The ‘narrative spirit’

Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts Pub Date : 2018-10-01 DOI:10.1093/MED/9780198806660.003.0012

Yeonok Jeoung, G. Lucius-Hoene, Y. I. Bak

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Abstract

Recent studies in Korea show that doctors have suffered a severe loss of image among their patients, due to their authoritarian, unempathic, and unfriendly communication behaviour. These findings were confirmed by studies of their communication styles done with conversation analysis. Training courses for medical students in doctor–patient communication have become mandatory, but are short and to date have provided no significant change; the ethical foundations of doctors when dealing with patients remained untouched. This chapter explores how the humanistic concepts of narrative medicine and can provide better understanding between doctors and patients. This ‘narrative spirit’ resonates with traditional values of Buddhism and Confucianism that are deeply rooted in Korean culture. It discusses a training programme for doctors working with text analysis of narrative interviews of patients’ illness experiences and shows how using patients’ stories may evoke this ‘narrative spirit’ and combine traditional ethical values with modern medical education.

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“叙事精神”

韩国最近的研究表明，由于医生的专制、冷漠和不友好的沟通行为，他们在病人中遭受了严重的形象损失。这些发现在对他们的沟通方式进行的谈话分析研究中得到了证实。医学生的医患沟通培训课程已成为强制性课程，但课程较短，迄今没有显著变化;医生在治疗病人时的伦理基础没有受到影响。本章探讨了叙事医学的人文主义理念，以及如何在医患之间提供更好的理解。这种“叙事精神”与深深植根于韩国文化的佛教和儒家传统价值观产生了共鸣。它讨论了为从事病人疾病经历叙述性访谈文本分析工作的医生提供的培训计划，并展示了如何利用病人的故事唤起这种“叙事精神”，并将传统的伦理价值观与现代医学教育结合起来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts

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