Literature and Medicine: Literature as a Source of Listening, Empathy and Self-Reflection

Authors

  • Carla Fonseca Zambaldi Universidade Federal de Pernambuco

DOI:

https://doi.org/10.37467/gka-revmedica.v8.2234

Keywords:

Medical Humanities, Narrative Medicine, Medical listening, Empathy, Self-reflection, Self-care

Abstract

Modern times have brought advances in the understanding of diseases, new diagnostic and therapeutic resources and the revolutionary use of technology, allowing the progress of medicine. To cover the complexity of the progress of scientific evidence, medical training has reinforced and privileged scientific knowledge. The investment in the formation of humanistic, language, communication, listening and empathy skills was not equivalent to technical training. Such imbalance has shown losses in the ability of the modern physician to listen carefully, to understand globally and to relate appropriately to his patients. Despite this, initiatives to promote human and integral medicine have emerged and have been maintained in medical schools.

Author Biography

Carla Fonseca Zambaldi, Universidade Federal de Pernambuco

Professora Adjunta Psiquiatria Clínica Universidade Federal de Pernambuco. Psiquiatra. Doutorado em Neuropsiquiatria e Ciências do Comportamento na Universidade Federal de Pernambuco.

References

Adler, J. M. (2013). Como falar, como ouvir. São Paulo: É Realizações.

Appel, M. & Malečkar, B. (2012). The Influence of Paratext on Narrative Persuasion: Fact, Fiction, or Fake? Human Communication Research, 38(4), 459–484. https://doi.org/10.1111/j.1468-2958.2012.01432.x DOI: https://doi.org/10.1111/j.1468-2958.2012.01432.x

Batt-Rawden, S. A., Chisolm, M. S., Anton, B., & Flickinger, T. E. (2013). Teaching empathy to medical students: An updated, systematic review. Academic Medicine, 88(8), pp. 1171–1177. https://doi.org/10.1097/ACM.0b013e318299f3e3 DOI: https://doi.org/10.1097/ACM.0b013e318299f3e3

Beckman, H. B. & Frankel, R. M. (1984). The effect of physician behavior on the collection of data. Annals of Internal Medicine, 101(5), 692–696. https://doi.org/10.7326/0003-4819-101-5-692 DOI: https://doi.org/10.7326/0003-4819-101-5-692

Broyard, A. (1993). Intoxicated by my illness and others writings on life and death. New York: Fawcett Columbine.

Candido, A. (2011). Vários escritos. Rio de Janeiro: Ouro sobre Azul.

Charon, R. (2001). Narrative medicine: A model for empathy, reflection, profession, and trust. Journal of the American Medical Association, 286(15), pp. 1897–1902. https://doi.org/10.1001/jama.286.15.1897 DOI: https://doi.org/10.1001/jama.286.15.1897

Charon, R. (2007). What to do with stories: The sciences of narrative medicine. Canadian Family Physician, 53(8), pp. 1265–1267.

Charon, R. (2013). Narrative medicine in the international education of physicians. Presse Medicale, 42(1), pp. 3–5. https://doi.org/10.1016/j.lpm.2012.10.015 DOI: https://doi.org/10.1016/j.lpm.2012.10.015

Charon, R. (2015). O corpo que se conta - porque a medicina e as histórias precisam uma da outra. São Paulo: Letra e Voz.

Djikic, M., Oatley, K. & Moldoveanu, M. C. (2013). Reading other minds: Effects of literature on empathy. Scientific Study of Literature, 3(1), 28–47. https://doi.org/10.1075/ssol.3.1.06dji DOI: https://doi.org/10.1075/ssol.3.1.06dji

Ferreira, E. M. A. (2014). A escuta sensível das narrativas médicas. Intersemiose, 5, 78–98.

Frich, J. C. & Jørgensen, J. (2000). Medicine and literature-interpretation and discussion of literary texts in medical education. Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke, 120(10), pp. 1160–1164. http://www.ncbi.nlm.nih.gov/pubmed/10863345

Gallian, D. (2017). A literatura como remédio: os clássicos e a saúde da alma. São Paulo: Martins Claret.

Gleichgerrcht, E., & Decety, J. (2014). The relationship between different facets of empathy, pain perception and compassion fatigue among physicians. Frontiers in Behavioral Neuroscience, 8(july). https://doi.org/10.3389/fnbeh.2014.00243 DOI: https://doi.org/10.3389/fnbeh.2014.00243

Hampshire, A. J. & Avery, A. J. (2001). What can students learn from studying medicine in literature? Medical Education, 35(7), 687–690. https://doi.org/10.1046/j.1365-2923.2001.00969.x DOI: https://doi.org/10.1046/j.1365-2923.2001.00969.x

Hunter, K. M., Charon, R. & Coulehan, J. L. (1995). The Study of Literature in Medical Education. Acad Med, 70(9), 787–794. DOI: https://doi.org/10.1097/00001888-199509000-00016

Keen, S. (2006). A theory of narrative empathy. Narrative, 14(3), 207–236. https://doi.org/10.1353/nar.2006.0015 DOI: https://doi.org/10.1353/nar.2006.0015

Kidd, D. C. & Castano, E. (2013). Reading literary fiction improves theory of mind. Science, 342(6156), 377–380. https://doi.org/10.1126/science.1239918 DOI: https://doi.org/10.1126/science.1239918

Koopman, E. M. (E.). (2016). Effects of “literariness” on emotions and on empathy and reflection after reading. Psychology of Aesthetics, Creativity, and the Arts, 10(1), 82–98. https://doi.org/10.1037/aca0000041 DOI: https://doi.org/10.1037/aca0000041

Koopman, E. (2015). How texts about suffering trigger reflection: Genre, personal factors, and affective responses. Psychology of Aesthetics, Creativity, and the Arts, 9(4), 430–441. https://doi.org/10.1037/aca0000006 DOI: https://doi.org/10.1037/aca0000006

Koopman, E. & Hakemulder, F. (2015). Effects of Literature on Empathy and Self-Reflection: A Theoretical-Empirical Framework. Journal of Literary Theory, 9(1). https://doi.org/10.1515/jlt-2015-0005 DOI: https://doi.org/10.1515/jlt-2015-0005

Lancaster, T., Hart, R. & Gardner, S. (2002). Literature and medicine: Evaluating a special study module using the nominal group technique. Medical Education, 36(11), 1071–1076. https://doi.org/10.1046/j.1365-2923.2002.01325.x DOI: https://doi.org/10.1046/j.1365-2923.2002.01325.x

Mar, R. A., Oatley, K., Djikic, M., & Mullin, J. (2011). Emotion and narrative fiction: Interactive influences before, during, and after reading. Cognition and Emotion, 25(5), pp. 818–833. https://doi.org/10.1080/02699931.2010.515151 DOI: https://doi.org/10.1080/02699931.2010.515151

Mar, R. A., Oatley, K., & Peterson, J. B. (2009). Exploring the link between reading fiction and empathy: Ruling out individual differences and examining outcomes. Communications, 34(4), 407–428. https://doi.org/10.1515/COMM.2009.025 DOI: https://doi.org/10.1515/COMM.2009.025

Marvel, M. K., Epstein, R. M., Flowers, K., & Beckman, H. B. (1999). Soliciting the patient’s agenda: Have we improved? Journal of the American Medical Association, 281(3), 283–287. https://doi.org/10.1001/jama.281.3.283 DOI: https://doi.org/10.1001/jama.281.3.283

Neumann, M., Edelhäuser, F., Tauschel, D., Fischer, M. R., Wirtz, M., Woopen, C., Haramati, A., & Scheffer, C. (2011). Empathy decline and its reasons: A systematic review of studies with medical students and residents. Academic Medicine, 86(8), pp. 996–1009. https://doi.org/10.1097/ACM.0b013e318221e615 DOI: https://doi.org/10.1097/ACM.0b013e318221e615

Pino, M. C., & Mazza, M. (2016). The Use of “Literary Fiction” to Promote Mentalizing Ability. PLOS ONE, 11(8), e0160254. https://doi.org/10.1371/journal.pone.0160254 DOI: https://doi.org/10.1371/journal.pone.0160254

Ritivoi, A. D. (2018). Empatia, intersubjetividade e compreensão narrativa - lendo as histórias, lenda as vidas (dos outros). São Paulo: Letra e Voz.

Robinson, J. D., Tate, A., & Heritage, J. (2016). Agenda-setting revisited: When and how do primary-care physicians solicit patients’ additional concerns? Patient Education and Counseling, 99(5), 718–723. https://doi.org/10.1016/j.pec.2015.12.009 DOI: https://doi.org/10.1016/j.pec.2015.12.009

Rosa, G. (2012). Grande Sertão: Veredas. Rio de Janeiro: Nova Fronteira.

Scliar, M. (2013). Território da emoção: Crônicas de medicina e saúde. São Paulo: Companhia das Letras.

Shakir, M., Vannatta, J., & Schlefer, R. (2017). Effect of College Literature and Medicine on the Practice of Medicine. Journal of the Oklahoma State Medical Association, 110, 593–600.

Shapiro, J., Morrison, E. H., & Boker, J. R. (2004). Teaching empathy to first year medical students: Evaluation of an elective literature and medicine course. Education for Health, 17(1), 73–84. https://doi.org/10.1080/13576280310001656196 DOI: https://doi.org/10.1080/13576280310001656196

Stepien, K. A., & Baernstein, A. (2006). Educating for empathy: A review. Journal of General Internal Medicine, 21(5), pp. 524–530. https://doi.org/10.1111/j.1525-1497.2006.00443.x DOI: https://doi.org/10.1111/j.1525-1497.2006.00443.x

Street, R. L., Gordon, H., & Haidet, P. (2007). Physicians’ communication and perceptions of patients: Is it how they look, how they talk, or is it just the doctor? Social Science and Medicine, 65(3), 586–598. https://doi.org/10.1016/j.socscimed.2007.03.036 DOI: https://doi.org/10.1016/j.socscimed.2007.03.036

Tchekhov, A. (2014). O beijo e outras histórias. São Paulo: Editora 34.

Published

2020-09-18

How to Cite

Zambaldi, C. F. (2020). Literature and Medicine: Literature as a Source of Listening, Empathy and Self-Reflection. MEDICA REVIEW. International Medical Humanities Review / Revista Internacional De Humanidades Médicas, 8(1), pp. 29–36. https://doi.org/10.37467/gka-revmedica.v8.2234

Issue

Section

Research articles