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maryclare.crochiereThis article is not about a disaster. Just allow more medical stories to circulate.
This article is not about a disaster. Just allow more medical stories to circulate.
"If we weigh “evidence” by the pound or the page, we risk moving toward a monoculture of C.B.T"
"Stories capture small pictures, too. I’m thinking of the anxious older man given Zoloft. That narrative has power"
"For a variety of reasons, including a heightened awareness of medical error and a focus on cost cutting, we have entered an era in which a narrow, demanding version of evidencebased medicine prevails"
Stories are important in medicine. Numbers are important too, but sometimes the stories can tell particular cases of success, where numbers would brush over or fail to show the significance. Stories can tell much more than numbers sometimes, and that must be regocnized and appreciated. Especially in specialties where it is hard to always measure data, quotes, stories, and recollections can be more accurate.
I research stories about antidepressants and compared those to research on the drugs.
This article has implications for public health, as the treatment of people, rather than patients, is what is emphasized here.
The article does not directly address emergency response, however it did address medical stories as being helpful to the public to feel supported and reach out when they realized they had a psychological condition. This is important in society, because if someone can get treated for something, or at least know they have it an take precautions, then they help themselves feel more comfortable and be more successful, they reduce the strain on those around them, and they make it easier for healthcare providers, if there is ever a related issue.
Dr. Peter Kramer- a clinical professor of psychiatry at Brown University. Author of the article.
The author looked at trends in medical journals and other publications - seeing how they treated stories compared to data. He also used his own experience with stories in medicine and the experiences of a friend of his, Dr. Bech.
The author is making the point that we are too caught up in the numbers and facts of medicine, and we need to go back to the narrative. The details that come with a patient's history and social actions contribute a great deal to outcome and treatment. The author supports this with several examples of cases he has had or heard of and how they changed his view of a treatment.
"The contributors write: “Data are important, of course, but numbers sometimes imply an order to what is happening that can be misleading. Stories are better at capturing a different type of ‘big picture'.""
"Four decades later, in 1995, suicidal thoughts brought this anxious man back into the psychiatric system, at age 70. For the first time, he was put on an antidepressant, Zoloft. Six weeks out, both the panic attacks and the depression were gone. He resumed work, entered into a social life and remained well for the next 19 years — until his death."