Publication details

Individualizovaně, systemicky, narativně? Hledání dovedností pro psychosomatický přístup v medicíně

Title in English Personalized, systemic, narrative? Searching for competencies in psychosomatic approach to medicine


Year of publication 2018
Type Appeared in Conference without Proceedings
MU Faculty or unit

Faculty of Social Studies

Description In the discussion of the bio-psycho-social model and psychosomatic medicine, the subject of pre-postgraduate and postgraduate education has been raised from time to time to raise awareness about the psychosomatic approach in the medical community and, in particular, to support its implementation in clinical practice. In these discussions, the question of skills that are key to the practice of psychosomatic medicine is mostly left out. It is common not only in this context to discuss communication skills and their importance in coping with multiple clinical situations. Some experts emphasize the need to incorporate knowledge from psychology and psychotherapy, others speak directly about psychotherapeutic medicine. Many experts draw on inspiration from psychotherapeutic research, systemic theories, and narrative psychology. The narrative perspective influenced not only psychology and psychotherapy but also the way of thinking in medicine. This perspective has contributed to a greater focus on the subjective experiences of the individual, the unique situation of the family during the illness, and the lack of individualized approach in therapeutic co-operation. This is also related to the prerequisites and skills necessary for the application of the bio-psycho-social model and the development of psychosomatic medicine. The notion of so-called narrative competence is well known among foreign representatives of narrative medicine. As part of our research, we asked whether there are some prerequisites for narrative competencies and whether narrative metaphor-based skills can be defined and explored. We have recently formulated and preliminarily defined the concept of so-called narrative sensitivity as a prerequisite for other skills that may be needed within the psychosomatic approach in medicine. To explore the different aspects of narrative sensitivity, we inquired medical students in the second and fifth years of their undergraduate studies. The aim of the first phase of the research was (a) to assess the very existence and varied manifestations of so-called narrative sensitivity; (b) assess changes in narrative sensitivity during pre-gradual medical studies; (c) to develop the concept of narrative sensitivity, including multiple faces and expressions. In the presentation, we will describe the detailed course of this research phase and its results, along with other questions concerning the training of future physicians.
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