Friday, September 20, 2013

Narrative Medicine


Narrative Medicine: The Use of History and Story in the Healing Process Paperback – June 11, 2007

Author: Visit Amazon's Lewis Mehl-Madrona Page | Language: English | ISBN: 1591430658 | Format: PDF, EPUB

Narrative Medicine: The Use of History and Story in the Healing Process – June 11, 2007
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From Publishers Weekly

Challenging the voice of conventional health care, Mehl-Medrona (Coyote Medicine) demonstrates the limits of modern medicine by looking to the perspectives and stories that have kept indigenous cultures (including his own Cherokee ancestors) healthy for centuries. A professor of family medicine and psychiatry, Mehl-Madrona avoids a "problem-based" vantage point, addressing root causes where conventional medicine addresses symptoms, using the body's natural tendency toward harmony and balance where others use drugs. Though it's not a new thesis, Mehl-Madrona illustrates it cleverly and accessibly ("Classical medicine stops at the frame of the body, ignoring the social world and... its multiple frames"). Mehl-Medrona invites readers into powerful tribal talking circles, as well as the sweatlodge, where patients conceptualize illness as an entity to battle. Case studies from North American and Hawaii natives demonstrate how stories themselves can spur healing: one troubled Hawaii youth was only able to identify his self-destructive behavior, and his need for help, after hearing a folk story about a boy with a man-eating shark mouth on his back. Though clearly pushing an agenda, Mehl-Madrona's arguments are compelling and level-headed, but occasionally lose momentum to excess exposition. This look at story and community's role in individual health convincingly advocates for a larger, more inclusive, more complete health care system.
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Review

"What makes this Narrative Medicine important and exciting, at least to me, is that we have a board certified medical doctor challenging the more tradition modalities of Western medicine; not by ridiculing them, or even dismissing them, but rather offering narrative medicine as both a complement and a way to systemically treat the whole person. . . . shows us the importance of our own story in our own healing process. Throughout the book there are case histories which we can draw upon to both understand how the process works and to make personal application." (Frank A. Mills, Co/Create Ideas Matter, March 2010)

"Lewis Mehl-Madrona is an extraordinarily gifted physician and healer. I saw him transform the lives of profoundly affected patients. Mostly, he was sitting next to them, listening carefully and telling them stories. I was amazed." (David Servan-Schreiber, M.D., Ph.D., Clinical Professor of Psychiatry, University of Pittsburgh, aut)

“Some people say that we are made of molecules and cells, but Lewis Mehl-Madrona insists that we are made of stories. Stories involve a whole person in a historical context and in a whole environment. This more expansive view of ourselves is more true-to-life and real. Dr. Mehl-Madrona teaches us to learn our own story and to use it to heal ourselves and to appreciate our own soul’s path.” (Dana Ullman, MPH, author of The Homeopathic Revolution and coauthor of Everybody’s Guide to Ho)

“Dr. Mehl-Madrona’s work with Narrative Medicine is both powerful and exciting. He meets each patient as a unique individual instead of a diagnosis. He provides story after story of successes that are not within the normal spectrum of modern medicine, and breaks down narrative medicine into components so we may catch a glimpse of how it achieves its success. He brings the reader back to listening and compassion, the two human aspects of medicine that are crucial to the doctor-patient relationship. His view of medicine and healing expands how one looks at the illness, health, and community.” (Ann Marie Chiasson, M.D., MPH, CCFP, Clinical Assistant Professor of Medicine, University of Arizona)

“It is clear from Lewis Mehl-Madrona’s work that healing is far too complex a process to entrust to the western medical profession. And in opening the door to indigenous voices from outside these professional doors, the present volume is both illuminating and invaluable. My hope is that this book will serve as a beacon and an inspiration for the broadest collaboration in defining and enriching our orientations to health, illness, and cure.” (Kenneth J. Gergen, Mustin Professor of Psychology, Swarthmore College)

“Stanford Medical School trained Mehl-Madrona invokes the philosophy of his Cherokee and Lakota ancestors to remind us that the path to redemption for today’s health care world is to honor the patient’s life story with all of its elements of culture, community, family, health beliefs, spirituality, and individuality. Mehl-Madrona’s narrative contribution is possibly the most inclusive philosophy ever proposed in medicine. “After reading Narrative Medicine, when we come face-to-face with that terrible question, ‘Doc, how long have I got to live?’ we will know that the answer cannot be found in a statistic or the natural history of a disease, but depends upon your unique story--the one told up until this point and especially the one authored from this point onward.” (Farrell Silverberg, Ph.D., author of Make the Leap: A Practical Guide to Breaking the Patterns That)

“Our stories bring us comfort and help us become acquainted with our unanticipated dreams and fears. Narrative Medicine helps us connect to this personal taproot enhancing our understanding of how we can find our way back to wellness in crisis.” (Roberta Lee, Continuum Center for Health and Healing, Beth Israel Medical Center, New York)

"Addressing shamanism, quantum physics, critical theory, and more, this book will appeal to a wide variety of readers, including healing practitioners . . ." (Blanche Angelo, Library Journal Xpress Reviews, July 2007)

"The author writes very well, weaving examples throughout, as well as stories from a variety of cultures, showing how he uses stories in his practice with actual patients." (D. Tigermoon, The Pagan Review, Nov 2007)

"Dr. Lewis Mehl-Madrona presents us with a sincere and well-researched case for a new approach to mental and physical health. . . . as well as cutting-edge sociological developments in transformational studies." (David Paulsen, New Age Retailer, Jan 2008)

"It is quite refreshing to read the perspective of a health-care practitioner who can draw on his own cultural experience and articulate his interventions scientifically. Yet, at the same time he does not alienate the reader by romanticizing his uniqueness." (PsycCritiques of the American Psychological Association, Mar 2008)

"Dr. Mehl-Madrona treats each of his patients as a unique individual with a history and a story rather than simply a diagnosis. As well as listening with compassion, he offers a traditional story to help a patient gain insight into their illness and path to wellness. Most of the stories he shares come from North American Native culture as that is Dr. Mehl-Madrona's heritage." (Ann Moore, Synergy Magazine, Vol. 6, Issue 2, Mar/Apr 2009)
See all Editorial Reviews

Books with free ebook downloads available Narrative Medicine: The Use of History and Story in the Healing Process Paperback – June 11, 2007
  • Paperback: 336 pages
  • Publisher: Bear & Company; 1 edition (June 11, 2007)
  • Language: English
  • ISBN-10: 1591430658
  • ISBN-13: 978-1591430650
  • Product Dimensions: 8.9 x 6.1 x 0.9 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Amazon Best Sellers Rank: #619,202 in Books (See Top 100 in Books)
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.

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