Narrative medicine has developed an identity already. Clinicians of many disciplines are being summoned to a practice that recognizes patients by receiving their accounts of self. Starting from different positions, the four authors have converged in a strong and shared commitment to narrative health care. They conceptualize narrative health care practices within frameworks derived from the social sciences and psychology, and, to a lesser degree, phenomenology and autobiographical theory. They relate the development of narrative medicine to relationship-centered care, patient-centered care, and complex responsive process of relating theory, positing that narrative medicine can help clinicians to develop the skills required to practice relationship-centered care. The book details - with exercises, resource texts, and abundant scholarly apparatus - how these skills can be developed and strengthened. This work will change health care. Because of its scholarly rigor, its multi-voiced sources, and its highly practical features (lists, activities, key ideas and key references, primary texts written by health care professionals and patients), this work will be a guide in the field for those who practice medicine or nursing or social work. The book establishes that there is a field to be practised, a need to practise it, and a means to develop the wherewithal to do so.
Autorentext
John D Engel, Joseph Zarconi, Lura Pethtel, Sally Missimi
Zusammenfassung
This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives. Overall this work is in two volumes, each of which can stand alone: this Part 1 focuses on the realities of offering and receiving care at a practical and local level; it concentrates on personal experiences within mental health services as user, carer, provider and professional.The companion book Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.
Inhalt
Part 1: Historical context, genealogy, and current viewpoints. Medicine, medical practice, and knowledge. Transdisciplinary narrative turns and narrative health care. The patient-practitioner relationship. Part 2: Professional performance situations and narrative importance. Narrative contexts of care. Narrative contexts of profession and community. Interlude: the death of Ivan Ilyich. Part 3: Narrative competence and its outcomes. Skills for the practice of narrative medicine. Evidence of narrative success and risks of non-narrative practice. Part 4: Personal perspectives on narrative in health care. Conversations with practitioners.