Medical humanities

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Medical humanities is an interdisciplinary field of medicine which includes the humanities (philosophy of medicine, medical ethics and bioethics, history of medicine, literary studies and religion), social science (psychology, medical sociology, medical anthropology, cultural studies, health geography) and the arts (literature, theater, film, and visual arts) and their application to medical education and practice. [1]

Contents

Medical humanities uses interdisciplinary research to explore experiences of health and illness, often focusing on subjective, hidden, or invisible experience. This interdisciplinary strength has given the field a noted diversity and encouraged creative 'epistemological innovation'. [2]

Medical humanities is sometimes conflated with health humanities which also broadly links health and social care disciplines with the arts and humanities. [3]

Definitions

Medical humanities can be defined as an interdisciplinary, and increasingly international endeavor that draws on the creative and intellectual strengths of diverse disciplines, including literature, art, creative writing, drama, film, music, philosophy, ethical decision making, anthropology, and history, in pursuit of medical educational goals. [4] The humanistic sciences are relevant when multiple people’s perspectives on issues are compiled together to answer questions or even create questions. The arts can provide additional perspective to the sciences.

Critical medical humanities is an approach which argues that the arts and humanities have more to offer to healthcare than simply improving medical education. It proposes that the arts and humanities offer different ways of thinking about human history, culture, behaviour and experience which can be used to dissect, critique and influence healthcare practices and priorities. [5] [6]

The arts

Medical books, pictures, and diagrams help medical students build an appreciation for anything in the medical field from the human body to diseases. [7]

The medical humanities can assist medical practitioners with viewing issues from more than one perspective, such as the visual arts and culture are supposed to do. Both patients and doctors/medical professionals deal with facing decision-making. Each person’s perspective of medical ethics is different from one another due to different cultures, religions, societies, and traditions. [8] The humanities also assist and attempt to create a closer or more meaningful relationship between medical practitioners and their peers/patients. [7] Ethics are perceived differently from person to person, so answering ethical questions requires the viewpoints of several people who may have different opinions of what is right from wrong. [8]

Bioethics

The first category is bioethics, which includes the morals of healthcare. As science and technology develop, so does healthcare and medicine, and there is discussion and debate in society and healthcare committees that go over the ethics of these certain situations that pertain to medical humanities. For example, one of these cases involves the practice of body enhancements in which the ethics of this practice are questioned due to the fact that bio-medical and technological practices are making changes to a person’s body to improve the body and/or its appearance. [9]

Clinical ethics

The second category in ethics of the medical humanities is clinical ethics, which refers to the respect that healthcare professionals have for patients and families, and this helps develop a sort of professionalism, respectability, and expertise that healthcare professionals must use in respect to their patients. [10] Another example in the ethics of the medical humanities is bias people and society have against others with disabilities, and how these disabilities correlate with success or what the disabled person is able to do. It is unethical to judge or assume the incapability of a disabled person because disabled people are able to find ways to become successful through modern technology and even through self-determination. [10]

Various academic institutions offer courses of study in the ethics of medical humanities. These programs help their students learn professionalism in the medical field so that they may respectfully help their patients and do what it is right in any situation that may arise.

Literature and medicine

Formerly called medicine in literature, literature and medicine is an interdisciplinary subfield of the medical humanities considered a "dialogue rather than a merger" between the literary and the medical. Literature and medicine is flourishing in undergraduate programs [11] and in medical schools at all levels. The Pennsylvania State University College of Medicine-Hershey was the first to introduce literature into a medical school curriculum when Joanne Trautmann (Banks), an English professor, was appointed to a position in literature there in 1972. The rationale for using literature and medicine in medical education is three-fold: reading the stories of patients and writing about their experiences gives doctors in training the tools they need to better understand their patients; discussing and reflecting on literature brings the medical practitioner's biases and assumptions into focus, heightening awareness; and reading literature requires critical thinking and empathetic awareness about moral issues in medicine. [12]

See also

Related Research Articles

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<span class="mw-page-title-main">Physician</span> Professional who practices medicine

A physician, medical practitioner, medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the science of medicine—and also a decent competence in its applied practice—the art or craft of medicine.

In developmental psychology and moral, political, and bioethical philosophy, autonomy is the capacity to make an informed, uncoerced decision. Autonomous organizations or institutions are independent or self-governing. Autonomy can also be defined from a human resources perspective, where it denotes a level of discretion granted to an employee in his or her work. In such cases, autonomy is known to generally increase job satisfaction. Self-actualized individuals are thought to operate autonomously of external expectations. In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine.

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Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. It is important to note that these four values are not ranked in order of importance or relevance and that they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment.

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The following outline is provided as an overview of and topical guide to the humanities:

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<span class="mw-page-title-main">Francoise Baylis</span> Canadian bioethicist

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References

  1. Aull, Felice. "Medical Humanities". Medical Humanities Community. New York University School of Medicine. Archived from the original on May 18, 2011. Retrieved 25 May 2011.
  2. William Viney, Felicity Callard, Angela Woods, 'Critical medical humanities: embracing entanglement, taking risks' Medical Humanities s 2015; 41: 2-7
  3. "Home the International Health Humanities Network".
  4. Kirklin, D (October 2003). "The Centre for Medical Humanities, Royal Free and University College Medical School, London, England". Academic Medicine. 78 (10): 1048–53. doi: 10.1097/00001888-200310000-00023 . PMID   14534108.
  5. Viney, William; Callard, Felicity; Woods, Angela (2015-06-01). "Critical medical humanities: embracing entanglement, taking risks". Medical Humanities. 41 (1): 2–7. doi:10.1136/medhum-2015-010692. ISSN   1473-4265. PMC   4484495 . PMID   26052111.
  6. "The Edinburgh Companion to the Critical Medical Humanities". Edinburgh University Press Books. Retrieved 2017-01-27.
  7. 1 2 Ahlzen, Rolf (2007). "Medical humanities - arts and humanistic science". Medicine, Health Care and Philosophy. 10 (4): 385–393. doi:10.1007/s11019-007-9081-3. PMID   17624812.
  8. 1 2 Chiapperino, Luca; Boniolo, Giovanni (December 2014). "Rethinking Medical Humanities". Journal of Medical Humanities. 35 (4): 377–387. doi:10.1007/s10912-014-9269-5. PMID   24477428.
  9. Pickersgill, Martyn; Hogle, Linda (10 August 2015). "Enhancement, ethics and society: towards an empirical research agenda for the medical humanities and social sciences". Medical Humanities. 41 (2): 136–142. doi:10.1136/medhum-2015-010718. PMC   4717454 . PMID   26260624. Open Access logo PLoS transparent.svg
  10. 1 2 Vertrees, Stephanie (April 2012). "Medical Humanities, Ethics, and Disability". Camb Q Healthc Ethics. 21 (2): 260–6. doi:10.1017/S0963180111000764. PMID   22377079.
  11. Health Humanities Programs in the United States, Hiram College, The Center for Literature and Medicine. (March 2016) http://www.hiram.edu/centers-of-distinction/litmed/baccalaureate-health-humanities
  12. Hawkins, Anne Hunsaker and Marilyn Chandler McEntyre. Teaching Literature and Medicine. New York: The Modern Language Society, 2000: 3-4. (includes history and resources)

Further reading