Jung Min Choi

The Role of Clinical Records in Narrative Medicine: A Discourse of Message.

This article is designed to unite theory and practice. The focus of attention is the impact of narrative medicine on clinical records. Specifically important is that records are created through dialogue, whereby patients are able to grow the record through their ability to offer critiques and alternative explanations. Merely allowing patients to peruse their records, through advances in technology, is not sufficient to facilitate this aim. Various theoretical and practical considerations are discussed that may facilitate patient involvement and the creation of more accurate and relevant patient records.

GLOBALIZATION, MARKET SYMBOLISM, AND COPING

Current understandings about coping have been shaped by a neo-liberal economic philosophy. This article examines the symbolic side of this outlook and considers the ways in which market imagery reinforces coping as a model of global integration. This philosophy, however, has been documented to threaten well-being. Moreover, within various philosophical fields, the assumptions that guide market imagery have lost credibility. This shift in thinking is examined and calls for a rethinking of market-based coping.

Waiting for the Download: A New Metaphor to Describe Education

ABSTRACT Metaphors have been a vital part of the history of education. Schools, for example, have been described as banks or factories. Nowadays new metaphors have become prominent that are related to the widespread presence of computers in society. These new symbols, however, are especially problematic and can increase student passivity cynicism. Accordingly, rigorous philosophy and practice will be necessary to introduce creativity and critical thought into the classroom, given how students and learning are portrayed by these computer metaphors.

What Is Dialogue

World entry is necessary for narrative medicine to function. A world, as already noted, is neither simply a place nor a collection of persons or objects. As is described in Chap. 1, a world is an opening, a creation, the product of personal and collective action. Word and world are inextricably united. This lifeworld is an interpersonal invention that is maintained, additionally, through further action. For example, these worlds are not static but shift according to intention and mood (Charmaz 1991). As a product of human invention, or storylines, entree to this domain holds the key to understanding correctly illness or any other human behavior.

Narrative medicine and community-based health care and planning

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Introduction: Narratives, Local Knowledge, and World Entry

price are net prices, subject to local VAT. Prices indicated with * include VAT for books; the €(D) includes 7% for Germany, the €(A) includes 10% for Austria. Prices indicated with ** include VAT for electronic products; 19% for Germany, 20% for Austria. All prices exclusive of carriage charges. Prices and other details are subject to change without notice. All errors and omissions excepted. J.W. Murphy, B. Franz, J.M. Choi, K.A. Callaghan Narrative Medicine and Community-Based Health Care and Planning

Community and Narratives

The basic premise of this book is that not only is narrative medicine important, but the nature of health services is changed due to this development. How these programs are planned, developed, and evaluated is altered significantly. A fundamental shift in philosophy is made with respect to how patients and communities view their problems and judge interventions. Polkinghorne and others talk about this change as a “narrative turn” (Polkinghorne 1988; Morris 2000). Especially significant is that local knowledge is elevated in importance.

The Politics of Storytelling

The Western intellectual tradition has been basically dualistic (Livingston and Cutrofello 2015). What this term means in this context is that the acquisition of knowledge involved the pursuit of external truths divorced categorically from opinion. Plato inaugurated this trend with his discussion of ideas (1989). God and natural laws are also a part of this project. In the end, however, only these absolutes were characterized as representing reliable information.

Narratives, Methods, and World Entry

Narrative medicine requires that individuals or communities be able to tell their stories in their own way, and that these narratives be read in a sensitive manner. These persons, accordingly, must be engaged, so that the storylines they create are accessible and properly understood. In the end, as suggested throughout this book, this goal can be achieved only through dialogue.

Community Mapping Tells a Story

Given there is no escape from narratives, the focus of research should be world entry. And as is noted earlier in this book, this process is different from the discovery of facts. Whereas traditionally facts are presumed to be objective and thus obtrusive and often associated with empirical referents, narratives are more elusive but available for consultation (Engel 1987). Narratives, however, must be coaxed into the open.