Contributing to the growing field of "narrative-based medicine", this book specifically addresses the largest area of medical activity - primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork, and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples, the book shows how professionals in primary care can help clarify patients' existing stories, and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on, and describes, an established evaluated training method, and is of immediate and significant practical use to readers. It should be useful reading for general practitioners, practice nurses and others in the primary care team, psychologists, family therapists, counsellors and other professionals attached to primary care. GP trainers, tutors and course organizers should also find it a valuable educational tool, as well as professionals elsewhere in primary care such as pharmacists, dentists and optometrists, and academics in medical sociology and medical anthropology will also find it very useful.
Contributing to the growing field of "narrative-based medicine", this book specifically addresses the largest area of medical activity - primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork, and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples, the book shows how professionals in primary care can help clarify patients' existing stories, and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on, and describes, an established evaluated training method, and is of immediate and significant practical use to readers. It should be useful reading for general practitioners, practice nurses and others in the primary care team, psychologists, family therapists, counsellors and other professionals attached to primary care. GP trainers, tutors and course organizers should also find it a valuable educational tool, as well as professionals elsewhere in primary care such as pharmacists, dentists and optometrists, and academics in medical sociology and medical anthropology will also find it very useful.
Introduction. Part One: Practice. Narrative practitioner at work. Concepts. Techniques. Helping narratives to flow. Families. Mental health. What hinders narratives. Clinical supervision. Work consultancy. Part Two: Teaching. Background. The training. Some teaching exercises. The effects of narrative-based training. Part Three: Theory. From a patient-centred approach to a story-centred one. Balint and narrative: a comparison. Towards a narrative model for primary care. Appendix: The initial research.
John Launer
'I learnt a lot from this book, both about the philosophical basis of the narrative approach and about simple, practical techniques to use in the consulting room. This book will quickly find its place on the shelf of key textbooks on the core values and methods of primary health care' Professor Trisha Greenhalgh, in the Foreword
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