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The main point of the article is psychiatry and medicine need personal experience, storytelling and case vignette to enrich doctor’s diagnosis and judgement.
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In response to
The author share the experience, the ideas and reference to other research and examples. There are many studies that the author mentioned, also shows the perspective of these studies.
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“I wrote about personality and how it might change on medication.”
“We need storytelling, to set us in the clinical moment, remind us of the variety of human experience and enrich our judgment.”
“In psychiatry — and the same is true throughout medicine — randomized trials are rarely large enough to provide guidance on their own.”
“It has been my hope that, while we wait for conclusive science, stories will preserve diversity in our theories of mind. “
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xiaoxAnnotation of
- It is impressed that combine the storytelling, case vignette and the science actual method.
- Another point is that there is low-evidence and data for medical and psychiatric clinic treatment.
- Cognitive Behavioral Therapy, CBT is a psychosocial intervention and it is used to treat specific problems related to a diagnosed mental disorder.
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The article not really address the public health inequities. However, Dr Kramer considered that combine the case vignette and storytelling can help doctor’s judgement, especially in the area of psychiatric.
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In response to
- Hellmuth Kaiser, a psychoanalyst who imparted his wisdom through a fictional case portrayed in a stage play.
- Oxford University Press began publishing a journal devoted to case reports.
- Dr. Bech and his coauthor, Lone Lindberg, they point out spontaneous recovery from panic and depression late in life is rare.
- Dr. Havens, his approach that sitting beside the patient metaphorically and looking outward, handcrafting interventions on the spot.