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]
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]
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]
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]
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]
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.
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]
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.
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.
Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.
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.
Disability studies is an academic discipline that examines the meaning, nature, and consequences of disability. Initially, the field focused on the division between "impairment" and "disability", where impairment was an impairment of an individual's mind or body, while disability was considered a social construct. This premise gave rise to two distinct models of disability: the social and medical models of disability. In 1999 the social model was universally accepted as the model preferred by the field. However, in recent years, the division between the social and medical models has been challenged. Additionally, there has been an increased focus on interdisciplinary research. For example, recent investigations suggest using "cross-sectional markers of stratification" may help provide new insights on the non-random distribution of risk factors capable of acerbating disablement processes.
Humanistic medicine is an interdisciplinary field in the medical practice of clinical care popular in the modern health systems of developed countries.
Research ethics is concerned with the moral issues that arise during or as a result of research activities, as well as the conduct of individual researchers, and the implications for research communities. Ethical issues may arise in the design and implementation of research involving human experimentation or animal experimentation. There may also be consequences for the environment, for society or for future generations that need to be considered. Research ethics can be considered as a subfield of applied ethics.
Narrative Medicine is the discipline of applying the skills used in analyzing literature to interviewing patients. The premise of narrative medicine is that how a patient speaks about his or her illness or complaint is analogous to how literature offers a plot with characters and is filled with metaphors, and that becoming conversant with the elements of literature facilitates understanding the stories that patients bring. Narrative Medicine is a diagnostic and comprehensive approach that utilizes patients' narratives in clinical practice, research, and education to promote healing. Beyond attempts to reach accurate diagnoses, it aims to address the relational and psychological dimensions that occur in tandem with physical illness. Narrative medicine aims not only to validate the experience of the patient, it also encourages creativity and self-reflection in the physician.
The philosophy of healthcare is the study of the ethics, processes, and people which constitute the maintenance of health for human beings. For the most part, however, the philosophy of healthcare is best approached as an indelible component of human social structures. That is, the societal institution of healthcare can be seen as a necessary phenomenon of human civilization whereby an individual continually seeks to improve, mend, and alter the overall nature and quality of their life. This perennial concern is especially prominent in modern political liberalism, wherein health has been understood as the foundational good necessary for public life.
Medical fiction is fiction whose events center upon a hospital, an ambulance staff, or any medical environment. It is highly prevalent on television, especially as medical dramas, as well as in novels.
H. Martyn Evans is a Welsh academic and Professor of Philosophy of Music and Member of the School of Medicine and Health at the University of Durham. From 2002 to 2008, he was Principal of John Snow College, Durham. From 2008 to 2019, he was Principal of Trevelyan College, Durham.
Health humanities is an interdisciplinary field of study that draws on aspects of the arts and humanities in its approach to health care, health and well-being. It involves the application of the creative or fine arts and humanities disciplines to questions of human health and well-being. This applied capacity of the humanities is not itself a novel idea; however, the construct of the health humanities only began to emerge in the first decade of the 21st century.
Graphic medicine connotes the use of comics in medical education and patient care.
The following outline is provided as an overview of and topical guide to the humanities:
An adult-gerontology nurse practitioner (AGNP) is a nurse practitioner that specializes in continuing and comprehensive healthcare for adults across the lifespan from adolescence to old age.
Françoise Elvina BaylisFISC is a Canadian bioethicist whose work is at the intersection of applied ethics, health policy, and practice. The focus of her research is on issues of women's health and assisted reproductive technologies, but her research and publication record also extend to such topics as research involving humans, gene editing, novel genetic technologies, public health, the role of bioethics consultants, and neuroethics. Baylis' interest in the impact of bioethics on health and public policy as well as her commitment to citizen engagement]and participatory democracy sees her engage with print, radio, television, and other online publications.
Eivind Engebretsen is a Norwegian researcher in the medical humanities. He is a full professor of interdisciplinary health science at the Institute of Health and Society (HELSAM) at the University of Oslo.
Charlotte Blease is a Northern Irish philosopher of medicine from Belfast, Northern Ireland. She is a healthcare researcher at General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston USA. Formerly she was a Fulbright Scholar to the Program in Placebo Studies at Harvard Medical School. She is a former Irish Research Council fellow and a Queen's University, Belfast lecturer.