ROME, Dec. 9 — Narrative medicine — a clinical helping intervention methodology based on the narrative of the different perspectives of those who collaborate in the treatment process, is less popular than it may be deserved — now has its own vocabulary. For Morcelliana types, the nearly century-old, prestige, Catholic-inspired publishing company of which he is among the founders Jean Batista Montaigne (who many years later the whole world will know as Paul VI), is actually out Narrative Medicine Dictionary – Word and Practice (Scholé, 2022), edited by him Maximilian MarinelliProfessor of Narrative Medicine at the Faculty of Medicine of the Marche Polytechnic University and of Bioethics in the Department of Life and Environmental Sciences of the same university (in the picture).
Essentially, narrative medicine is nothing more than a clinical practice underpinned by narrative competence, meaning the ability to recognize, internalize, metabolize, interpret, and be influenced by the stories of patients and diseases. In this way the treatment is “shaped” on the patient as a person. The dictionary edited by Marinelli, the first work of its kind, through the targeted selection of entries edited by leading experts in the field, on the one hand, illuminates the basic concepts that make up the whole of narrative medicine and its complementary relationship with evidence-based medicine (Ebm); On the other hand, it refers to the methodologies and practices through which narrative medicine is perceived as a therapeutic tool available to health professionals.
Marinelli’s dictionary begins, as the editor himself explains, from the resulting document of a compatibility conference 2015 where he stated that narration is the primary tool for acquiring, understanding and integrating the different perspectives of those involved in the disease and the treatment process. The goal is the joint construction of a personal treatment path. Thus, at its core, narrative medicine is a communicative practice that directs treatment toward the person. As such, it cannot fail to interest pharmacists, who are also health professionals who intervene in the therapeutic course of patients. It is therefore no coincidence that in Sifo, one of the most authoritative scientific associations in the pharmaceutical profession, there are those who – since 2015 – have paid great attention to this methodology and are committed to “translating” it into professional practice. from the pharmacist. Around Daniela Scala and Maria Ernestina beech (pictured right) Which since 2015 has been developing specific contents, tracks and projects within the Italian Society of Hospital Pharmacists and at the heart of the professional reality. Faggiano and Scala’s efforts are rewarded, for Marinelli commissions them to craft Lima’s “Story of Pharmacia,” and thus acknowledges the existence and dignity of methodology also in the field of pharmaceutical aid (for, as Galileo had already taught, to name things is to make them exist). Thus, narrative pharmacology is rightfully present in Narrative Medicine Dictionarywhich occupies eight pages (from 184 to 191, including the bibliography) where it is specified that “It does not contradict narrative medicine, but is part of it.”. But it – above all – explains and defines (for a dictionary ought to do so) what it is, why it is, and what it is after. For Faggiano and Scala, The most compelling definition is “Narrating of patients or other health professionals in reference to curative treatment which is the most obvious and prompt means of treatment”. A definition that merges into this: “The story of a pharmacist who interferes with his profession, with other pharmacists, with patients and with all health professionals”.
Certainly less mysterious than one might think. In the volume, Faggiano and Scala also build a brief history of narrative pharmacology, citing the first publications (from 2006 and 2007) reporting on Narratives about medicinesFor more recent articles (2015-2016) in which “The need to integrate EBM-based pharmaceutical practices with narrative approaches to ensure high-quality care”.
In their text – which also analyzes the possibilities of this type of approach – the authors stress that even in practice and in the context of Sifo’s existence (with planning that brings together ‘narrative’ research projects targeting both members and patients) “The narratives were the tool that made it possible to obtain a picture of an NHS pharmacist’s professional identity, to highlight his strengths, such as passion for this activity and work almost invisible, and weaknesses in working during the certification course first and then specializing to build the ability to work in team spirit among ourselves and with others. Health professionals and administrative figures“.
Understandably satisfied with participating in the realization of the work they define “far-sighted and prestigious”Faggiano and Scala do not fail to thank its curator, who write – “He has succeeded in putting together a beautiful work that will have a place in the history of this discipline, work that has succeeded in making us understand the breadth, influence and nuances of narrative medicine.”
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