Empathic Communications and Narrative Competence in Contemporary Medical Education
Parole chiave:Postclassical narratology, narrative competence, narrative empathy, medical humanities, professional identity
AbstractLindsay Holmgren’s “Empathic Communications and Narrative Competence in Contemporary Medical Education” reviews the teaching of narrative competency in medical education, arguing that these practices must engage postclassical approaches to narrative studies while attending to the concept of empathy as it is deployed in various disciplines, including narratology, cognitive science, and psychology. With an emphasis on the formation of professional identity in medical practice, Holmgren explores the relationship between professional identity in a multi-ethnic, gender-neutral, demographically and culturally diverse medical education context, and the complex arena of narrative empathy. Hinging her argument on the reciprocal nature of identity that emerges at the intersections of various versions of the self and others, Holmgren’s article aligns the empathy developed by reading fiction with that which develops in the clinical encounter. Finally, the article understands these various, evolving subject positions rhetorically, arguing that the comportments of medical educators in the humanities should be such that their students will want to emulate them.
Berg, Katherine, Benjamin Blatt, Joseph Lopreiato, Julianna Jung, Arielle Schaeffer, Daniel Heil, Tamara Owens Pamela L. Carter-Nolan, Dale Berg, Jon Veloski, Elizabeth Darby, and Mohammadreza Hojat. “Standardized Patient Assessment of Medical Student Empathy: Ethnicity and Gender Effects in a Multi-Institutional Study.” Academic Medicine 90 (2015):105–111.
Booth, Wayne C. The Rhetoric of Fiction. Chicago: U of Chicago P, 1961. Print.
Boudreau, Donald and Abraham Fuks. “The Humanities in Medical Education: Ways of Knowing, Doing and Being.” Journal of Medical Humanities 36.4 (2015): 321-336. Web.
Burke, Kenneth. A Rhetoric of Motives. New York: G. Braziller, 1955. Print.
Charon, Rita. “Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust.” JAMA 286.15 (October 17, 2001): 1897–1902. Print.
---. “Narrative Medicine: Form, Function, and Ethics.” Annals of Internal Medicine 134.1 (2001): 83-7. Web.
---. Narrative Medicine: Honoring the Stories of Illness. New York: Oxford UP, 2006. Print.
---. “What Narrative Competence is For.” The American Journal of Bioethics 1.1 (Winter 2001): 62-63. Print.
Charon, Rita and Maura Spiegel. “Editors’ Preface.” Literature and Medicine 21.2 (2002): vii-xi. Web.
Cowen, Virginia S, Diane Kaufman, and Lisa Schoenherr. “A Review of Creative and Expressive Writing as a Pedagogical Tool in Medical Education.” Medical Education 50.3 (2016): 311-19. Web.
Cruess, Richard L. and Sylvia R. Cruess. “Teaching Medicine as a Profession in the Service of Healing. Academic Medicine 72.11 (1997): 941–952. Web.
Cruess, Richard L., Sylvia R. Cruess, J. Donald Boudreau, Linda Snell, and Yvonne Steinert. “Reframing Medical Education to Support Professional Identity Formation.” Academic Medicine 89.11 (2014): 1446-451. Web.
Dennhardt, Silke, Tavis Apramian, Lorelei Lingard, Nazi Torabi, and Shannon Arntfield. “Rethinking Research in the Medical Humanities: A Scoping Review and NarrativeSynthesis of Quantitative Outcome Studies.” Medical Education 50.3 (2016): 285-99. Web.
Devlin, Michael J, Boyd F. Richards, Hetty Cunningham, Urmi Desai, Owen Lewis, Andrew Mutnick, Mary Anne J. Nidiry, Prantik Saha, and Rita Charon. ‘“Where Does the Circle End?’: Representation as a Critical Aspect of Reflection in Teaching Social and Behavioral Sciences in Medicine.” Academic Psychiatry 39.6 (2014): 669-77. Web.
Dossett, Michelle L, Wendy Kohatsu, William Nunley, Darshan Mehta, Roger B. Davis, Russell S. Phillips, and Gloria Yeh. “A Medical Student Elective Promoting Humanism, Communication Skills, Complementary and Alternative Medicine and Physician Self-Care: An Evaluation of the HEART Program.” EXPLORE: The Journal of Science and Healing 9.5 (2013): 292-98. Web.
Edwards, S. “Resident Wellness and Work/Life Balance in Postgraduate Medical Education.” Members of the FMEC PG consortium: 2011. Web.
Fludernik, Monika and Jan Alber eds. Postclassical Narratology: Approaches and Analyses. Columbus: Ohio State UP, 2010. Print.
Frank, JR and D. Danoff. “Implementing an outcomes-based framework of physician competencies.” Medical Teacher 29 (2007): 642–647. Web.
Gallagher, Catherine. Nobody’s Story: The Vanishing Acts of Women Writers in the Marketplace, 1670-1820. Berkeley: U of California P, 1994. Print.
Herman, David. Narratologies: New Perspectives on Narrative Analysis. Columbus: Ohio State UP, 1999. Print.
Holmgren, Lindsay, Abraham Fuks, Donald Boudreau, Tabitha Sparks, and Martin Kreiswirth. “Terminology and Praxis: Clarifying the Scope of Narrative in Medicine.” Literature and Medicine 29.2 (2011): 246-73. Web.
Keen, Suzanne. “A Theory of Narrative Empathy.” Narrative 14.3 (2006): 207-236. Web.
---. Empathy and the Novel. New York: Oxford UP, 2007. Print.
---. “Intersectional Narratology in the Study of Narrative Empathy.” Warhol and Lanser, pp.123-146.
---. “Pivoting towards Empiricism: A Response to Fletcher and Monterosso.” Narrative 24.1 (2016): 104-111. Web.
Lévinas, Emmanuel. Alterity and Transcendence. Trans. Michael B. Smith. New York: Columbia UP, 1999. Print.
Mildorf, Jarmila. “Narratology and the Social Sciences.” Fludernik and Alber, pp. 234-254.
Moore, Rhonda J., and James Hallenbeck. “Narrative Empathy and How Dealing with Stories Helps: Creating a Space for Empathy in Culturally Diverse Care Settings.” Journal of Pain and Symptom Management 40.3 (2010): 471-76. Web.
Ousager J, Johannessen H. “Humanities in undergraduate medical education: a literature review.” Academic Medicine 85 (2010): 988–98. Web.
Perry M, Maffulli N, Willson S, Morrissey D. “The effectiveness of arts-based interventions in medical education: a literature review.” Medical Education 45.2 (2011): 141–8. Web.
Phelan, James. Living to Tell About It: A Rhetoric and Ethics of Character Narration. Ithaca, NY: Cornell UP, 2005. Print.
---. Narrative as Rhetoric: Technique, Audiences, Ethics, Ideology. Columbus: Ohio State UP, 1996. Print.
Ricoeur, Paul. Oneself as Another. Trans. Kathleen Blamey. Chicago: U of Chicago P, 1992. Print.
Schwartz AW, Abramson JS, Wojnowich I, Accordino R, Ronan EJ, Rifkin MR. “Evaluating the Impact of the Humanities in Medical Education.” Mount Sinai Journal of Medicine 76 (2009): 372–80. Web.
Spreng, R. Nathan, Margaret C. McKinnon, Raymond A. Mar, and Brian Levine. “The Toronto Empathy Questionnaire: Scale Development and Initial Validation of a Factor-analytic Solution to Multiple Empathy Measures.” J Pers Assess. 2009 January ; 91(1): 62–71. doi:10.1080/00223890802484381.
Stewart, Garrett. Reading Voices: Literature and the Phonotext. Berkeley: U of California P, 1990. Print.
Walsh, Richard. “Person, Level, Voice: A Rhetorical Reconsideration.” Warhol and Lanser, pp.35-57.
---. The Rhetoric of Fictionality: Narrative Theory and the Idea of Fiction. Columbus: Ohio State UP, 2007. Print.
Warhol, Robyn R and Susan Sniader Lanser eds. Narrative Theory Unbound: Queer and Feminist Interventions. Columbus: Ohio State UP, 2015. Print.
Windelband, Wilhelm. “History and Natural Science.” History and Theory 19.2 (1980): 165-168. Print.
Winnett, Susan. “Coming Unstrung: Women, Men, Narrative, and Principles of Pleasure.” PMLA 105.3 (1990): 505-518. Print.
Zunshine, Lisa. “I Was Wrong.” 128th Annual Conference of the Modern Language Association: Boston, Mass. January 5-8, 2013.
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