While medical language is soaked in metaphor, and thinking with metaphor is central to diagnostic work, medicine – that is, medical culture, clinical practice and medical education – outwardly rejects metaphor for objective, literal scientific language. This thought-provoking book argues that this is a misstep, and critically considers what embracing the use of metaphors and similes might mean for shaping medical culture, and especially the doctor–patient relationship, in a healthy way. Thinking With Metaphors in Medicine explores: how metaphors inhabit medicine – sometimes for the better and sometimes for the worse – and how these metaphors can be revealed, appreciated and understood; how diagnostic work utilizes thinking with metaphors; how patient–doctor communication can be better understood and enhanced as a metaphorical exchange; how the landscape of medicine is historically shaped by leading or didactic metaphors, such as ‘the body as machine’ and ‘medicine as war’, which may conflict with other values or perspectives on healthcare, for instance, person-centred care. Outlining the kinds of metaphors and resemblances that inhabit medicine and how they shape practices and identities of doctors, colleagues and patients, this book demonstrates how the landscape of medicine may be reshaped through metaphor shift. It is an important work for all those interested in the use of language and rhetoric in medicine, whether hailing from a humanities, social science or healthcare background.

This book claims that metaphors must be seen as indispensable cognitive and communicative instruments in medical science. Analysis of texts taken from recently published medical handbooks reveals what kind of metaphors are used to structure certain medical concepts and what the functions are of the metaphorical expressions in the texts. Special attention is drawn to the idea that scientific facts do not originate from passive observation of reality. Imaginative thinking and the use of metaphors are required to make the unknown accessible to us. Yet, although metaphors are often a sine qua non for the genesis of a scientific fact, they may also inhibit the development of alternative views. This is due to the fact that metaphors always highlight certain aspects of a phenomenon while other aspects remain obscured. Analysis of the metaphors used in medical texts may reveal exactly which aspects are highlighted and which remain hidden and may thus help to find alternative metaphors (and possibly therapies) when current metaphors are no longer adequate. This book should be of interest not only to linguists, translators and researchers working in the field of intercultural communication, but also to doctors and medical scientists, and those interested in the philosophy of science.

Following criticisms of the traditionally polarized view of understanding suffering through either medicine or social justice, Lowe makes a compelling argument for how the medical humanities can help to go beyond the traditional biographical and epistemic breaks to see into the nature and properties of suffering and what is at stake. Lowe demonstrates through analysis of major healthcare workforce issues and incidence of burnout how key policies and practices influence healthcare education and experiences of both patients and health professionals. By including first person narratives from health professionals as a tool and resource, she illustrates how dominant ideas about the self enter practice as a refusal of suffering. Demonstrating the relationship between personal experience, theory and research, Lowe argues for a pedagogy of suffering that shows how the moral anguish implicit in suffering is an ethical response of the emergent self. This is an important read for all those interested in medical humanities, health professional education, person-centred care and the sociology of health and illness.

Containing papers carefully compiled for both their historical importance and contemporary relevance, Family Medicine: The Classic Papers brings together a team of experts, led by global family medicine leaders Michael Kidd, Iona Heath and Amanda Howe, who explain the importance of each selected paper and how it contributes to international health care, current practice and research. The papers demonstrate the broad scope of primary health care delivered by family doctors around the world, showcasing some of the most important research ever carried out in family medicine and primary care. This unique volume will serve as an inspiration to current family doctors and family medicine researchers and educators, as well as to doctors in training, medical students and emerging researchers in family medicine.

This book explains how narrative medicine can improve evidence based medicine (EBM), making it more effective and efficient, giving patients better quality of life and offering more satisfaction to all health care providers. It discusses not only the disease experienced by the person who is ill, but also focuses on the context and the culture, and investigates how narrative medicine can make other disciplines around the globe more applicable, less manipulative, and more “scientific”. Only by integrating the narrative aspects, can EBM become more effective and efficient, with fewer uncured patients, more satisfied patients with a better quality of life, and satisfaction for all health care providers. Every chapter is divided into two main sections: the first presents the latest research in the field, with comments and interviews with experts, while the second section provides a list of practical exercises and tasks. The book is intended for anyone with an interest in caring for and curing patients: all care providers of care, physicians, general practitioners, specialists nurses, psychotherapists, counselors, social workers, providers of aid, healthcare managers, scientific societies, academics and researchers.

This book explores previously unexamined overlaps between the poetic imagination and the medical mind. It shows how appreciation of poetry can help us to engage with medicine in more intense ways based on ‘de-familiarising’ old habits and bringing poetic forms of ‘close reading’ to the clinic. Bleakley and Neilson carry out an extensive critical examination of the well-established practices of narrative medicine to show that non-narrative, lyrical poetry does different kind of work, previously unexamined, such as place eclipsing time. They articulate a groundbreaking ‘lyrical medicine’ that promotes aesthetic, ethical and political practices as well as noting the often-concealed metaphor cache of biomedicine. Demonstrating that ambiguity is a key resource in both poetry and medicine, the authors anatomise poetic and medical practices as forms of extended and situated cognition, grounded in close readings of singular contexts. They illustrate structural correspondences between poetic diction and clinical thinking, such as use of sound and metaphor. This provocative examination of the meaningful overlap between poetic and clinical work is an essential read for researchers and practitioners interested in extending the reach of medical and health humanities, narrative medicine, medical education and English literature.

The transmission of Buddhism from India to China was one of the most significant cross-cultural exchanges in the premodern world. This cultural encounter involved more than the spread of religious and philosophical knowledge. It influenced many spheres of Chinese life, including the often overlooked field of medicine. Analyzing a wide variety of Chinese Buddhist texts, C. Pierce Salguero examines the reception of Indian medical ideas in medieval China. These texts include translations from Indian languages as well as Chinese compositions completed in the first millennium C.E. Translating Buddhist Medicine in Medieval China illuminates and analyzes the ways Chinese Buddhist writers understood and adapted Indian medical knowledge and healing practices and explained them to local audiences. The book moves beyond considerations of accuracy in translation by exploring the resonances and social logics of intercultural communication in their historical context. Presenting the Chinese reception of Indian medicine as a process of negotiation and adaptation, this innovative and interdisciplinary work provides a dynamic exploration of the medical world of medieval Chinese society. At the center of Salguero's work is an appreciation of the creativity of individual writers as they made sense of disease, health, and the body in the context of regional and transnational traditions. By integrating religious studies, translation studies, and literature with the history of medicine, Translating Buddhist Medicine in Medieval China reconstructs the crucial role of translated Buddhist knowledge in the vibrant medical world of medieval China.

"This is a valuable clarification, re-statement and defence of principlism as an approach to applied ethics. It is strongly recommended to many teachers of bioethics..." -- Journal of the American Medical Association "Childress' book deserves careful study by all concerned with the ethical aspect of contemporary biomedical challenges." -- Science Books & Films "An ideal supplement for a graduate seminar on bioethics or for upper-division undergraduates needing more information in this area." -- Choice In these revised and updated essays, renowned ethicist James F. Childress highlights the role of imagination in practical reasoning through various metaphors and analogies. His discussion of ethical problems contributes to a better understanding of the scope and strength of different moral principles, such as justice, beneficence, and respect for autonomy. At the same time, Childress demonstrates the major role of metaphorical, analogical, and symbolic reasoning in biomedical ethics, largely in conjunction with, rather than in opposition to, principled reasoning.

This is a must read book by Stephen Gislason MD who simplifies complex issues and introduces new and sometimes surprising insights. book. From the introduction. "Humans resemble other animals in their ability to communicate. Communications involve chemical senses, sounds, body language, and visual signals. Communication is all about community, sharing information, sending warning signals and fulfilling the needs of the group. Human languages combine many different expressions of communication in a complex manner. Ideas about written language tend to dominate scholarly investigations, but sounds and gestures have been more important in the evolution of communication systems. Speaking is a spontaneous feature of the brain, and all normal children will speak if they hear a language spoken; any language will do. Older infants imitate words they hear spoken and if adults engage them in conversation, will expand their vocabularies and start to make meaningful statements; Words go with gestures Young children point with a pudgy index finger and say the name their pointer indicates. Pointing and naming remains an endearing characteristic for the rest of a human life. Babies follow the path of language evolution. Their progress is from the description of the immediate and concrete objects to making abstract statements about events; The first thing you do when you are learning a language is point and name. You invent nouns. Little tykes can get a lot accomplished with their pointing finger and a few nouns. Tourists in a foreign country revert to the two-year-old strategy of pointing, naming, using pantomime to replace the verbs they do not know;" One of the most important and least recognized features of the human mind is selftalk. In adults, selftalk is described as "thinking" or “reflection.” Aristotle declared that thinking was “inner speech” and he defined the rules of logic, the proper methods of constructing relationships among statements. Selftalk is a continuous narrative feature of the mind. Through selftalk, language becomes a dominant feature of cognition. Narrative dominance enables some of the best cognitive abilities that humans display, but narrative dominance can also be disabling; The recognition that selftalk is thought resolves tedious debates about the relationship of language to cognition. It is no longer necessary to argue that the structure and content of languages influence thinking. Language is thinking.