derived from the arts and humanities domains to address the needs of healthcare providers and receivers. With the COVID-19 pandemic having had a profound impact on the healthcare workforce with an already high burn-out rate, multimodal arts interventions may help address the holistic dimensions of well-being. While empirical evidence supports the use of arts-based interventions in promoting healthcare workers' well-being and personal growth, art prompts are underexplored and underused in narrative medicine. Moreover, protocols and frameworks adopted in extant research on this topic are inconsistent, resulting in replication and validation challenges. These issues have motivated this exploratory-descriptive study with 11 narrative medicine practitioners to examine the use of short art prompts in an online narrative medicine workshop.The art prompts leveraged art therapy's Expressive Therapies Continuum (ETC) model, which uses the inherent properties of art materials, media and methods to elicit specific levels of information processing and creative experiences. The study aimed to understand how art prompts differ from writing prompts and explore the value art prompts could add to narrative medicine if any. Qualitative analyses revealed that art prompts in narrative medicine increase positive feelings and promote creativity and insight. Specifically, art prompts allowed participants to use sensorimotor functions, enter a flow-like state, be challenged and inspired by novelty and uncertainty, and experience a sense of play and personal discovery.
叙事医学是一门跨学科领域，通过支持源自艺术和人文学科的叙事能力技能和创造力，补充和扩展了传统的医疗保健培训，以满足医疗保健提供者和接收者的需求。随着 COVID-19 大流行对医疗保健人员已经很高的 burnout 率产生了深远的影响，多模态艺术干预可能有助于解决整体幸福感的问题。虽然实证证据支持使用基于艺术的干预措施来促进医疗保健工作者的幸福感和个人成长，但在叙事医学中，艺术提示的应用还不够深入，也没有得到充分利用。此外，在关于这个主题的现有研究中采用的协议和框架不一致，导致复制和验证的挑战。这些问题促使 11 名叙事医学从业者进行了这项探索性描述性研究，以检查在在线叙事医学研讨会中使用简短的艺术提示。艺术提示利用了艺术治疗的表达治疗连续体 (ETC) 模型，该模型使用艺术材料、媒体和方法的固有特性来引出特定水平的信息处理和创作体验。该研究旨在了解艺术提示与写作提示有何不同，并探讨艺术提示如果有的话，对叙事医学可能增加的价值。定性分析表明，叙事医学中的艺术提示可以增加积极的感觉，促进创造力和洞察力。具体来说，艺术提示允许参与者使用感觉运动功能，进入类似流动的状态，受到新奇和不确定性的挑战和启发，并体验到一种游戏和个人发现的感觉。
