基于叙事医学的人文医学实践教学体系建构——以《温暖的医学》课程为例

叙事医学强调叙事能力的养成从而为医学人文的落地和人文医学的实践提供路径。《温暖的医学》基于叙事医学理论,设计了覆盖“生•老•病•死”全生命周期的两层进阶式实践教学体系,将叙事医学能力培养和临床实践有机结合,在实际医疗场景中锻炼医学生运用叙事医学理念和工具,围绕“生物−心理−社会”三个层面开展观察和反思,并做出回应和行动。实践教学提升了医学生对医学本质的理解,促进了医疗关系中主体间性的建立及全人医学诊疗思维的形成。该课程的设计和建构在医学人文课程教学的系统化、规范化、标准化方面也开展了有益的探索。

     

Writing life narratives through art practice

This article shares some of my doctoral experiences in a practice-based PhD research in arts developed at the Chelsea College of Arts, University of the Arts London. It locates art practice within the academic research realm and contributes to researchers working on autobiographical studies and practice-based research methods. By offering an overview on my research topic focusing on the relationship between language and place in the life of Brazilian women living in London, I reflect on the relevance of “not-knowing” as a fruitful space for researching autobiographical and situated life narratives through art practice. The article concludes that qualitative methods are relevant for building passages from the individual to the collective sphere of an art practice developed within geographical displacement and in the context of academic research.     

Liberating narratives and the play of unforbidden pleasures: In brief dynamic therapy

Drawing upon the work of Adam Phillips and Ronald Britton the author highlights the intimidating and fear-inducing nature of the super-ego and the role of the therapist in supporting the judgements of the ego and liberating it from the domination of the super-ego. He goes on to explore the proposition that moral principles do not need to be oppressive in nature and that they can emanate from objects that are more akin to sexual or aesthetic objects. These themes are linked to Woodmansey’s conceptualistion of the punitive and humiliating super-ego, and the origin of the super-ego as an internalisation of an external conflict is outlined. The role of identifying a Cyclical Maladaptive Pattern as a focus and its contribution in identifying the super-ego and how it manifests in the client’s narrative are explored, as well as the crucial contribution of a playful stance on the part of therapist in subverting and undermining the intimidating strictures of the super-ego.     

Narrative (Re)Righting: Recovering and Rebuilding a Life Rocked by Trauma

In this paper, I write about and through my recent brush with death to narrate myself out of fear and desperation and into hope and acceptance. Storytelling helps me sort through the rubble and make sense of my life repeatedly rocked by trauma. Narrative reframing takes me a step further, empowering me to rebuild and reinvent my life through the stories I choose to tell as I move forward. Through this work, I am reminded rebuilding is temporary, continual, and precarious; and not only possible, but important and necessary.     

Maturity is coherent: Structural and content-specific coherence in adolescent moral identity

Identity narrative may involve considerable variations in structural and content-specific coherence. These variations are potentially relevant to the development of moral commitment in adolescence. The present study analyzed coherence in moral identity narratives for a matched comparison sample of urban adolescents. Thirty nominated adolescent moral exemplars and 30 everyday comparators were given interview prompts designed to tap identity narrative. Structural and content-specific coherence dimensions were assessed with a palette of computational techniques known as coh-metrix. Consistent with study hypotheses, exemplar adolescent moral identity narratives generally evinced greater structural and content-specific coherence than everyday comparators, particularly on causality and agentic intentionality dimensions. Findings suggest that moral identity coherence is a kind of expertise fixed in developmental processes and associated with real-world action.     

What Are We to Think about Thought Experiments?

Arguments from thought experiment ask the reader to imagine some hypothetical, sometimes exotic, often fantastic, scenario for the sake of illustrating or countering some claim. Variously characterized as mental experimentation, imaginary cases, and even crazy cases, thought experiments figure into both scientific and philosophical arguments. They are often criticized for their fictive nature and for their lack of grounding. Nevertheless, they are common especially in arguments in ethics and philosophy of mind. Moreover, many thought experiments have spawned variations that attempt to both affirm and refute their original arguments. These emended thought experiments exhibit a variety of styles, details, and embellishments. A rhetorical analysis of these variations suggests a reciprocal influence between the arguers' selection of details and their philosophical commitments. I offer examples of this relationship from the variations on John Searle's Chinese Room thought experiment and Judith Thomson's unconscious violinist thought experiment.     

RELIGION IN AN AGE OF SCIENCE; METAPHYSICS IN AN ERA OF HISTORY

Abstract. Ian Barbour's Religion in an Age of Science is a welcome systematic, theoretical overview of the relations between science and religion, culminating his long career with a balanced and insightful appraisal. The hallmarks of his synthesis are critical realism, holism, and process thought. Barbour makes even more investment in process philosophy and theology than in his previous works. This invites further inquiry about the adequacy of a highly general process metaphysics in dealing with our particular, deeply historical world; also further inquiry about the adequacy of its panexperientialism and incrementalism.     

Automatization of personal and impersonal discourse with narrative re-telling as a function of age

When older adults retell an impersonal story, the resulting narratives are typically characterized by more prolixity and less coherence than those produced by younger adults. We aimed to determine whether this pattern is also observed when retelling a personal narrative. Younger and older participants told a personal story three consecutive times. With retelling, no evidence of increased coherence or fluency or reduction in hesitancy was observed for either age group. The nature of autobiographical narrative construction explains why such stories are not subject to automatization. A failure to automatize personal narratives is not, therefore, a symptom of aging.     

Group Narrative Therapy for Women With Attention‐Deficit/Hyperactivity Disorder

Women with attention‐deficit/hyperactivity disorder (ADHD) often struggle with the developmental challenges of adulthood and ADHD‐related problems. The authors provide specific clinical interventions from a narrative‐based group approach to help women with ADHD understand their symptoms, create strength‐based narratives, and apply these narratives to the developmental tasks of early adulthood.