Literature DB >> 29531109

A Narrative Approach to Healing Chronic Illness.

Thomas R Egnew1.   

Abstract

Many clinicians may feel poorly prepared to manage patient suffering resulting from the travails of chronic illness. This essay explores the thesis that chronically and terminally ill patients can be holistically healed by transcending the suffering occasioned by the degradations of their illnesses. Suffering is conveyed as a story and clinicians can encourage healing by co-constructing patients' illness stories. By addressing the inevitable existential conflicts uncovered in patients' narratives and helping them edit their stories to promote acceptance and meaning, suffering can be transcended. This requires that clinicians be skilled in narrative medicine and open to engaging the patient's existential concerns. By helping patients transcend their suffering, clinicians claim their heritage as healers.
© 2018 Annals of Family Medicine, Inc.

Entities:  

Keywords:  chronic disease; physician-patient relations; psychological; stress; suffering

Mesh:

Year:  2018        PMID: 29531109      PMCID: PMC5847356          DOI: 10.1370/afm.2182

Source DB:  PubMed          Journal:  Ann Fam Med        ISSN: 1544-1709            Impact factor:   5.166


  39 in total

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Authors:  D A Barrett
Journal:  J Pastoral Care       Date:  1999

2.  A PIECE OF MY MIND. Responding to Suffering.

Authors:  Ronald M Epstein; Anthony L Back
Journal:  JAMA       Date:  2015 Dec 22-29       Impact factor: 56.272

Review 3.  What to do with stories: the sciences of narrative medicine.

Authors:  Rita Charon
Journal:  Can Fam Physician       Date:  2007-08       Impact factor: 3.275

4.  Recognizing suffering.

Authors:  E J Cassell
Journal:  Hastings Cent Rep       Date:  1991 May-Jun       Impact factor: 2.683

5.  Predominance of the curative model of medical care. A residual problem.

Authors:  E Fox
Journal:  JAMA       Date:  1997-09-03       Impact factor: 56.272

6.  The meaning of healing: transcending suffering.

Authors:  Thomas R Egnew
Journal:  Ann Fam Med       Date:  2005 May-Jun       Impact factor: 5.166

7.  Deconstructing the placebo effect and finding the meaning response.

Authors:  Daniel E Moerman; Wayne B Jonas
Journal:  Ann Intern Med       Date:  2002-03-19       Impact factor: 25.391

8.  Issues in end-of-life care: patient, caregiver, and clinician perceptions.

Authors:  Stuart J Farber; Thomas R Egnew; Janet L Herman-Bertsch; Thomas R Taylor; Gregory E Guldin
Journal:  J Palliat Med       Date:  2003-02       Impact factor: 2.947

9.  The nature of suffering and the goals of medicine.

Authors:  E J Cassel
Journal:  N Engl J Med       Date:  1982-03-18       Impact factor: 91.245

10.  More training needed in chronic care: a survey of US physicians.

Authors:  Jonathan D Darer; Wenke Hwang; Hoangmai H Pham; Eric B Bass; Gerard Anderson
Journal:  Acad Med       Date:  2004-06       Impact factor: 6.893

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  7 in total

Review 1.  Beliefs about the body and pain: the critical role in musculoskeletal pain management.

Authors:  J P Caneiro; Samantha Bunzli; Peter O'Sullivan
Journal:  Braz J Phys Ther       Date:  2020-06-20       Impact factor: 3.377

2.  Narrative in Older People Care-Concepts and Issues in Patients with Dementia.

Authors:  Grażyna Puto; Patrycja Zurzycka; Zofia Musiał; Marta Muszalik
Journal:  Healthcare (Basel)       Date:  2022-05-12

3.  The narrative interview for the assessment of the assisted person: structure, method and data analysis.

Authors:  Giovanna Artioli; Chiara Cosentino; Chiara Taffurelli; Paola Ferri; Chiara Foà
Journal:  Acta Biomed       Date:  2019-07-08

4.  Adults' experiences of living with pulmonary hypertension: a thematic synthesis of qualitative studies.

Authors:  Gregg Harry Rawlings; Nigel Beail; Iain Armstrong; Robin Condliffe; David G Kiely; Ian Sabroe; Andrew R Thompson
Journal:  BMJ Open       Date:  2020-12-07       Impact factor: 2.692

5.  The impact of a "narrative interview" intervention in oncology. A study protocol for a feasibility study.

Authors:  Giovanna Artioli; Chiara Foà; Maria Bertuol; Linda Benzi; Laura Deiana; Chiara Meneghetti; Cecilia Neri; Laura Pigoni; Martina Zanotti; Leopoldo Sarli
Journal:  Acta Biomed       Date:  2020-06-20

Review 6.  Personalizing the BioPsychoSocial Approach: "Add-Ons" and "Add-Ins" in Generalist Practice.

Authors:  William B Ventres; Richard M Frankel
Journal:  Front Psychiatry       Date:  2021-11-24       Impact factor: 4.157

7.  Mediating Effects of Patients' Stigma and Self-Efficacy on Relationships Between Doctors' Empathy Abilities and Patients' Cellular Immunity in Male Breast Cancer Patients.

Authors:  Ningxi Yang; Yingnan Cao; Xiaoyan Li; Shiyue Li; Hong Yan; Qingshan Geng
Journal:  Med Sci Monit       Date:  2018-06-12
  7 in total

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