Contrasting epistemologies: Biomedicine, narrative medicine and indigenous story medicine.

Canadian literature biomedicine colonialism epistemology narrative medicine

Journal

Journal of evaluation in clinical practice
ISSN: 1365-2753
Titre abrégé: J Eval Clin Pract
Pays: England
ID NLM: 9609066

Informations de publication

Date de publication:
01 Aug 2023
Historique:
revised: 01 07 2023
received: 19 05 2023
accepted: 26 07 2023
pubmed: 1 8 2023
medline: 1 8 2023
entrez: 1 8 2023
Statut: aheadofprint

Résumé

Narrative Medicine (NM) and Indigenous Story Medicine both use narrative to understand and effect health, but their respective conceptualizations of narrative differ. I contrast the concept of narrative in NM with that of Indigenous Story Medicine. The article relies Western narrative theorists as well as Indigenous epistemologists to frame a discussion-by-contrast of the Judeo-Christian creation myth with a Haundenosaunee Creation Story. I demonstrate that the deficiencies of Narrative Medicine exist because the latter's use of narrative is a mere application in an otherwise reductive field, whereas Indigenous epistemologies rely on story as medicine itself. OMIT. I call for more scholars to take up different narratives to further investigate the ethical space between NM and Indigenous Story Medicine.

Sections du résumé

BACKGROUND BACKGROUND
Narrative Medicine (NM) and Indigenous Story Medicine both use narrative to understand and effect health, but their respective conceptualizations of narrative differ.
AIMS OBJECTIVE
I contrast the concept of narrative in NM with that of Indigenous Story Medicine.
MATERIALS AND METHODS METHODS
The article relies Western narrative theorists as well as Indigenous epistemologists to frame a discussion-by-contrast of the Judeo-Christian creation myth with a Haundenosaunee Creation Story.
RESULTS RESULTS
I demonstrate that the deficiencies of Narrative Medicine exist because the latter's use of narrative is a mere application in an otherwise reductive field, whereas Indigenous epistemologies rely on story as medicine itself.
DISCUSSION CONCLUSIONS
OMIT.
CONCLUSION CONCLUSIONS
I call for more scholars to take up different narratives to further investigate the ethical space between NM and Indigenous Story Medicine.

Identifiants

pubmed: 37526287
doi: 10.1111/jep.13914
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Social Sciences and Humanities Research Council
ID : 756-2021-0068

Informations de copyright

© 2023 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.

Références

Bleakley A, Neilson S. Poetry in the Clinic: Towards a Lyrical Medicine. Vol 24. Routledge; 2022.
Engel GL. The need for a new medical model: a challenge for biomedicine. Psychodyn Psychiatry. 2012;40(3):377-396.
Rita C. Narrative Medicine: Honouring the Stories of Illness. New York: Oxford University Press; 2006:vii.
Greenhalgh T, Hurwitz B, eds. Narrative Based Medicine. BMJ Books; 1998.
Lewis M-M. Narrative Medicine: The Use of History and Story in the Healing Process. Rochester, Vermont: Bear and Company; 2007.
Jones EM, Tansey EM, eds. The development of narrative practices in medicine c.1960-c.2000. Wellcome Witnesses to Contemporary Medicine. Vol 52. Queen Mary University of London; 2015.
Bates VL, Hurwitz B. The roots and ramifications of narrative in modern medicine. In: Whitehead A, Woods A, eds. The Edinburgh Companion to the Critical Medical Humanities. Edinburgh University Press; 2016:559-576.
Cunningham H, Taylor DS, Desai UA, et al. Reading the self: medical students' experience of reflecting on their writing over time. Acad Med. 2020;93(6):888-894.
Michael JD, Richards BF, Cunningham H, et al. Where does the circle end?’: Representation as a critical aspect of reflection in teaching social and behavioral sciences in medicine. Acad Psychiatry. 2015;39(6):669-677.
Eliza M, Balmer D, Hermann N, Graham G, Charon R. Sounding narrative medicine: studying students' professional identity development at Columbia University College of physicians and surgeons. Acad Med. 2014;89(2):335-342.
Neilson S. A logical development: biomedicine's fingerprints are on the instrument of close reading in Charonian Narrative Medicine. Med Humanit. 2022;48(3):e9.
World Health Organization. Constitution. https://www.who.int/about/governance/constitution#:~:text=Health%20is%20a%20state%20of,belief%2C%20economic%20or%20social%20condition
Mikraszewicz K, Richmond C. Paddling the Biigtig: Mino biimadisiwin practiced through canoeing. Soc Sci Med. 2019;240:112548.
Elana N, Chantelle R. Reclaiming land, identity and mental wellness in Biigtigong Nishnaabeg Territory. Int J Environ Res Public Health. 2022;19(12):7285.
Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117-125.
Ermine W. The ethical space of engagement. Indigenous Law Journal. 2007;6(1):193-204.
Jo-Ann A. Indigenous Storywork: Educating the Heart, Mind, Body, and Spirit. University British Columbia Press; 2008:3-4.
Daniel Heath Justice. Why Indigenous Literatures Matter. Wilfrid Laurier University Press; 2018:xix.
National Collaborating Centre for Aboriginal Health. Setting the context: an overview of aboriginal health in Canada. Undated. https://www.ccnsanccah.ca/docs/context/FS-OverviewAbororiginalHealth-EN.pdf
Absolon K. Indigenous wholistic theory: a knowledge set for practice. First Peoples Child Fam Rev. 2009;14(1):22-42.
Eni R, Phillips-Beck W, Achan GK, Lavoie JG, Kinew KA, Katz A. Decolonizing health in Canada: a Manitoba first nation perspective. Int J Equity Health. 2021;20(206):206.
Charon R. Narrative Medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001;286(15):1897-1902.
Woods A. The limits of narrative: provocations for the medical humanities. Med Humanit. 2011;37:73-78.
Episkenew J-A. Taking back our spirits: indigenous literature, public policy, and Healing. UMP. 2009:112-113.
Simpson L. “Bubbling like a beating heart”: reflections in Nishnaabeg poetic and narrative consciousness. In: McLeod N, ed. Indigenous Poetics in Canada. Wilfrid Laurier University Press; 2014:107-119.
Beth B. Writing as Witness: Essay and Talk. Toronto: Women's Press; 1994:9.
Ramsay C. The Voyages of Jacques Cartier. University of Toronto Press; 2020:10.
Allan G. The People of New France. University of Toronto Press; 1997:93.
Stewart S. One indigenous academic's evolution: a personal narrative of native health research and competing ways of knowing. First Peoples Child Fam Rev. 2009;4(1):57-65.
Boivin L. Image-based storytelling: a visual narrative of my family's story. CMAJ. 2018;190(37):E1112-E1113.
King James Bible Online, 4:10. https://www.kingjamesbibleonline.org/Genesis-Chapter-3/
Brian M. The first words. In: Laura Moss, Cynthia Sugars, eds. Canadian Literature in English: Texts and Contexts. Vol 1. Penguin Academics; 2009.
Brooks L. Digging at the roots: locating an ethical, native criticism. In: Craig S. Womack, Daniel Heath Justice, Christopher B. Teuton, eds. Reasoning Together: The Native Critics Collective. University of Oklahoma Press; 2008:234-264,
237-238.
Vanessa W. Indigenous place-thought and agency among humans and non humans (First Woman and Sky Woman Go On a European World Tour!). Decolonization: Indigeneity, Education & Society. 2013;2(1):20-34. https://jps.library.utoronto.ca/index.php/des/article/view/19145

Auteurs

Shane Neilson (S)

Department of Family Medicine, McMaster University, Waterloo Regional Campus, Hamilton, Ontario, Canada.

Classifications MeSH