The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust.

  title={The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust.},
  author={Rita Charon},
  volume={286 15},
  • R. Charon
  • Published 17 October 2001
  • Medicine
  • JAMA
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… 

Narrative Possibilities: using mindfulness in clinical practice

  • J. Connelly
  • Medicine
    Perspectives in biology and medicine
  • 2005
The practice of mindfulness—moment-to-moment, nonjudgmental awareness—opens a doorway into the patient's story as it unfolds and offers the possibility for a meaningful and important narrative to arise between patient and physician.

The influence of narrative medicine on medical students’ readiness for holistic care practice: a realist synthesis protocol

The findings of this review will provide useful information for academics and policymakers, who will be able to apply the findings in their context when deciding whether and how to introduce narrative medicine programmes into medical students’ curricula.

Narrative-based medicine: potential, pitfalls, and practice.

A systematic overview of narrative-based medicine is given: a short historic background; the various narrative genres; and an analysis of how the genres can be effectively applied in theory, research, and practice in the medical field, with a focus on possibilities and limitations of a narrative approach.

True Stories: Facing COVID-19 With Courage and Humility.

The International Journal of Whole Person Care (an open access journal; published 19 true stories from 6 countries describing frontline COVID-19 experiences; each author shared their unique experience.

The Art of Healing through Narrative Medicine in Clinical Practice: A Reflection.

This article was written after synthesizing the findings of evidence-based literature, retrieved from different sources, along with the own reflections on the authors' encounters with patients, that one could infer that the practice of narrative medicine improves one's concern and understanding toward the patient.

Ethical Considerations Related to Narrative Medicine

The major ethical problem associated with patient narratives is the use of data with intention other than treatment which may result in maleficence, so the practice of narrative medicine requires balancing all the aspects of health care against any possible harm.

The Practical Application of Narrative Medicine at Mayo Clinic: Imagining the Scaffold of a Worthy House

The application of various narrative practices in the patient care and medical education programs of a major health care center in Minnesota is described and the impact of these programs on their participants is discussed.

Narrative Lights on Clinical Acts: What We, Like Maisie, Know

Reflective writing and the reading of literary texts are being used in education and treatment for healthcare professionals and patients, and medicine is paying more attention to such narrative features of its practice as temporality, singularity, intersubjectivity, contingency, and ethicality.

1 : The ethicality of narrative medicine

Sickness calls forth stories. Whether in the patient’s “chief complaint”, the intern’s case presentation, the family member’s saga of surgery, or the coroner’s death note, patients and health

The Integrative Care Conference: An Innovative Model for Teaching at the Heart of Communication in Medicine

The Integrative Care Conference is described, an interdisciplinary format for teaching enhanced communication between residents and their patients who develop more humanistic approaches to their patient that reshaped treatment.



Empathy and the practice of medicine : beyond pills and the scalpel

This important book seeks to restore empathy to medical practice, to demonstrate how important it is for doctors to listen to their patients, to experience and understand what their patients are feeling.

Calibrating the Physician: Personal Awareness and Effective Patient Care

A "curriculum" of 4 core topics for reflection and discussion of physicians' beliefs and attitudes, physicians' feelings and emotional responses in patient care, challenging clinical situations, and physician self-care is proposed.

Human doctoring: bringing authenticity to our care.

  • C. RisdonL. Edey
  • Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 1999
A hypothetical case of a teenaged girl suffering from recurrent coldsores and the possible ways her physician might handle her case is discussed, using the differences among the three scenarios to highlight ways physicians can work to achieve authentic and mutually beneficial relationships with the people in their care.

Teaching medicine as a profession in the service of healing

  • R. CruessS. Cruess
  • Medicine, Political Science
    Academic medicine : journal of the Association of American Medical Colleges
  • 1997
As society, including the medical profession, moves into a new century, the rate of change in the relationship between professions and society is unprecedented. All societies need healers, and in the

Medical Interpretation: Implications of Literary Theory of Narrative for Clinical Work

AbstractLiterary narrative theory offers robust conceptual frameworks for understand-ing the act of writing, the act of reading, the configuration of plot, and the narrative contract that binds

Language, discourse and the chronotope: applying literary theory to the narratives in health care.

  • J. Harden
  • Education
    Journal of advanced nursing
  • 2000
It is argued that a less naive understanding of the complexities of the language with which the individual speaks is needed, which can be achieved by adopting post-structural analyses of the spoken or written word, from both the originator's and recipient's experiences.

The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient

This chapter discusses the Separate Worlds of Physician and Patient and the Body as Object in Illness, as well as the Healing Relationship and Implications for Medical Practice.

Transformation of story to practice: an innovative approach to long-term care.

  • D. Heliker
  • Medicine
    Issues in mental health nursing
  • 1999
The purpose of this article is to demonstrate how the functions of storytelling can be applied in the long-term care setting using the themes that emerge in the life story of a particular resident.

Reaffirming Professionalism through the Education Community

It is argued that reform of residency training, mentoring, a curriculum on professionalism, and the evaluation of professional conduct are essential to building an education community that enhances medical professionalism.

Effects of managed care on physician-patient relationships, quality of care, and the ethical practice of medicine: a physician survey.

Many physicians surveyed believe managed care has significant negative effects on the physician-patient relationship, the ability to carry out ethical obligations, and on quality of patient care.