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What Have Patients Taught Me? Some Reflections Joan Berkley Bioethics Symposium April 20, 2013. Richard Payne, M.D. John B. Francis Chair, Bioethics Center for Practical Bioethics Esther Colliflower Professor of Medicine and Divinity Duke University rpayne@practicalbioethics.org.

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what have patients taught me some reflections joan berkley bioethics symposium april 20 2013

What Have Patients Taught Me? Some ReflectionsJoan Berkley Bioethics SymposiumApril 20, 2013

Richard Payne, M.D.

John B. Francis Chair, Bioethics

Center for Practical Bioethics

Esther Colliflower Professor of Medicine and Divinity

Duke University

rpayne@practicalbioethics.org

why illness narrative
Why Illness Narrative?

“Stories do not simply describe the self; they are the self’s medium of being”

“Stories have to repair the damage that illness has done…”

“When a doctor tells you, ‘You are sick’, he’s not just diagnosing; he is initiating a new chapter in the story of our life”

why illness narrative1
Why Illness Narrative?

“I have schooled myself to pay explicit attention to the sequence of what , the imagery, the temporal dislocations, the intrusions of life events into illness events and vice versa.”

--Rita Charon, M.D.

Narrative Competence… p 35

Narrative Medicine…”medicine practiced with a … competence to recognize, absorb, interpret and be moved by the stories of illness” p 35

what the circus clown taught me about dignity
What the Circus Clown Taught Me About Dignity

Intrinsic

vs.

Attributed Dignity

sometimes it s all about body mind and spirit
Sometimes it’s all about body, mind and spirit

Why is God taking away my children’s mother from them?

The power of lament

slide8
By whose authority do you relieve pain and suffering?”Stanley Hauerwaus Professor of Theological Ethics Duke Divinity School

Authority & Authenticity of Relationship and Community

Intractable pain-death by self-inflicted gunshot to the head

“Dr. Payne--Just dial up the morphine”

slide9
“Try to see the world as others around you see the world. When you do that, you realize anything is possible”-Michael Corleone

The Godfather Lesson