Finding the Story in Medicine : The Use of Narrative Techniques in Psychiatry - 25/05/21

Doi : 10.1016/j.psc.2021.03.006

Elizabeth Fenstermacher, MD ^a,^b,^⁎ , Regina M. Longley, BA ^c, Hermioni L. Amonoo, MD, MPP ^d,^e,^f
^a Department of Psychiatry, Denver Health, 660 Bannock St, Suite 4754, Denver, CO 80204, USA
^b University of Colorado, School of Medicine, 13001 E 17th Pl, Aurora, CO 80045, USA
^c Department of Psychiatry, Massachusetts General Hospital, 125 Nashua Street, Suite #324, Boston, MA 02114, USA
^d Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
^e Department of Psychiatry, Brigham and Women’s Hospital, 60 Fenwood Road, 4th Floor, Boston, MA 02115, USA
^f Department of Psychosocial Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA

^∗Corresponding author. Cambridge Hospital, Department of Child Psychiatry, 1493 Cambridge Street, Cambridge, MA 02139.Cambridge HospitalDepartment of Child Psychiatry1493 Cambridge StreetCambridgeMA02139

Résumé

Narrative medicine is a patient-centered educational approach that promotes humanistic engagement of medical practitioners; it offers a unique framework for understanding medical encounters and promotes empathic connections through enhancement of observation, listening, and reflection. The andragogy of narrative medicine uniquely engages adult learners and may enhance academic learning. This article explores the evidence for narrative medicine and discusses its unique applications and potential within psychiatry. An adaptable narrative medicine curriculum is proposed for use in a 4-year psychiatric residency curriculum to allow for easy adoption of narrative medicine as an underutilized best educational practice.

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Keywords : Narrative medicine, Curriculum, Empathy, Graduate medical education, Internship and residency, Education models, Health personnel education