Enhancing Physician Empathy: Optimizing Learner Potential for Narrative Transportation
Parole chiave:Narrative medicine, theory of mind, narrative transportation, empathy, medical pedagogy, medical humanities, Dorothy Allison
AbstractThis article argues for the pedagogical usefulness of engaging with literary texts in the formal training of physicians and healthcare workers. It suggests that particular “skills” in reading and engaging with narrative are as readily teachable to healthcare students as are skills in reading x-rays or in diagnosing symptoms. It focuses on three phenomena associated with literary (and other forms) of narrative – namely, the recognition of characters, vicarious experience, and the experience of fellow feeling – and relates them to three categories in cognitive psychology: Theory of Mind, Narrative Transportation, and Empathy. It presents a survey of empirical studies in cognitive psychology that demonstrates the effectiveness of literary narrative in producing these psychological states, and ends by demonstrating how the teaching of a literary narrative – Bastard Out of Carolina – has enhanced these states in students planning on a career in medicine. Such enhancement, the article suggests, are produced by literary features such as imagery, defamiliarization, and patterned organization on the levels of phonology, semantics, and story structure.
Allison Dorothy. Bastard out of Carolina. New York: Penguin Books, 1993. Print.
Appel, M., and T. Richter. “Persuasive effects of fictional narratives increase over time.” Media Psychology, 10 (2007): 113-134. Print.
Bal P. M., and Martijn Veltkamp. “How Does Fiction Reading Influence Empathy? An Experimental Investigation on the Role of Emotional Transportation.” PLoS ONE 8(2003): e55341. Print.
Charon, Rita. “The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust.” JAMA 286.15 (2001 Oct 17): 1897-902. Print.
---. Narrative Medicine. New York: Oxford University Press, 2006. Print.
Damasio, Antonio. The Feeling of What Happens: Body and Emotion in the Making of Consciousness. New York: Harcourt, 1999. Print.
Del Canale S. “The Relationship between Physician Empathy and Disease Complications: An Empirical Study of Primary Care Physicians and Their Diabetic Patients in Parma, Italy.” Acad Med. 87 (2012): 1243–1249. Print.
Dunbar, Robin. Grooming, Gossip, and the Evolution of Language. Cambridge: Harvard University Press, 1996. Print.
Flexner, Simon. Medical Education in the United States and Canada. Pittsburgh: Carnegie Foundation for the Advancement of Teaching, 1910. Print.
Gawande, Atul. Better: A Surgeon’s Notes on Performance. New York: Metropolitan Books, 2007. Print.
Gerrig, R. J. Experiencing Narrative Worlds: On the Psychological Activities of Reading. New Haven, CT: Yale University Press, 1993. Print.
Green, Melanie. “Research Challenges in Narrative Persuasion.” Information Design Journal 16 (2008): 47-52. Print.
Green, Melanie. “Transportation into Narrative Worlds: The role of prior knowledge and perceived realism.” Discourse Processes 38 (2004): 247-66. Print.
Green, Melanie, & Brock, T. C. “Narrative Impact.” Social and Cognitive Foundations. Mahwah, NJ: Lawrence Erlbaum Associates Publishers, 2002. 315-341. Print.
Halpern, Jodi. “What is Clinical Empathy?” J Gen Intern Med 18 (2003): 670-74. Print.
Kidd, David and Emanuelle Castano. “Reading Literary Fiction Improves Theory of Mind.” ScienceExpress 3 October 2013. Print.
Kim, S. “The Effects of Physician Empathy on Patient Satisfaction and Compliance.” Evaluation & the Health Professions 27 (2004): 237-51. Print.
Mar, Raymond. “Exploring the link between reading fiction and empathy: Ruling out individual differences and examining outcomes.” Communications 34 (2009): 407-428. Print.
Mar, Raymond, and Keith Oatley, Jacob Hirsh, Jennifer dela Paz, and Jordan Peterson. “Bookworms versus Nerds.” Journal of Research in Personality 40 (2011): 694-712. Print.
Miall, David and Don Kuiken. “Foregrounding, Defamiliarization, and Affect: Response to Literary Stories.” Poetics 22 (1994): 389-407. Print.
---. “A Feeling for Fiction: Becoming What we Behold.” Poetics 30 (2002): 221-41. Print.
Moore P. “Medical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intention.” West J Med. 173 (2000): 244-250. Print.
Rakel D. “Perception of Empathy in the Therapeutic Encounter: Effects on the Common Cold Patient.” Educ Couns. 85 (2011): 390–97. Print.
Schernhammer E. S., and G. A. Colditz. “Suicide rates among physicians: a quantitative and gender assessment (meta-analysis).” Am J Psychiatry 161 (2004): 2295-302. Print.
Schleifer, Ronald. Modernism and Time: The Logic of Abundance in Literature, Science, and Culture, 1880-1930. Cambridge: Cambridge University Press, 2000. Print.
Schleifer, Ronald and Jerry Vannatta. The Chief Concern of Medicine: The Integration of the Medical Humanities and Narrative Knowledge into Medical Practices. Ann Arbor: University of Michigan Press, 2013. Print.
Shakir, Mubeen, Jerry Vannatta, Ronald Schleifer. “Effect of College Literature and Medicine Course on the Practice of Medicine.” Unpublished ms.
Shanafelt T. “Relationship between Increased Personal Well-Being and Enhanced Empathy Among Internal Medicine Residents.” J Gen Intern Med. 20 (2005): 559–64. Print.
Shklovsky, Viktor. “Art as Technique.” Contemporary Literary Criticism, second edition, ed. Robert Con Davis and Ronald Schleifer. New York: Longman, 1989, pp. 54-66. Print.
Silverman B., “Physician behavior and bedside manners: the influence of William Osler and The Johns Hopkins School of Medicine.” Proc (Bayl Univ Med Cent) 25.1 (2012): 58–61. Print.
Starr, Paul. The Social Transformation of American Medicine. New York: Basic Books, 1982. Print.
Van Laer, Tom, Ko de Ruyter, Luca M. Visconti, and Martin Wetzels. “The Extended Transportation-Imagery Model: A meta-analysis of the antecedents and consequences of consumers’ narrative transportation.” Journal of Consumer Research 40 (2014): 797-817. Print.
Vannatta Jerry and Ronald Schleifer. “Literature and Medicine: A Curriculum for Stirring the Moral Imagination.” Journal of the Oklahoma State Medical Association 93 (2000): 56-59. Print.
Williams, W. C. The Autobiography. New York: New Direction, 1967. Print.
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