Narrative-Based Practice in Health and Social Care: Conversations Inviting Change, Edition 2

Routledge
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Narrative-Based Practice in Health and Social Care outlines a vision of how witnessing narratives, paying attention to them, and developing an ability to question them creatively, can make the person’s emerging story the central focus of health and social care, and of healing.

This text gives an account of the practical application of ideas and skills from contemporary narrative studies to health and social care. Promoting narrative-based practice in everyday encounters with patients and clients, and in supervision, teaching, teamwork and management, it presents "Conversations Inviting Change," an established narrative-based model of interactional skills.

Underpinned by an account of theory from narrative studies and related fields, including communication theory and systems thinking, it is written for students and practitioners across a broad range of professions in primary and secondary health care and social care.

More information about "Conversations Inviting Change" is available at www.conversationsinvitingchange.com. This website includes podcasts, presentations and further teaching material as well as details of forthcoming courses, and is continually updated with information about the approach described in this book.

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About the author

John Launer is Associate Dean at Health Education England, an Honorary Consultant at the Tavistock and Portman NHS Foundation Trust, and Associate Editor of the Postgraduate Medical Journal.

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Additional Information

Publisher
Routledge
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Published on
Feb 6, 2018
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Pages
148
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ISBN
9781351864114
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Language
English
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Genres
Medical / Family & General Practice
Medical / Physician & Patient
Social Science / Disease & Health Issues
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Content Protection
This content is DRM protected.
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Available on Android devices
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Eligible for Family Library

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Primary care, grounded in the provision of continuous comprehensive person-centred care, is of paramount importance in the delivery of accessible and effective health care around the world. The central notion of person-centred care, however, relies on often-unexamined concepts of self, or understandings of what it means to be a person and an agent. This cutting-edge book explores contemporary pressures on the sense of self for both patient and health professional within a consultation and argues that building new concepts of the self is essential if we are to reinvigorate the central tenets of person-centred primary care.

Contemporary trends such as shared decision-making between health professionals and patients and promoting self-management assume those involved are able to make their own decisions and take action. In practice, however, medicine often opts for reductionist perspectives of patients as passive mechanical systems and diseases as puzzles. At the same time, huge political and organisational changes mean time and resources are scarce, putting further pressure on consultations. This book discusses how we can start to resolve these tensions. The first part considers problems posed by the increasing bureaucratisation of primary care, the impact of information technology in the consultation, the effects of chronic disease on our sense of self and how an emphasis on biology over biography leads to over-diagnosis. The second part proposes solutions based on a strong ontology of consciousness, concepts of creative capacity, coherence and engagement, and will show how these can enhance the self-esteem of patients and doctors and benefit their therapeutic dialogue.

Combining theoretical perspectives from philosophy, sociology and healthcare research with insights drawn from clinical practice, this edited volume is suitable for those researching and studying primary healthcare, communication and relationships in healthcare and the medical humanities.

Doctor and medical columnist John Launer has written on the practice and teaching of medicine for many years. Now, more than fifty of his essays have been collected in How Not to Be A Doctor. Taken together, they set out an argument that being a doctor—a real doctor—should mean being able to draw on every aspect of yourself, your interests, and your experiences, however remote these may seem from the medical task of the moment.Originating from popular columns Launer has written for medical journals, the essays range from the title essay “How Not to Be A Doctor,†? an ironic piece illustrating how being authentic as a doctor may mean behaving in ways you were never taught in medical school, to a story of the imagined conversation between two prehistoric medical men on the primitive diet, to the author’s poignant account of being a patient himself as he received treatment for a life-threatening illness. Some of the essays take the form of short stories, either imaginary or autobiographical, and some are contemplative in tone, while others are polemical, humorous, educational, fantastical, satirical, or dead serious. They cover a range of topics including music, poetry, literature, and psychoanalysis, as well as contemporary medical politics and the personal experiences of being a doctor. From the absurd to the profound, the short stories, essays, and reflections in How Not to Be a Doctor combine erudition with humor, candor, and the human touch to show how, in medicine, you cannot separate personal experiences from professional ones, and to inform and entertain readers on both sides of the stethoscope.
Winner of the NBCC Award for General Nonfiction

Named on Amazon's Best Books of the Year 2015--Michael Botticelli, U.S. Drug Czar (Politico) Favorite Book of the Year--Angus Deaton, Nobel Prize Economics (Bloomberg/WSJ) Best Books of 2015--Matt Bevin, Governor of Kentucky (WSJ) Books of the Year--Slate.com's 10 Best Books of 2015--Entertainment Weekly's 10 Best Books of 2015 --Buzzfeed's 19 Best Nonfiction Books of 2015--The Daily Beast's Best Big Idea Books of 2015--Seattle Times' Best Books of 2015--Boston Globe's Best Books of 2015--St. Louis Post-Dispatch's Best Books of 2015--The Guardian's The Best Book We Read All Year--Audible's Best Books of 2015--Texas Observer's Five Books We Loved in 2015--Chicago Public Library's Best Nonfiction Books of 2015

From a small town in Mexico to the boardrooms of Big Pharma to main streets nationwide, an explosive and shocking account of addiction in the heartland of America.

In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America--addiction like no other the country has ever faced. How that happened is the riveting story of Dreamland.

With a great reporter's narrative skill and the storytelling ability of a novelist, acclaimed journalist Sam Quinones weaves together two classic tales of capitalism run amok whose unintentional collision has been catastrophic. The unfettered prescribing of pain medications during the 1990s reached its peak in Purdue Pharma's campaign to market OxyContin, its new, expensive--extremely addictive--miracle painkiller. Meanwhile, a massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel--assaulted small town and mid-sized cities across the country, driven by a brilliant, almost unbeatable marketing and distribution system. Together these phenomena continue to lay waste to communities from Tennessee to Oregon, Indiana to New Mexico.

Introducing a memorable cast of characters--pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents--Quinones shows how these tales fit together. Dreamland is a revelatory account of the corrosive threat facing America and its heartland.
“An impressively researched, documented, and readable biography” of a woman who played a key role in the history of psychology (Library Journal, starred review).
 
Who was Sabina Spielrein? She is probably best known for her notorious affair with Carl Jung, which was dramatized in the film A Dangerous Method, starring Keira Knightley. Yet her life story is much more compelling than just one famous relationship.
 
Spielrein overcame family and psychological abuse to become a profoundly original thinker in her own right. Sex vs. Survival is the first biography to put her life and ideas at the center of the story and examine Spielrein’s key role in the development of psychoanalysis. Drawing on fresh research into Spielrein’s diaries, papers, and correspondence, John Launer shows how Spielrein’s overlooked ideas―rejected by Freud and Jung but substantially vindicated by later developments in psychology and evolutionary biology—may represent the last and most important stage in the rediscovery of an extraordinary life.
 
“An invaluable resource for understanding Spielrein’s significance, her progressive thinking, and her groundbreaking contributions to the history of psychoanalysis.” —Publishers Weekly
 
“By the end of Launer’s account, there’s no mistaking what the founding fathers of analysis did to this particular founding mother—and probably to many other women. At least this biography offers Spielrein some retrospective justice.” —Jewish Book World
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