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Treating Gender and Illness Together in the Classroom 在课堂上共同对待性别和疾病
Pub Date : 2019-01-01 DOI: 10.1093/MED/9780190636890.003.0009
L. Diedrich
With an M.A. and Ph.D. in women’s, gender, and sexuality studies and with areas of specialization in medical/health humanities and disability studies, the author’s training, research, and teaching are inter- or transdisciplinary all the way down. Drawing on multiple interdisciplinary backgrounds, the author discusses ways of treating illness and disability in the classroom as women, gender, and sexuality might be treated: as categories of analysis that come into being through a multiplicity of archives, discourses, practices, and institutions. Rather than stabilize and consecrate an object as belonging to a particular field, the author is more interested in attending to the histories, methods, and political factors that bring objects and whole fields into being and sustaining or transforming them. The chapter discusses specific practical, even personal, pedagogical tactics and strategies.
拥有女性、性别和性研究的硕士和博士学位,以及医学/健康人文学科和残疾研究的专业领域,作者的培训、研究和教学一直是跨学科的。作者利用多个跨学科背景,讨论了在课堂上治疗疾病和残疾的方法,就像对待女性、性别和性行为一样:作为通过多种档案、话语、实践和机构形成的分析类别。作者更感兴趣的不是将一个对象固定和神圣化为属于某个特定领域,而是关注使对象和整个领域形成并维持或改造它们的历史、方法和政治因素。本章讨论了具体的、实际的、甚至个人的教学策略和策略。
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引用次数: 0
The Health Humanities in Nursing Education 护理教育中的健康人文
Pub Date : 2019-01-01 DOI: 10.1093/med/9780190636890.003.0004
Jamie L. Shirley, S. Shannon
Nursing students generally come into entry-level nursing education with a well-developed understanding of emotion as a viable moral resource for responding to the world and to clinical situations. The health humanities can create a space for nursing students to explore not only the range of human emotions they will encounter when faced with the intimacy of health and illness but also their own judgments. Health humanities education can also deepen their critical analysis skills to develop a balanced voice that allows them to fully contribute to all aspects of their patients’ care and to the development of a just and equitable healthcare system. This chapter focuses particularly on strategies to build the skills of critical reading and to broaden students’ moral imagination. Undergraduate nurses benefit from building skills in critical reading—and particularly narrative analysis. While students may be well attuned to what they feel, they can gain insight into why they feel that way—and how the elements of a narrative construct those emotions through close reading and careful analysis. A second goal is to help them expand and develop complexity in their moral imagination as a resource for judgment. Giving students tools to help them slow down and listen well can facilitate their understanding of the positions of others—which in turn can assist them to develop robust positions of their own. Specific classroom strategies for both of these skills are presented.
一般来说,护理专业的学生在接受初级护理教育时,已经对情感有了很好的理解,认为情感是应对世界和临床情况的一种可行的道德资源。健康人文学科可以为护理学生创造一个空间,不仅可以探索他们在面对健康和疾病的亲密关系时会遇到的人类情感范围,还可以探索他们自己的判断。健康人文教育还可以加深他们的批判性分析技能,以发展一种平衡的声音,使他们能够充分为患者护理的各个方面做出贡献,并为公正和公平的医疗保健系统的发展做出贡献。本章特别着重于培养批判性阅读技能和拓宽学生道德想象力的策略。本科护士受益于批判性阅读技能的培养,尤其是叙事分析。虽然学生们可能会很好地适应他们的感受,但他们可以深入了解他们为什么会有这种感觉,以及通过仔细阅读和仔细分析,故事的元素是如何构建这些情绪的。第二个目标是帮助他们扩展和发展作为判断资源的道德想象的复杂性。给学生一些工具,帮助他们放慢节奏,好好倾听,可以帮助他们理解他人的立场,这反过来又可以帮助他们建立自己的坚定立场。本文提出了针对这两种技能的具体课堂策略。
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引用次数: 0
Moving Pictures 移动的图片
Pub Date : 2019-01-01 DOI: 10.1093/med/9780190636890.003.0017
Therese Jones
In health humanities classrooms, visual materials such as documentary films, photographs, and even YouTube videos often serve as accessible texts for the analysis and discussion of individual experiences of illness and disability or as evocative illustrations of issues such as access to care or end of life. Such works can foster empathic responses, sharpen critical thinking, and develop communication skills in health professions students. Visual materials can also serve as openings for students to critique the culture of healthcare itself and as opportunities for them to identify disparities, confront stigma and discrimination, and envision change. Thus, the visual arts not only encourage our students to see but also reveal to them how, what, and why they see what they see—sometimes prompting their action and often provoking their transformation. This chapter describes and defines visual culture and visual activism in the context of three health and human rights movements of the twentieth century—breast cancer, AIDS, and disability rights—that have all foregrounded the critical practice and political strategy of producing visibility and deploying testimony in forms such as documentary, video, photography, and poster art. It then describes health humanities methodologies and materials in three content areas—mental illness, trauma of war, and disability—used in a variety of classroom settings to enable critical analysis and explore advocacy and intervention. For example, students consider the difference between looking and witnessing, how visual images influence attitudes toward patients and impact health policy, and the balance between inciting moral outrage from exposure to images and inducing compassion fatigue from overexposure to them.
在健康人文学科的课堂上,纪录片、照片甚至YouTube视频等视觉材料经常作为分析和讨论个人疾病和残疾经历的无障碍文本,或作为对获得护理或生命终结等问题的唤起性说明。这样的工作可以培养移情反应,提高批判性思维,并发展卫生专业学生的沟通技巧。视觉材料也可以作为学生批判医疗保健文化本身的开场,并作为他们识别差异,面对耻辱和歧视并展望变革的机会。因此,视觉艺术不仅鼓励我们的学生去看,而且还向他们揭示他们是如何看到他们所看到的,是什么,以及为什么看到他们所看到的——有时促使他们采取行动,经常激发他们的转变。本章描述并定义了二十世纪三场健康和人权运动背景下的视觉文化和视觉行动主义——乳腺癌、艾滋病和残疾人权利——这些运动都以纪录片、视频、摄影和海报艺术等形式,为产生可见性和部署证词的关键实践和政治策略奠定了基础。然后,它描述了健康人文学科的方法和材料在三个内容领域——精神疾病、战争创伤和残疾——在各种课堂环境中使用,使批判性分析和探索宣传和干预成为可能。例如,学生们考虑观看和目睹之间的区别,视觉图像如何影响对患者的态度和影响卫生政策,以及由于接触图像而激起道德愤怒和由于过度接触图像而引起同情疲劳之间的平衡。
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引用次数: 0
Introducing Climate Change to Medical Students 向医科学生介绍气候变化
Pub Date : 1900-01-01 DOI: 10.1093/med/9780190636890.003.0014
D. Kline, T. Cole, S. Pacheco
This chapter discusses using a broad humanities perspective to teach medical students about climate change. It argues that the humanities can recover a more robust approach to bioethics and serve as a bridge between students’ professional training and their own spiritual and moral convictions. The chapter describes a short elective course taught to first- and second-year students at the McGovern Medical School at the University of Texas Health Science Center in Houston. It concludes with a class exercise in which students read the Physician Charter and write a short paper that takes one commitment from the charter and applies it to climate change.
本章讨论使用广泛的人文观点来教授医学生有关气候变化的知识。它认为,人文学科可以恢复一种更有力的方法来研究生命伦理学,并作为学生的专业训练和他们自己的精神和道德信念之间的桥梁。这一章描述了休斯敦德克萨斯大学健康科学中心麦戈文医学院为一年级和二年级学生开设的一门短期选修课。课程的最后是一个课堂练习,要求学生阅读《医师宪章》,并写一篇短文,从宪章中提取一项承诺,并将其应用于气候变化。
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引用次数: 1
Music, Music Therapy, Disability Studies, Bioethics, and Health Humanities 音乐,音乐治疗,残疾研究,生命伦理学和健康人文
Pub Date : 1900-01-01 DOI: 10.1093/MED/9780190636890.003.0020
Alex Lubet
This essay describes two disability-related courses—Disability Ethics and Music, Disability, and Society—which have become de facto requirements (one or both courses) for graduate students in music therapy. Music therapists comprise much of the majority of students in these courses who come from healthcare fields. This essay contemplates, in Disability Ethics, the roles of music/musicians/music therapists in bioethics and the role of bioethics in music therapy. In Music, Disability, and Society, students learn that music-making—presumably a talent or hyperability—offers a uniquely valuable perspective on disability. Disability Ethics proposes that mainstream bioethics takes too narrow a view of its potential reach. It marginalizes those professionals beyond doctors, nurses, policymakers, and administrators, such as health workers and other practitioners in mind–body praxis—including, for example, music teachers—who might benefit from its teachings, methods, and research and who at the same time themselves might have a beneficial impact on those teachings and methods. Music, Disability, and Society proposes that, through contemplating the place of talent in culture, the socially constructed aspects of disability are illuminated.
本文介绍了两门与残疾有关的课程——残疾伦理与音乐、残疾与社会——这两门课程实际上已经成为音乐治疗研究生的必修课程(一门或两门课程)。音乐治疗师构成了这些课程中大多数来自医疗保健领域的学生。这篇文章设想,在残疾伦理学,音乐/音乐家/音乐治疗师在生命伦理学中的作用和生命伦理学在音乐治疗中的作用。在《音乐、残疾与社会》中,学生们了解到音乐创作——可能是一种天赋或超能力——为残疾提供了一个独特的有价值的视角。《残疾伦理学》提出,主流生物伦理学对其潜在影响的看法过于狭隘。它排斥了医生、护士、政策制定者和行政人员以外的专业人士,比如卫生工作者和其他身心实践的实践者——包括音乐教师——他们可能从它的教学、方法和研究中受益,同时他们自己也可能对这些教学和方法产生有益的影响。《音乐、残疾与社会》提出,通过思考人才在文化中的地位,残疾的社会建构方面得以阐明。
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引用次数: 0
Moral Imagination and More 道德想象及更多
Pub Date : 1900-01-01 DOI: 10.1093/med/9780190636890.003.0006
M. Sharp
How do I attend to suffering and inspire healing in the complex twenty-first century? Medical humanities and theological education share this question as a matter of life and death. In this chapter, theologian and trained clinical ethicist Melinda McGarrah Sharp describes how narratives can illuminate moral dilemmas relevant to both health humanities education and theological education. Drawing on her training as a bioethicist and practical theologian and her teaching experiences in theological education, McGarrah Sharp frames pedagogical insights by philosophies of teaching and learning moral imagination as a significant way in to moral conundrums surrounding both suffering and healing today.
在复杂的二十一世纪,我该如何对待痛苦,激发治愈?医学人文和神学教育都有这个生死攸关的问题。在本章中,神学家和训练有素的临床伦理学家Melinda McGarrah Sharp描述了叙事如何阐明与健康人文教育和神学教育相关的道德困境。凭借她作为生物伦理学家和实践神学家的训练以及她在神学教育方面的教学经验,麦格拉·夏普通过教学哲学和学习道德想象来构建教学见解,作为解决当今围绕着痛苦和治愈的道德难题的重要途径。
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引用次数: 1
The Baptism and the Butterfly 《洗礼与蝴蝶
Pub Date : 1900-01-01 DOI: 10.1093/MED/9780190636890.003.0018
Marcia Brennan
Teaching classes that engage end-of-life subject matter can present any number of pedagogical challenges, not least of all because the themes in play can be so vast and so vital that they are nearly unimaginable and undiscussable. When addressing these issues in the courses “Life at the End of Life” and “The Humanities of Care” at Rice University, the author presents vivid case studies drawn directly from clinical experiences as a literary Artist In Residence in the Department of Palliative Care and Rehabilitation Medicine at the University of Texas M. D. Anderson Cancer Center. Interweaving patient-centered narratives with analytical classroom discussions can help students to find language to address a diverse range of practical concerns, concrete experiences, subtle insights, and ineffable themes. With the increasing emphases on medical technologies, the demographics of an aging population, and shifts in policies toward end-of-life planning at the national level, the need to cultivate such a humanistic perspective in medicine—and in the broader cultural sphere—remains both timely and pressing. Just as end-of-life narratives exemplify some of the ways in which the reach of the humanities can extend into difficult areas of modern life, so too can the stories promote students’ abilities to re-envision the relations between the familiar and the extraordinary domains as they find language to express the links between lived experience and metaphysical presence.
涉及临终主题的教学课程可能会带来许多教学挑战,尤其是因为其中的主题可能是如此广泛和重要,以至于几乎无法想象和讨论。在莱斯大学的“生命终结时的生活”和“人文关怀”课程中,作者提出了生动的案例研究,这些案例直接来自德克萨斯大学安德森癌症中心姑息治疗和康复医学系的文学艺术家的临床经验。将以病人为中心的叙述与分析性课堂讨论交织在一起,可以帮助学生找到语言来解决各种各样的实际问题、具体经验、微妙的见解和难以形容的主题。随着对医疗技术的日益重视,人口老龄化的人口结构,以及国家层面上临终计划政策的转变,在医学和更广泛的文化领域培养这种人文主义观点的需求仍然是及时而紧迫的。正如临终叙事举例说明了人文学科可以延伸到现代生活的困难领域的一些方式,这些故事也可以促进学生重新设想熟悉和不寻常领域之间关系的能力,因为他们找到了表达生活经验和形而上学存在之间联系的语言。
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引用次数: 0
Art as Disruption in Global Health Humanities 艺术作为全球健康人文学科的颠覆
Pub Date : 1900-01-01 DOI: 10.1093/med/9780190636890.003.0019
K. Stewart, R. Ingold, M. D. Bruyn, Kelley Swain
Narrative learning and reflective writing have been shown to enhance physicians’ empathy, improve clinical interview skills, and help practitioners understand patients’ illness experiences. This chapter describes a global health humanities workshop that taught students to use an art technique (A Humument by Tom Phillips) to process materials from a sexual and reproductive health archive, culminating in reflective writing and public presentations. The workshop was developed through an interdisciplinary collaboration among a global health educator, a library archival curator, and a poet. The chapter describes the archival context, pedagogical goals, student learning, lessons learned, and future plans for using this approach.
叙事性学习和反思性写作已被证明可以增强医生的同理心,提高临床访谈技巧,并帮助从业者了解患者的疾病经历。本章描述了一个全球健康人文研讨会,该研讨会教学生使用一种艺术技术(汤姆·菲利普斯的一篇文章)来处理性健康和生殖健康档案中的材料,最终以反思性写作和公开演讲结束。该讲习班是通过一名全球卫生教育家、一名图书馆档案馆长和一名诗人之间的跨学科合作开发的。本章描述了档案背景、教学目标、学生学习、经验教训以及使用这种方法的未来计划。
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引用次数: 1
Medical Education and the Challenge of Race 医学教育与种族挑战
Pub Date : 1900-01-01 DOI: 10.1093/MED/9780190636890.003.0007
J. Hoberman
Medical curricula in the United States have never addressed the racial dimension of American medicine in an adequate, let alone systematic, way. Medical schools have instead marginalized race and ethnicity as unnecessary for medical education. This chapter argues that medical students should understand the breadth and depth of the health crises in American minority communities. Many medical schools have implemented so-called cultural competency courses that are supposed to improve the interracial and cross-cultural medical relationships future doctors will have with their patients. The consensus is that this type of instruction has proven to be inadequate to its task. In fact, much “cultural competency” instruction actually excludes the examination of black–white relationships and other cross-cultural encounters and the racial scenarios that arise in medical settings. Medical students should be informed about the ways in which cross-racial relationships (doctor–patient and doctor–doctor) can go wrong and have dysfunctional effects on medical treatment. In addition, these often superficial, episodic, and underfunded activities tend to focus on patient behaviors while leaving unexamined the racial belief systems of medical students and doctors. The chapter offers two strategies for pedagogy to address these issues: interpersonal relations within the medical culture and the racial dimension of diagnoses and treatments within the medical subdisciplines that medical students study. Medical students should be aware of these habits of thought and how they can affect the diagnosis and treatment of minority patients. The chapter ends by describing the author’s initial course offering on the topic.
美国的医学课程从来没有以一种充分的,更不用说系统的方式来解决美国医学的种族问题。医学院反而把种族和民族边缘化,认为医学教育没有必要。本章认为医学生应该了解美国少数族裔社区健康危机的广度和深度。许多医学院开设了所谓的文化能力课程,旨在改善未来医生与病人之间的跨种族和跨文化医疗关系。人们一致认为,这种教学方式已被证明不足以完成其任务。事实上,许多“文化能力”教学实际上排除了对黑人-白人关系和其他跨文化接触以及医疗环境中出现的种族情景的检查。医学生应该被告知跨种族关系(医患关系和医患关系)可能出错并对医疗产生不良影响的方式。此外,这些通常是肤浅的、偶然的、资金不足的活动往往侧重于患者的行为,而忽视了医学生和医生的种族信仰体系。本章提供了两种教育学策略来解决这些问题:医学文化中的人际关系和医学生学习的医学分支学科中诊断和治疗的种族维度。医学生应该意识到这些思维习惯,以及它们如何影响少数民族患者的诊断和治疗。本章最后描述了作者关于这个主题的最初课程。
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引用次数: 0
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Teaching Health Humanities
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