Hodges' conceptual framework: A model for Narrative Medicine ...

Abstract

The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care. ...

 

Charon R. Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust. JAMA. 2001;286(15):1897–1902. doi:10.1001/jama.286.15.1897 

With my emphasis.

#Identity #Group #Individual #Collective #Mind #Body #TheOdysseyHasBegun

c/o Intima 'Reflect on the World' . . .

CARE/of Intima:

REFLECT ON THE WORLD WITH US EVERY FRIDAY AT NOON.

No pressure, but we want to remind you that every Friday, around noon EST, we post a Crossroads blog—a short reflection that contributors from our current issue do on something from our archives. Think of “Friday at noon” as a blip in your busy life where you take time to yourself to reflect on our small part of the universe. Pause and spend 5 minutes reading one each Friday — it’s the equivalent of a deep-breathing exercise, a short yoga stretch, a tiny palate cleanser of lemon sorbet between the complex courses served up to us every day, or a moment stolen between patients or in a waiting room when you step out of your routine. Read the titles of recent ones below, then go and read a few. If you like what you read, set up a reminder alert.

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    INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

My source: Intima (and image) - mail list.

See also: 'reflect' : 'crossroads'

C/o Medha Cherabuddi & Intima: "Each quadrant houses its own diversity, ..."

... and these seem to converge in the middle beautifully." *

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC   

SOCIOLOGY  :   POLITICAL 

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© The Common Thread by Medha Cherabuddi. Acrylic
Poetry and much more invited ...

Image: © The Common Thread by Medha Cherabuddi. Acrylic.

"Each quadrant houses its own diversity, and these seem to converge in the middle beautifully. This piece honors women's myriad of roles in medicine and their common thread. The constant throughout my life is art, especially when I find meaning in it.

Medha Cherabuddi was born and brought up in San Jose, California, and moved to Hyderabad, India, with her family at 9. After growing up with the best of both worlds, she completed medical school in India and moved to Detroit, Michigan, during the peak of the pandemic to begin her Internal Medicine residency at Henry Ford Hospital."

My source: Intima

Intima: A Journal of Narrative Medicine
36 N Moore St. #4W
New York, NY 10013
USA

*Yes they do! No endorsement implied.

STEM Women: Dame Clare Marx [RIP]

Pablo Picasso. Science and Charity. Barcelona, [March-April of] 1897. Oil on canvas 197 x 249.5 cm.
Museu Picasso, Barcelona. Donation Pablo Picasso, 1970. MPB 110.046. Museu Picasso, Barcelona.
Fotografía, Miquel Coll © Sucesión Pablo Picasso, VEGAP, Madrid 2020

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

Clare  intelligence ...	physical contact, touch ... good surgical hands ...
Marx ... ability to talk to patients	Dame

Dame Clare Marx "First woman to be elected president of the Royal College of Surgeons who sought to root out sexism and expand surgical training ... A charismatic colleague taught her the three qualities of a successful surgeon: intelligence, good surgical hands and an ability to talk to patients."

"Marx said Picasso's Science and Charity emphasises
'the importance of physical contact' between doctor and patient."

Register, Obituaries, The Times, November 30, 2022, p.53.

See also: 'Arts'

Harvard Medical School Primary Care Review

"I'm writing to invite you to contribute your
narrative stories of health, community, and equity!"

 

Dear Spirit of 1848:

I hope this email finds you well. I'm a Family Medicine Physician, Instructor at Harvard Medical School, and Editor-in-Chief of the Harvard Medical School Primary Care Review. I'm writing to invite you to contribute your narrative stories of health, community, and equity!

The Harvard Medical School Primary Care Review is an international community-facing publication, and our mission is to “Share stories to amplify the voices of health everywhere.” Publications are approximately 750-1200 words in length, and all references should have hyperlinks (rather than end- or footnotes). The following is a brief set of guidelines for the Review: https://info.primarycare.hms.harvard.edu/review/submission-guidelines. The following Review pieces are nice examples of the type of narrative and community health content we strive for:

• https://info.primarycare.hms.harvard.edu/review/trauma-informed-holistic-health-care
  
• https://info.primarycare.hms.harvard.edu/review/food-access-navajo-nation

Please also share this call with your community partners! We look forward to hearing from you!

Warmly,

Rebekah

-- 

Rebekah Rollston, MD, MPH  (she/her)

Family Medicine Physician, Cambridge Health Alliance

Instructor in Medicine, Harvard Medical School

Editor-in-Chief, Harvard Medical School Primary Care Review

--
Posted from the Spiritof1848 Listserv WWW.SPIRITOF1848.ORG #Spiritof1848

Descartes' asunder c/o Intima: A Journal of Narrative Medicine

 I THINK therefore I AM       

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

Original image: MindBody

© Pain Scale for Chronic Patients ‘MindBody’ by Sal Marx Fall 2021

In Intima: A Journal of Narrative Medicine
Copyright ©2022  ISSN 2766-628X

Previously: 'Cartesian'

"Being Horizontal: Vulnerability, Interdependence and Resistance" c/o Confabulations

The title of this event last week struck a cord ...

For those who missed "Being Horizontal: Vulnerability, Interdependence and Resistance" last week - which touched on topics as diverse as austerity, invisibility, repetition and rhythm - a recording of the live event is available until 24th February: https://t.co/WnGFdmkMqF

— Confabulations (@con_fabulations) February 13, 2022

 

From the website with some additions:

 

"Being Horizontal: Vulnerability, Interdependence and Resistance"

  Self - INDIVIDUAL - Person

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC -----------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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Community - Group - Population

sleep* ('in dreams') (found) un-consciousness (beware - risk?) intent non-verbal psychoanalysis patient personal vulnerability	gravity collapse position - posture horizontal - vertical human body, form 3D mobility, movement above - below look up/down angle - inclination clinical positions 'other' positions - sex birth, rest, deceased reclined nude "recline -
The 'games that people play', especially those seeking / in power. social customs dance - history - culture social hierarchies	is often associated with feminised and/or racialised powerlessness." fallen soldier (civilian?) choice*: of position look up/down to "Deliberately assuming a horizontal position in front of others can also, as the complex works grouped in this project reveal, challenge, subvert, and politicise dynamics of vulnerability and power."

 

"Room 5" BBC Radio 4

 

ROOM 5: BBC Radio 4

 

The Health Career Model has four obvious care (knowledge) domains,
but of course there is a 5th.

This is even clearer when 'health career' is seen as 'life chances'.

 

  Self - Individual - Person
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INTERPERSONAL : SCIENCES

humanistic ------------------------------------------ mechanistic

SOCIOLOGY : POLITICAL

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Community - Group - Population

Personal meaning / sense-making Whatever your beliefs there is a spiritual domain. *Who exactly 'were' you before?	diagnosis (as category, classification, ...) prognosis (... TI:ME .... into the future ..?) pre-morbid*
What does this <diagnosis> mean to others?	school span work span healthspan lifespan What sense do governments make of the above?

 

Intima - Creativity in a Time of Crisis: Rethinking Vulnerability in Response to Care and Social Justice

individual

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INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group - population

HERO?	HERO?
HERO?	© COVID Hero by Brandon Mogrovejo Fall 2020 Intima

 

Welcome to the Fall 2020

Intima: A Journal of Narrative Medicine

We invite you to explore the issue.

 

In much the same way narrative medicine practitioners invite their patients to become storytellers, vulnerably disclosing their illnesses, we invited contributors to engage in their own acts of vulnerability to submit their poetry, art, media, fiction, nonfiction, Field Note, and academic pieces to the Fall 2020 issue of Intima: A Journal of Narrative Medicine.

More specifically, we invited submissions around the theme: Creativity in a Time of Crisis: Rethinking Vulnerability in Response to Care and Social Justice. Pen to paper, brushes to canvas, and strokes to the keyboard produced a wealth of submissions, many of which hearkened the specialized theme, to narrate the challenging public health and racial unrest that marred 2020. Whether the invitation arrived with much anticipation or as a surprise, we were heartened at the warm response we received and the quality of work we accepted for publication.

The pieces comprising the Fall 2020 issue are varied yet many evoke the images of 2020 as you read stanzas in a poem, gaze onto art, or pour over lines of narrated personal experience. Go to theintima.org to dip into the Fall journal today.

 

My source: Intima - mail list.

Unheard stories of women - monologues: An opportunity

Would be interested to know if any theatres or creatives would be interested in working with me in giving voice to the untold and often unheard stories of women through a series of monologues? 🥰❤️🌈 #actorswanted #savetheatre #theatre #theater #submissions #monologues pic.twitter.com/g48heZR4OT

— Natascha Graham (@SomeOfHerParts) November 1, 2020

Book: Narrative Economics - "Happy Care-day to me!"

"Stories matter. It's a truism for journalists, but not much for economists. Robert Shiller, the Yale professor and Nobel laureate who predicted the housing crisis and also put behavioural economics on the map, aims to change that in a book dedicated to the thriving field of narrative economics."

Narrative Economics:
How Stories Go Viral and Drive Major Economic Events

narrative medicine

INDIVIDUAL

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INTRA- INTER-PERSONAL : SCIENCES

HUMANISTIC -------------------------------------------------- MECHANISTIC

SOCIOLOGY : POLITICAL

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GROUP

(My) mental health (My) narrative	(My) physical health "While many economists are still busy creating mathematical formulas to decode and contextualise our supposedly "rational" behaviour -
... people's actions are more often based on human interest stories than hard data." narrative behavioural	(Who owns your story?) economics economics

"Novelty often catches on - Shiller explains how the "Happy birthday" song, which used the same tune as an earlier piece of music, was much more successful because it allows us to place our own name in the lyrics."

Just imagine if there was a tool in health care, social care, education - formative, professional and lifelong learning, that was generic and suited to personalisation whatever the context - whatever the name and story?

My life chances - my health career ...

Rana Foroohar, Stories of value, FT Weekend. Life&Arts, 2-3 November 2019, p.10.

What wright to care?

At senior school I had the challenge and pleasure of appearing in Arthur Miller's The Crucible at the age of 15. My part was of course that of Francis Nurse. I can still remember most of my lines [as I didn't have many ;-)]. I have always been interested in drama, but even more so - dialogue, which helps as a member of this family and a mental health care professional.

Over several years, the above plus studies in literature and philosophy prompted me to dabble with dialogues of my own. One from way back when concerned nurse training and virtual environments; while another was set in Athens addressing the impact of informatics upon nursing.

The professionals of dialogue - playwrights - feature on BBC R4 Start The Week and this made me think of another dialogue as I recognised that my colleagues and I are in fact carewrights.

Now though with long term medical conditions, self-care, recovery, personalised care, individualised budgets and other policy permutations we are not just concerned with the words we say. With patients and carers seen and heard as experts no longer are we just putting words into their mouths - they are putting words in ours.

So together -
lets literally go taste the health and social care culture and break a leg!

Image sources:
book cover Amazon
Drama mask image: Saskatchewan Drama Association

Additional links:

Top 30 languages of the world

Top 20 countries by number of languages

International Mother Language Day 21 February

I note there are several instances of 'carewright' as a surname, trade / commercial name - my use and the context should be clear.