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Narrative Medicine: The Use of History and Story in the Healing Process (Anglais) Broché – 25 juillet 2007

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Narrative Medicine Lewis Mehl-Madrona's examination of the indigenous use of story as a healing modality points the way to a new model of medicine--a health care system that draws its effectiveness from listening to the healing wisdom of the past and also to the present-day voices of its patients. Full description

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Commentaires client les plus utiles sur (beta) 15 commentaires
22 internautes sur 23 ont trouvé ce commentaire utile 
Not a "tool" like narrative therapy: this is a new way of seeing. 7 avril 2008
Par Nancy L. Howe - Publié sur
Format: Broché
Narrative Medicine is a radical critique of conventional medicine in which Mehl-Madrona, M.D., Ph.D. challenges the knowledge system that physicians, especially psychiatrists, use to diagnose illness and direct treatment. Mehl-Madrona's writing style is straight-forward and concrete, enlivened with his skillful use of patient stories and historical examples drawn from his years in practice and as a professor of medicine, currently at University of Saskatchewan and before that, University of Arizona. He traces the philosophical roots of western medicine's fundamental axioms that disease can be understood with a mechanistic, biological model alone, and that valid medical solutions must generalize to a large population. Mehl-Madrona uses clinical experiences, recent research in physics, and advances in post-modern philosophy to underscore how these medical truths are, in themselves, a story. "Narrative therapy," as described by more than 200 Amazon authors, is promoted as an effective tool to be added to the physician's standard repertoire. Narrative medicine, by contrast, is not a tool; it is a way of seeing. In Mehl-Madrona's experience, storytelling is transformative, capable of promoting healing as a consequence of the interplay between teller and listeners.

As a cancer researcher, I found that Narrative Medicine held the key to understanding interviews I conducted with ovarian cancer survivors. I had asked these women to tell me how they learned of their diagnosis. What they told me were stories of how their illness had changed their self-understanding. For most, their interactions with the medical community had been frustrating and fragmented. They described being shuttled back and forth among a variety of experts (e.g., nephrologists, internists, and GI specialists), few of whom had the time or patience to listen when the women attempted to describe how their symptoms had unfolded. For all of them, the diagnostic process was frightening and disheartening.

My colleague found that Mehl-Madrona's analysis of bi-polar disorder and the current predominance of the biochemical explanation mirrored her experience. As a "non-responder" to standard medications, her hopes for relief had been undermined by the prevailing view that bi-polar disorder is a life-long biochemical imbalance for which drugs are the only effective treatment. "What I do now to help myself includes many of the approaches contained in the healing stories in Narrative Medicine," she told me. "Like Mehl-Madrona says, my solution is particular and works for me; other people in my support group find that their stories spur them to actions that are very different from mine, but equally helpful. Narrative Medicine gave me a new understanding of why that might be."

For a single text --- and a paperback at that! --- to accomplish both these tasks is testimony to the breadth of application available to the reader who is open to Narrative Medicine's premise.
7 internautes sur 7 ont trouvé ce commentaire utile 
Not as good as "Coyote Medicine" 27 juillet 2009
Par Stuart Dole - Publié sur
Format: Broché Achat vérifié
The overall tone of this book is plodding and academic, compared to Mehl-Madrona's "Coyote Medicine". Either he changed editors or didn't use one. Not much new material. But this may appeal more to academic types. I much preferred the dynamic personal narrative of the earlier book.
6 internautes sur 6 ont trouvé ce commentaire utile 
A major contribution 3 septembre 2009
Par Olivier Clerc - Publié sur
Format: Broché
This book goes way beyond giving us a new understanding of medicine and the power of story in healing. It provides us with incredible insight into this too often untapped (or unconsciously tapped) power to create stories out of what we live, what we perceive, to give meaning to our lives.
There are major parallels to draw between Dr Mehl-Madrona's books and Viktor Frankl's work, and his "logotherapy". Frankl helped his patients find meaning (logos) in their lives, and so does Lewis Mehl-MAdrona, but by using a different approach.
As compared to previous books, "Narrative Medicine" allows readers to have a much deeper understanding of the workings of this medicine. It gets to the very principles of the power of stories.
It is not always an easy book, but it is undoubtedly a major one, a reference book, to be read, re-read and considered : there is much to me learned from it !
3 internautes sur 3 ont trouvé ce commentaire utile 
Narrative Medicine is filled with deep wisdom and insight. 4 septembre 2009
Par Christine Cameron - Publié sur
Format: Broché
I am so grateful to have serendipitously stumbled upon Dr. Lewis Mehl-Madrona's work. Narrative Medicine is filled with deep wisdom and insight into the process of healing. He brings heart and soul to a profession which has become largely cold and clinical. Witnessing my Mother's health decline and then finally her diagnosis and cancer treatment truly opened my eyes to the heartlessness of our Western system. Reading Narrative Medicine made me feel less alone in my belief that health and wholeness is more rich and complex than diagnosing and medicating. I have been blessed with personally meeting and witnessing Dr. Mehl-Madrona at work. As a result, my view of illness and disease will never be the same. I highly recommend this book!
2 internautes sur 2 ont trouvé ce commentaire utile 
One of my favorite books, let alone textbooks. 27 août 2009
Par J. D. - Publié sur
Format: Broché
In this book, Dr. Mehl-Madrona provides a thoughtful critique of modern medicine. While he acknowledges many of the positive things that modern medicine has done for society (like making it possible to attribute disease to more than just people's religious and moral failings), he also proves how the discipline misses many aspects of health and wellness.

In the first few chapters of the book, Dr. Mehl-Madrona references a wide range of topics, from traditional stories to recent research on quantum physics. These chapters help to provide a foundation for understanding how narrative medicine can be conceived and employed in practice. Dr. Mehl-Madrona has a writing style that is very relaxed and inviting to the reader. Through his writing, he creates a dialectic in the truest sense: instead of trying to discredit all of modern medicine, or attempting to integrate narrative medicine into previously established theories of modern medicine, Dr. Mehl-Madrona provides a vital approach to medicine and health.

This book was used as part of a senior Psychology class. However, I would recommend it to anyone who is interested in learning about the field of medicine, about how doctors today treat physical and mental illnesses, and how narrative medicine can be used to help people.
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