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浙江大学学报(医学版)  2019, Vol. 48 Issue (5): 467-473    DOI: 10.3785/j.issn.1008-9292.2019.10.01
医学与社会     
什么是叙事医学
郭莉萍*()
北京大学医学人文学院医学语言文化系, 北京 100191
What is narrative medicine?
GUO Liping*()
Department of Language and Culture in Medicine, School of Health Humanities, Peking University, Beijing 100191, China
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摘要:

叙事医学在2011年正式进入我国以来,得到迅速发展。医学领域兴起的以患者为中心的医疗、医患共同决策、关系性医学,以及文学领域的疾病叙事、叙事学等共同促成了叙事医学的产生。叙事医学通过倾听患者叙述、关注曾被忽视的情感因素、再现患者所讲,以达到与患者共情、建立关联和归属关系,从而建立医患间的互信,使患者得到良好的就医体验、医生得到职业满足感,实现医学人文关怀的真正落地。医学人文教育中要加入以细读文学作品和写作为手段的叙事医学内容,以便尽早培养医学生的叙事能力。

关键词: 个人叙事(主题)医学人文科学    
Abstract:

Narrative medicine first entered China in 2011 and has developed rapidly since then. The patient-centered care, shared decision making and relational medicine in the medical sphere, together with patients narrating their illness and narratology contributed to the rise of narrative medicine. Through listening to patients' narratives, paying attention to their emotions, and representing their stories in various ways, clinicians can connect with patients and empathize with them. In this way, affiliation and mutual trust with patients can be established. Patients will feel good in the doctor-patient encounter because of such humane care, and clinicians may get satisfaction from their work. Narrative medicine courses characterized by close reading of literature and writing should be added to the curriculum of medical education as the major content of medical humanities, so as to train narrative competence for the future doctors.

Key words: Personal narratives as topic    Medicine    Humanities
收稿日期: 2019-10-01 出版日期: 2020-01-04
:  R-05  
通讯作者: 郭莉萍     E-mail: guolp@bjmu.edu.cn
作者简介: 郭莉萍(1969—), 女, 博士, 教授, 硕士生导师, 主要从事叙事医学和医学人文教育研究; E-mail: guolp@bjmu.edu.cn; https://orcid.org/0000-0002-8276-7584
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引用本文:

郭莉萍. 什么是叙事医学[J]. 浙江大学学报(医学版), 2019, 48(5): 467-473.

GUO Liping. What is narrative medicine?. J Zhejiang Univ (Med Sci), 2019, 48(5): 467-473.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2019.10.01        http://www.zjujournals.com/med/CN/Y2019/V48/I5/467

1 CHARON R . Narrative medicine: Honoring the stories of illness[M]. New York: Oxford University Press, 2006: vii, 107- 140
2 FIORETTI C, MAZZOCCO K, RIVA S, et al. Research studies on patients' illness experience using the Narrative Medicine approach: a systematic review[J/OL]. BMJ Open, 2016, 6(7): e011220.
3 郭莉萍, 王一方 . 叙事医学在我国的在地化发展[J]. 中国医学伦理学, 2019, 32 (2): 147- 152
GUO Liping , WANG Yifang . The localized development of narrative medicine in China[J]. Chinese Medical Ethics, 2019, 32 (2): 147- 152
4 凌锋.千风之歌的回想[M]//中国医学论坛报社.死亡如此多情Ⅱ.北京: 生活·读书·新知三联书店, 2015.
LING Feng. Remembering the songs of thousand winds[M]//Office of China Medical Tribune. Death can be so passionate Ⅱ. Beijing: SDX Joint Publishing Company, 2015. (in Chinese)
5 郭莉萍 . 始于医者仁心的叙事医学:韩启德院士访谈录[J]. 叙事医学, 2018, 1 1- 7
GUO Liping . The narrative medicine based on "humane art": interviews with academician Han Qide[J]. Narrative Medicine, 2018, 1 1- 7
6 CHARON R . The principles and practice of narrative medicine[M]. New York: Oxford University Press, 2017: 2, 157, 164- 165, 214
7 LAINE C , DAVIDOFF F . Patient-centered medicine. A professional evolution[J]. JAMA, 1996, 275 (2): 152- 156
doi: 10.1001/jama.1996.03530260066035
8 Envisioning the national health care quality report[M]. Washington (DC): National Academies Press (US), 2001.
9 JOSEPH-WILLIAMS N , WILLIAMS D , WOOD F et al. A descriptive model of shared decision making derived from routine implementation in clinical practice ('Implement-SDM'): Qualitative study[J]. Patient Educ Couns, 2019, 102 (10): 1774- 1785
doi: 10.1016/j.pec.2019.07.016
10 LIN G A , FAGERLIN A . Shared decision making: state of the science[J]. Circ Cardiovasc Qual Outcomes, 2014, 7 (2): 328- 334
doi: 10.1161/CIRCOUTCOMES.113.000322
11 CAROL P . TRESOLINI AND PEW-FETZER TASK FORCE. Health professions education and relationship-centered care[M]. San Francisco, CA: Pew Health Professions Commission, 1994: 24
12 BEACH M C , INUI T , Relationship-Centered Care Research Network . Relationship-centered care. A constructive reframing[J]. J Gen Intern Med, 2006, 21 (Suppl 1): S3- S8
13 赵毅衡 . "叙述转向"之后:广义叙述学的可能性与必要性[J]. 江西社会科学, 2008, 9 30- 41
ZHAO Yiheng . "After the narrative turn": on the possibility and necessity of narratology[J]. Jiangxi Social Sciences, 2008, 9 30- 41
14 GILLESPIE H , KELLY M , GORMLEY G et al. How can tomorrow's doctors be more caring? A phenomenological investigation[J]. Med Educ, 2018, 52 (10): 1052- 1063
doi: 10.1111/medu.13684
15 郭莉萍 . 叙事医学及其在临床医学的实践[J]. 中华骨与关节外科杂志, 2017, 10 (6): 488- 491
GUO Liping . Narrative medicine and its practice in clinical medicine[J]. Chinese Journal of Bone and Joint Surgery, 2017, 10 (6): 488- 491
16 ZAHARIAS G . What is narrative-based medicine? Narrative-based medicine 1[J]. Can Fam Physician, 2018, 64 (3): 176- 180
17 KIDD D C , CASTANO E . Reading literary fiction improves theory of mind[J]. Science, 2013, 342 (6156): 377- 380
doi: 10.1126/science.1239918
18 满强, 杨晓霖, 王宏 . 临床医师的基本功:叙事医学知识和能力[J]. 医学与哲学:人文社会医学版, 2016, 37 (6): 32- 36
MAN Qiang , YANG Xiaolin , WANG Hong . Basic skills for clinicians: knowledge and competence in narrative medicine[J]. Medicine and Philosophy (Humanities and Social Sciences Edition), 2016, 37 (6): 32- 36
19 CHARON R , HERMANN N , DEVLINM J . Close reading and creative writing in clinical education: teaching attention, representation, and affiliation[J]. Acad Med, 2016, 91 (3): 345- 350
doi: 10.1097/ACM.0000000000000827
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