Search

“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. “

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.

The main point of the article is psychiatry and medicine need personal experience, storytelling and case vignette to enrich doctor’s diagnosis and judgement.

• 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.

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.

• 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.

Readers, however, often used the books for a different purpose:
identifying depression. Regularly, I received — and still receive — phone calls: “My
husband is just like — ” one or another figure from a clinical example.

HERE is where I want to venture a radical statement about the worth of
anecdote. Beyond its roles as illustration, affirmation, hypothesis­builder and lowlevel
guidance for practice, storytelling can act as a modest counterbalance to a
straitened understanding of evidence.

It was less of a directly researched article and more of a theory hypothesized with several decades of first-hand observation and in-context understand of the subject.

The main point of the article is to explain the history of the vignette or anecdotes in clinical research as an accompaniment to data and analysis, particularly in the realm of psychological medicine. The author makes a case for the importance of the clinical vignette, explaining how it can assist physicians in diagnosing and treating patients. 

The author speaks of Dr. Per Bech, a Dutch Psychiatrist, and his co-author Lone Lindberg, and his patient who suffered from mental illness over the course of his life, and how the vignette Bech wrote about this patient had value and relevance for understanding the use of Zoloft.