The Principles and Practice of Narrative Medicine

Rita Charon is a general internist and literary scholar at Columbia University who originated the field of narrative medicine and directs the Program in Narrative Medicine at Columbia. She researches, publishes, and lectures extensively on the relationship between narrative knowledge and the care of the sick. Edgar Rivera Colón, Ph.D. teaches at Columbia University's program in Narrative Medicine. Dr. Rivera Colón is a sexuality and gender anthropologist. For the last fifteen years, he has been conducting ethnographic research on New York City's House Ball community. Sayantani DasGupta teaches in the MS Program in Narrative Medicine at Columbia University as well as Columbia's Center for Comparative Literature and Society. She also co-chairs Columbia's University Seminar in Narrative, Health and Social Justice and teaches at the Health Advocacy Program at Sarah Lawrence College. Nellie Hermann was born in Boston, Massachusetts, and lives in Brooklyn, New York. Her second novel, The Season of Migration, was published by FSG in January and was a New York Times Editor's Choice. She is the Creative Director of the Program in Narrative Medicine at Columbia University and has taught and lectured widely on the use of creativity in nontraditional contexts. Craig Irvine is Director of the Masters Program in Narrative Medicine at Columbia University and Director of Education of the Program in Narrative Medicine at the College of Physicians and Surgeons of Columbia University. Eric R. Marcus is Director of the Columbia University Center for Psychoanalytic Training and Research and is a training and supervising analyst there. He is a professor of clinical psychiatry at the Columbia University College of Physicians and Surgeons. Danielle Spencer is a Faculty member of the Program in Narrative Medicine at Columbia University as well as the Einstein-Cardozo Master of Science in Bioethics program in New York. Spencer presents regularly at medical humanities and bioethics conferences and has been published in The Lancet, WIRED, Creative Nonfiction, Esopus and The Hungarian Review. Maura Spiegel has been teaching fiction and film at Columbia University and Barnard College for the past 20 years. She is a founding member of the Program in Narrative Medicine at Columbia College of Physicians and Surgeons, where she offers film courses to first-year medical students.

Acknowledgments
Introduction

Part I: Intersubjectivity
Chapter 1. Accounts of Self: Exploring Relationality through Literature
Maura Spiegel and Danielle Spencer
Introduction
Self-Telling: Colm Tóibín and the Need to Tell
Monologue and Dialogue: Dostoevsky and Bakhtin
Recognition in Bechdel's Fun Home: Thickening the Story
Identification and Refusal in Kazou Ishiguro's Never Let Me Go
Conclusion

Chapter 2. This Is What We Do, and These Things Happen: Experience, Emotion, and Relationality In The Classroom
Maura Spiegel and Danielle Spencer
Socio-relational dynamics and medical education
The Narrative Medicine Classroom / Workshop
Conclusion

Part II: Dualism, Personhood, and Embodiment
Chapter 3: Dualism and its Discontents I: Philosophy, Literature, and Medicine
Craig Irvine and Danielle Spencer
"Hi. How are you feeling today?": Tales of Alienation in Healthcare
Biomedicine in recent history
The Cave and the Machine: Philosophical Roots of Dualism

Chapter 4: Dualism and its Discontents II: Philosophical Tinctures
Craig Irvine and Danielle Spencer
Philosophical Tinctures: Phenomenology and Narrative Hermeneutics
Philosophical Narratives: Complexity and Multiplicity
Soul

Chapter 5: Deliver us from Certainty: Training for Narrative Ethics
Craig Irvine and Rita Charon
Narrative Ethics of Reading
Narrative Ethics of Clinical Practice
Ethics of Narrative Medicine

Part III: Identities in Pedagogy
Chapter 6: The Politics of Pedagogy: Cripping, Queering and Un-homing Health Humanities
Sayantani DasGupta
Introduction
Crip Politics and the Medicalization of Health Humanities
Queer Politics and the Problems of Intelligibility
Un-Homing Narrative Medicine: Pedagogical Frames
Conclusion

Part IV: Close Reading
Chapter 7: Close Reading: The Signature Method of Narrative Medicine
Rita Charon
The Origin and Fate of Close Reading
Why Narrative Medicine Is Committed to Close Reading
Close Reading and Its Progeny, Attentive Listening
The Interior Processes of Close Reading
Close Reading Enacts the Principles of Narrative Medicine
Coda

Chapter 8: A Framework for Teaching Close Reading
Rita Charon
One Way to Teach Close Reading
Choosing Texts and Creating Prompts
Time
Space
Voice
Metaphor
Conclusions and Room for Further Thought

Part V: Creativity
Chapter 9: Creativity: What, Why, and Where?
Nellie Hermann
Creativity in Our Everyday Lives
What is Creative Writing for, particularly in the clinical context?
Forms and Dividends of Creative Writing
Creative Writing and Reflective Writing

Chapter 10: Can Creativity be Taught?
Nellie Hermann
Strategies for Writing in the Health Professions
A Teaching Tool: The Reading Guide for Reflective Writing
The Approach to the Writing Student
Finally: focus on the creative spark

Part VI: Qualitative Ways of Knowing
Chapter 11: The Ethnographic Field: Narrative, Visual, Contextual
Edgar Rivera Colón
Narrative Prelude
Demystifying Qualitative Research Methods
An Embodied, Reflexive Practice
Making the world visible
The Ethnographic Witness


Part VI: Clinical Practice
Chapter 12: A Narrative Transformation of Health and Health Care
Eric Marcus and Rita Charon
RC Tells the Clinical Story
EM: Concepts-Transference and Transitional Space
RC: Concepts-Creativity, Reflexivity, Reciprocity
Coda

Chapter 13: Clinical Contributions of Narrative Medicine
Rita Charon
Individual Interview/Relationship Techniques
Clinician and Health Care Team Development
Novel Narrative Practices
Clinicians See

Author Biographies
Bibliography
Index