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Neurology and literature 2.
Iniesta, I.
Afiliación
  • Iniesta I; Epilepsy Department, Division of Neurology, The Walton Centre for Neurology and Neurosurgery NHS Trust, Liverpool, UK. Electronic address: ivan.iniesta@thewaltoncentre.nhs.uk.
Neurologia ; 29(4): 242-8, 2014 May.
Article en En, Es | MEDLINE | ID: mdl-21546130
INTRODUCTION: Good literary fiction has the potential to move us, extend our sense of life, transform our prospective views and help us in the face of adversity. A neurological disorder is likely to be the most challenging experience a human being may have to confront in a lifetime. As such, literary recreations of illnesses have a doubly powerful effect. OBJECTIVES: Study the synergies between neurology and fictional literature with particular reference to narrative based medicine (NBM). DEVELOPMENT: Doctors establish boundaries between the normal and the abnormal. Taking a clinical history is an act of interpretation in which the doctor integrates the science of objective signs and measurable quantities with the art of subjective clinical judgment. The more discrepancy there is between the patient's experience with the illness and the doctor's interpretation of that disease, the less likely the doctor-patient interaction is to succeed. NBM contributes to a better discernment of the meanings, thus considering disease as a biographical event rather than just a natural fact. Drawing from their own experience with disease, writers of fiction provide universal insights through their narratives, whilst neuroscientists, like Cajal, have occasionally devoted their scientific knowledge to literary narratives. Furthermore, neurologists from Alzheimer to Oliver Sacks remind us of the essential value of NBM in the clinic. CONCLUSIONS: Integrating NBM (the narrative of patients) and the classic holistic approach to patients with our current paradigm of evidence based medicine represents a challenge as relevant to neurologists as keeping up with technological and scientific advances.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina en la Literatura / Neurología Tipo de estudio: Qualitative_research Límite: Humans Idioma: En / Es Revista: Neurologia Asunto de la revista: NEUROLOGIA Año: 2014 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina en la Literatura / Neurología Tipo de estudio: Qualitative_research Límite: Humans Idioma: En / Es Revista: Neurologia Asunto de la revista: NEUROLOGIA Año: 2014 Tipo del documento: Article Pais de publicación: España