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The Chief Concern of Medicine: The Integration of the Medical Humanities and Narrative Knowledge into Medical Practices
Ronald Schleifer and Jerry B. VannattaUnlike any existing studies of the medical humanities, The Chief Concern of Medicine brings to the examination of medical practices a thorough---and clearly articulated---exposition of the nature of narrative. The book builds on the work of linguistics, semiotics, narratology, and discourse theory and examines numerous literary works and narrative "vignettes" of medical problems, situations, and encounters. Throughout, the book presents usable expositions of the ways storytelling organizes itself to allow physicians and other healthcare workers (and even patients themselves) to be more attentive to and self-conscious about the information---the "narrative knowledge"---of the patient's story.
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Cover
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Title
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Copyright
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Dedication
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Preface
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Acknowledgments
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Contents
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Introduction: Medicine, Narrative, and Schema-Based Understanding
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PART 1. Phronetic Skills: The Technē of Medicine
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1. The Functional Realism of Medicine
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2. Modalities of Science: Narrative, Phronesis, and the Skills (Technē) of Medicine
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3. The Chief Concern of Medicine: Narrative Knowledge and Schema-Based Practice
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4. The Logic of Diagnosis: Peirce, Literary Narrative, and the History of Present Illness
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PART 2. The Work of Narrative in Practices of Medicine
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5. The Patient-Physician Relationship: The Scene of Narration
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6. The Patient's Story: The Apprehension of Narration
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7. Doctors Listening and Attending to Patients: Response and Engagement with Acts of Narration
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PART 3. Schema-Based Medicine
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8. Narrative and Medicine: Schemas of Narration
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9. Narrative and Everyday Medical Ethics: Schemas of Action
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CONCLUSION
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10. Reading The Death of Ivan Ilych
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Afterword: The Nexus of Literature and Medicine; The Interactions of Patient and Physician
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Appendix 1. Humanities as a Discipline
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Appendix 2. Checklists for Skills in Listening, Interviewing, and Action
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Appendix 3. A Compilation of Schemas for Medical Practices
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Notes
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Bibliography
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Index
- 978-0-472-11859-5 (hardcover)
- 978-0-472-02886-3 (ebook)