Medycyna narracyjna. Opowieści o doświadczeniu choroby w perspektywie medycznej i humanistycznej
Narrative medicine. Stories about experiencing illness in medical and humanistic perspective
Contributor(s): Marta Chojnacka-Kuraś (Editor)
Subject(s): Language and Literature Studies, Philology
Published by: Wydawnictwa Uniwersytetu Warszawskiego
Keywords: narrative medicine; illness; linguistics; literature; cognitive poetics
Summary/Abstract: The publication portrays narrative medicine from two perspectives: medical and that of literary and linguistic studies. The articles collected in the volume focus on: the role of narrative medicine in clinical practice, the significance of narrative in experiencing illness and disability in medical educatio), selected methodological aspects of narrative medicine, the narratives of doctors and patients in medical discourse, the relations between literature and medicine as well as between literature and logopaedics and clinical linguistics.
- E-ISBN-13: 978-83-235-4075-5
- Print-ISBN-13: 978-83-235-4067-0
- Page Count: 230
- Publication Year: 2019
- Language: Polish
Medycyna narracyjna w Szwecji
Medycyna narracyjna w Szwecji
(Narrative Medicine in Sweden)
- Author(s):Małgorzata Luber-Szumniak
- Language:Polish
- Subject(s):Philology
- Page Range:14-31
- No. of Pages:18
- Keywords:narrative medicine; Sweden; humanistic medicine
- Summary/Abstract:Effective care of patients requires profound and special knowledge about the patient, competence and commitment of the doctor and a solid bond of trust between them. Despite the many socio-cultural and professional factors that candivide doctors and patients and the impact of political and economic pressure on all health care, effective medical practice with careful listening and empathic attention must replace this hurried and impersonal one. Among many responses and countermeasures for the failure of the modern healthcare system is the professional Narrative Medicine program, developed at the New York Columbia University in 2000. The main aim of this paper is to present the genesis and development of narrative medicine in Sweden and to use its assumptions in clinical practice, both from the holistic perspective of the family doctor in the clinic and the clinician in the hospital ward. The author will also mention briefly the use of narrative methods and medical humanities in the education of medical faculty students in Sweden.
„Opowiedz mi…”. Narracja w doświadczeniach ciąży, porodu i straty dziecka
„Opowiedz mi…”. Narracja w doświadczeniach ciąży, porodu i straty dziecka
(Tell me… Narration in the experience of pregnancy, childbirth and loss of a child)
- Author(s):Barbara Baranowska, Antonina Doroszewska, Urszula Tataj-Puzyna
- Language:Polish
- Subject(s):Philology
- Page Range:32-48
- No. of Pages:17
- Keywords:midwifery; narrative medicine; storytelling
- Summary/Abstract:The article is a reflection on the use of elements of narrative medicine in midwifery. It presents fragments of perinatal narratives in various types of texts (also in belles-lettres) which can be used by women experiencing difficulties related to the pregnancy and childbirth and are a great material in the teaching of midwifery adepts. The article also describes the value of narrative medicine in relation to the work of midwives.
„Okaleczona kobiecość”. Z pamiętników kobiet z niepełnosprawnościami
„Okaleczona kobiecość”. Z pamiętników kobiet z niepełnosprawnościami
(„The crippled femininity” – from diaries of disabled women)
- Author(s):Halina Kulik, Józefa Dąbek
- Language:Polish
- Subject(s):Philology
- Page Range:49-70
- No. of Pages:22
- Keywords:woman; disability; diaries; narrative
- Summary/Abstract:A purpose of the thesis is to pay attention to the value of diaries and memoirs of disabled women in understanding the personal and sociocultural complexity of their situation. The objects of the analysis were contents of the memoirs of Polish authors from two last decades and collections of works being outcome of competitions for diaries of disabled persons. Narration included in the analyzed materials of disability, similarly to the narration of illness defined by Rita Charon, is very important for representatives of these professions for which mission to help other people is inherent. Introducing personal experiences of disabled women allows us to identify their health problems and needs, as well as to plan the holistic care, providing such people with worthy and satisfying life.
Medycyna narracyjna z perspektywy lingwistyki i poetyki kognitywnej
Medycyna narracyjna z perspektywy lingwistyki i poetyki kognitywnej
(Narrative medicine from the perspective of cognitive linguistics and poetics)
- Author(s):Marta Chojnacka-Kuraś
- Language:Polish
- Subject(s):Philology
- Page Range:72-93
- No. of Pages:22
- Keywords:cognitive linguistics; cognitive poetics; narrative medicine
- Summary/Abstract:The article presents the principles and methods of narrative medicine (the approach in medicine propagated by Rita Charon from the Columbia University) from the perspective of selected fields in cognitive linguistics (including the Ronald Langacker’s model of cognitive grammar and the conceptual metaphor theory by George Lakoff and Mark Johnson) and cognitive poetics (according to Elżbieta Tabakowska and Peter Stockwell). The contexts of the considerations are biopsychological paradigm of medicine and some publications of Polish doctors (Jan Masłowski and Andrzej Szczeklik) who touch upon the humanistic aspects of medicine (such as the role of language in the doctor-patient communication and the ability to listen attentively to the patient), so crucial in the Charon’s concept of narrative medicine.
Żaden pacjent nie jest wyspą lub czego lekarze mogą nauczyć się w kontaktach z pacjentami
Żaden pacjent nie jest wyspą lub czego lekarze mogą nauczyć się w kontaktach z pacjentami
(No patient is an island or what medical doctors can learn from patients)
- Author(s):Hanna Serkowska
- Language:Polish
- Subject(s):Philology
- Page Range:94-108
- No. of Pages:15
- Keywords:narrative; medical doctor; patient; medicine; epistemic exclusion
- Summary/Abstract:The article analyses doctors’ accounts of the experiences with patients that have changed their professional outlook. The stories of these doctors, representing different specializations, are modeled on Rita Charon’s “parallel charts”, and collected in the Dutch cycle of “That one patient”. This article attributes the emergence of a growing number of medical doctors who report on their profession and their relations with the patients to the fact that a new autonomy and participation-based model has replaced the traditional paternalistic model of medicine. The author further advocates the inclusion of narrative medicine as one of the disciplines of the new humanities. Next to the need to replace disease-focused medicine by patient-centered medicine, which emerges from the analyzed texts is a clear evidence of countless benefits – including benefits for the doctor – following from adjusting one’s language to the language of the patient, promoting the ability to listen, understand and communicate with the patient.
Metoda uważnego czytania (close reading) w medycynie narracyjnej
Metoda uważnego czytania (close reading) w medycynie narracyjnej
(The method of close reading in narrative medicine)
- Author(s):Aleksandra Szugajew
- Language:Polish
- Subject(s):Philology
- Page Range:109-124
- No. of Pages:16
- Keywords:textual analysis; narrative medicine; teaching methods; close reading; medical humanities
- Summary/Abstract:This text aims to provide the reader with a general overview of one of Narrative Medicine’s methods, namely close reading, which, as Rita Charon et al. in The Principles and Practice of Narrative Medicine propose, can be used to develop narrative competence, teach healthcare professionals the ability to recognize and know what to do with stories. This form of textual analysis, typically utilized by literary scholars, is thought to help people working in healthcare to develop skills that could positively influence their professional relationship with their patients.
„Pamiętam, zdarzyło się to w sobotę rano, około 10”. Fachowe publikacje medyczne oparte na relacjach pacjentów i lekarzy
„Pamiętam, zdarzyło się to w sobotę rano, około 10”. Fachowe publikacje medyczne oparte na relacjach pacjentów i lekarzy
(“I remember it happened to me on a Saturday morning,
around 10”. Professional medical publications based on patients’ and doctors’ narratives)
- Author(s):Magdalena Zabielska, Magdalena Żelazowska-Sobczyk
- Language:Polish
- Subject(s):Philology
- Page Range:126-141
- No. of Pages:16
- Keywords:narrative medicine; specialised medical discourse; patient
- Summary/Abstract:The aim of this paper is to demonstrate a new publication type based on narratives and the backdrop for its development, as well as its importance in the context of both medical education and doctors’ formative process. First, the significance of narrative in human life and the development of narrative studies in the humanities will be discussed. A narrative character of the very profession of medicine will be emphasised as well. Finally, fragments of particular narrative-based publications will be presented, especially in the context of the subjective presentation of patient’s or doctor’s experience, which will be aimed at illustrating how this complement of the perspective may be used in medical education as well as in doctor’s professional development, e.g. through emphasising the importance of the patient’s role.
Teoria grzeczności a konstruowanie spójności w narracjach lekarzy i pacjentów. Studium diagnozy w polskim dyskursie medycznym
Teoria grzeczności a konstruowanie spójności w narracjach lekarzy i pacjentów. Studium diagnozy w polskim dyskursie medycznym
(The concept of discourse politeness in constructing narrative coherence through doctors’ elicitations and patients’ narratives: a case study of diagnosis in medical discourse in Poland)
- Author(s):Anna Kuzio
- Language:Polish
- Subject(s):Philology
- Page Range:142-163
- No. of Pages:22
- Keywords:narrative medicine; medical discourse; politeness theory; doctor-patient interactions
- Summary/Abstract:This paper aims at showing a study on how doctors and patients negotiate meaning through interaction, concentrating on the role of narrative in the medical encounter. This paper complements more recent approaches to narrative analysis, within implementing the concept of politeness framework to analyze the relationship between doctor elicitations and patient narratives. The study also examines the clinical approach of Narrative Medicine (MN), which proposes patients the “space” in which to create their narratives, to create an interdisciplinary lens for investigating data. The main results show that both patients and doctors try to create narrative coherence. The analysis reveals how the frame of developing narrative coherence presents insights into the interactional narratives as they are co-constructed by participants. This study shows how politeness and NM add to the perception of doctor-patient interaction. Generally, the examination suggestst hat narrative plays an essential part in forming relevant meanings in medical interactions between the doctor and the patient.
Upojona chorobą. W trzewiach świata… Eve Ensler
Upojona chorobą. W trzewiach świata… Eve Ensler
(Intoxicated by illness. In the Body of the World… by Eve Ensler)
- Author(s):Monika Ładoń
- Language:Polish
- Subject(s):Philology
- Page Range:166-186
- No. of Pages:21
- Keywords:Eve Ensler; cancer; metaphor; Susan Sontag
- Summary/Abstract:Eve Ensler is an American writer, the authoress of famous The Vagina Monologues, a feminist, the founder of a global activist movement to end violence against women and girls (V-Day). This article is devoted to interpretation of a memoir book by Ensler written after the cancer experience. Ensler writes simultaneously about physiological and philosophical side of cancer. She doesn’t avoid naturalistic descriptions of her own body, but she appreciates her condition. Ensler writes her patography as a person “intoxicated by illness”, according to Anatole Broyard’s words. The meaning of a cancer disease is formed on several levels. For example, the metaphor is most important for language. Ensler uses (or abuses) metaphors against warnings by Susan Sontag. The authoress is also trying to connect her own disease with the suffering of the world. Thus, the book turns into a political and social manifesto.
„Ja rozumiałem, tylko nie mogłem mówić”. O twórczości Leo Lipskiego jako afatyka. Rekonesans
„Ja rozumiałem, tylko nie mogłem mówić”. O twórczości Leo Lipskiego jako afatyka. Rekonesans
(“I understood, only I could not speak”. About Leo Lipski’s aphasia. Reconnaissance)
- Author(s):Olga Osińska
- Language:Polish
- Subject(s):Philology
- Page Range:187-204
- No. of Pages:18
- Keywords:aphasia; speech disorders; speech therapy; medicine; perseveration
- Summary/Abstract:The article analyzes the work of Leo Lipski, who is known to have suffered speech disorders of a neurological background, from the perspective of speech therapy. As a context, which is crucial to understand the writer’s disease, the history of aphasic studies has been presented. The authoress also refers to Chris Eagle’s Dysfluencies. On Speech Disorders in Modern Literature (2013), a study on speech disorders in the literature of Western Modernism. The symptoms of Lipski’s disease – recorded in memoirs, audiovisual recordings and his literary works – have been discussed in the light of contemporary knowledge about various kinds of aphasic disorders. In the next part of the article, the authoress has tried to relate the particularity and uniqueness of Lipski’s literary work to his health disorders, and asked the question how the experience of suffering from neurological diseases is represented in his prose and how it becomes a subject thereof. Finally, the attention is drawn to the way in which speech therapy knowledge could be used as a tool for literary studies in general.
Śmierć ojca i narodziny matki – wzajemna analiza w „Dzienniku klinicznym” Sándora Ferencziego
Śmierć ojca i narodziny matki – wzajemna analiza w „Dzienniku klinicznym” Sándora Ferencziego
(The death of the father and mother’s birth: mutual analysis in Sándor Ferenczi’s Clinical diary)
- Author(s):Agnieszka Więckiewicz
- Language:Polish
- Subject(s):Philology
- Page Range:205-222
- No. of Pages:18
- Keywords:Sándor Ferenczi; Sigmund Freud; clinical diary; mutual analysis; correspondence
- Summary/Abstract:The aim of the article is to present Sándor Ferenczi’s Clinical Diary written in 1932. Thanks to a close reading of his journal and Ferenczi’s other life-writing materials, especially correspondence with Sigmund Freud and Georg Groddeck, the authoress examines a concept of “mutual analysis” (“mutuelle Analyse”), which affected and changed a psychoanalytic theory and practice before the outbreak of the Second World War. In this article, the context of the emergence and development of psychoanalysis in Hungary has been evoked, in order to bring closer the figure of Freud’s most brilliant disciple, still little known in Poland. The author analyses Ferenczi’s relations with Freud in attempt to re-enact the development of his own theory – a pathway that brought him to the deconstruction of Freud’s psychoanalysis.