Research On Ethical Thoughts Of Narrative Medicine

The essence of medicine is human,and the starting point and foothold of medical model should be "human health ",not just the body is not sick.Most Patients think of themselves as just organs waiting to be treated,with little regard for their uniqueness.Due to the relative lack of professional medical knowledge of many patients,their medical expectations are too high and their medical services are inappropriately demanding.So that doctors are wary of patients,resulting in a lack of trust between doctors and patients.From the biomedical model to the bio-psycho-social medical model,but there is no operational practice standard when expressing the relationship between biology,psychology and society.Therefore,it is easy to appear oneway bias to some factors in medical practice,which obscures the essence of medicine.The modern medical model takes "disease" as the center in reality,does not really achieve people-oriented,patient-centered,and lack of consideration of patients' mental health.The supreme authority of scientific medicine,the excessive technology of diagnosis and treatment,the excessive data of medicine,and the certainty of medical procedure lead to a series of phenomena,such as the deterioration of medical environment,the constant rigidity of doctor-patientrelationship,the absence of humanistic care and so on.In 2001,Charon R proposed the concept of “narrative medicine” whose main theme is empathy and reflection.Its ethical thoughts are intended to make up for the shortcomings and shortcomings of the modern biomedical model.The lack of medical humanities is the biggest gap in the current medical model.Narrative medicine can just fill this gap.The main purpose of narrative medicine is empathy and reflection,that is,the empathy of doctors and patients,and the reflection of doctors on professional ethics.Medicine faces ethical and moral issues everywhere.Narrative medical ethics is aimed at the ethical issues in modern medicine,and it is discussed and demonstrated using narrative ethical methods.Narrative medicine not only focuses on the development of biomedicine,but also emphasizes the overall health of patients.Narrative medicine contains a rich and profound ethical spirit.Narrative medicine is people-oriented,respect for patient's illness story.Enter the patient's world through stories,listen carefully to the patient's voice,understand what the patient needs from the patient's perspective,and make clinical decisions that are truly beneficial to the patient.The ethical thought ofnarrative medicine is the core content of narrative medicine.Narrative medical ethics uses narrative knowledge and methods to achieve three goals,and presents five narrative characteristics,which not only helps doctors master their narrative competence,but also has a certain impact on the field of bioethics.The ethical purpose of narrative medicine finally points to the coordination of doctor-patient relationship;the emphasis of respect for others and the enhancement of ethical relationship;the promotion of social justice.Narrative medicine recognizes that doctors use narrative knowledge and skills to understand the patient's disease story,can jump out of the professional role frame,better understand the patient's pain and help them make clinical decisions that conform to their own values.The five features of narrative medicine,such as temporality,singularity,causality(contingency),intersubjectivity and ethicality can help doctors better grasp and understand the narrative characteristics of medicine,and understand the narrative story of patients more deeply.Today's bioethics is undeniably influenced by narrative theory and practice.The ability of narrative medicine consciousness trains the humanistic spirit of doctors,the ability of skill emphasizes reading narrative ethics and writing narrative ethics,both abilities reflect the ethical concern given by narrative medicine to patients.The ability of narrative medicine consciousness aims at cultivating the humanistic care consciousness of the doctors,taking the patients as the center,respecting the patients,being with the patients and bearing witness.Reading narrative ethics and writing narrative ethics are embodied in the cultivation of narrative medical skill ability.Close reading is an important way to recognize oneself and others.The writing ability of narrative medicine trains the creativity of the doctor,guides the doctor to get rid of the certainty of biomedicine,to get rid of the self-certainty(which is probably the loudest horn of ethical practice),to enter the uncertain narrative world of patients,to carry out creative writing and to reflect on professional ethics.Narrative medicine creativity is precisely the best ethical concern for patients.The practical ability of narrative medicine benefits from practical wisdom,situational ethics,and Marxist humanism.It not only helps doctors understand the essence of medicine,but also shapes the good morality and character of doctors.The practical ability of narrative medicine can promote the cultivation of medical students' moral education It also provides an objective path for China's medical moral practice.Based on Aristotle's practical wisdom,narrative medical ethics is the virtue of practical rationality.It can help doctors to make correct ethical judgment,which is not only of great guiding significanceto the behavior of doctors,but also of great significance to the clinical practice of narrative medical ethics.Situational ethics helps doctors to make the most appropriate clinical judgment for patients in combination with clinical circumstances.According to Marx's theory of human nature,human nature is the sum of all social relations,and the core of perfecting the doctor-patient relationship is the all-round development of the subject of both doctors and patients.Narrative medical ethics can not only promote medical ethics education of medical students,but also provide a practical path for the concrete implementation of medical ethics standards in China.The human nature and virtue of doctors should be constantly revealed in the cultivation,training and practice of narrative medicine.Narrative medicine provides the most suitable path for the return of medical humanity by cultivating the narrative competence of medical practitioners.The tendency of technology,market and certainty of medicine is contrary to the essence of medicine,and it is necessary to take measures to recover the humanity of medicine.The narrative medical ethics is to cultivate doctors' consciousness,skills,practice ability of narrative medicine,so that doctors can witness the suffering of patients,get rid of certainty,overcome professionalism,cultivate empathy and improve the relationship between doctors and patients.Narrative medical ethics advocates respect for the autonomy of patients.This ethical principle with rich human nature is one of the important ways to return medicine to humanity.Narrative medical ethics provides the most suitable way for the return of medical humanity.