Chest pain: what to do when it occurs?

Chest pain can occur through numerous causes: Muscle or rib pain from exercise or injury. The patient may feel pain by moving, and only rest and taking aspirin can provide

Paracetamol abuse

Paracetamol is mainly used as an analgesic as an alternative to salicylates and is characterized by toxicity, which should not be overlooked. Toxic doses vary from person to person, so

Recensione – La Seconda Onda

Nella prima metà della vita, le persone ambiziose si concentrano di solito con determinazione, lavorano instancabilmente, si sacrificano e non si fermano mai. La seconda metà della vita è invece

Celiac disease

Gluten is enemy no. 1 for people with celiac disease and is difficult to avoid. Episodes of this chronic autoimmune disease can be triggered by ingestion of gluten, a key


STOP HPV! How to prevent and cope with the Papilloma Virususing a Serious Game Learning how to prevent and cope with HPVThrough immersiveness in a serious video game ” HPV

Technology: why some clouds reflect more

There are some seemingly simple questions that only science can answer. One such question concerns why some clouds “reflect more” than others. A team of researchers from the Institute of

Hip reparative surgery

There can be several surgical interventions to correct the hip disorder that vary based on the type and extent of the disorder. Surgery is necessary in cases of hip fracture.

Narrative Medicine: a new way of relating to the patient


We live in a society that is now considered by many to be “postmodern” and in which an exclusively technical approach to medical care is no longer considered sufficient. Twenty-first-century patients seek a different approach to their health problems than in the past, and in particular demand a deeper dialogue with their physicians (Shapiro, 2011; Greaves, 2004).

Medicine can no longer be limited to collecting a medical history (anamnesis), performing an objective examination, and implementing a diagnostic procedure with a final discussion of therapeutic intervention strategies (Johna et Dehal, 2013). Medicine especially needs physicians capable of establishing narrative connections and more intense contact with the person asking for help (Charon , 2001). Narrative medicine aims to deal with patients comprehensively and to recognize and interpret their stories of illness by integrating education, medicine and the humanities (Frank A, 1995). The goal is to strengthen the doctor-patient relationship by providing more humane and ethical care.

The narrative

With narrative medicine, we seek to understand the patient-physician relationship through the collection and analysis of narratives, told from the perspectives of the different stakeholders, patient, civil society, health care facilities, physicians and family members (Charon, 2012). This practice uses methods aimed at obtaining information about how a person experiences his or her illness, in an effort to consider the many facets of the care journey: narratives allow health professionals to gather information about the patient’s perceived needs on how to cope with problems related to his or her health.


Although objectivity and medical care always retain their importance, a good deal of empathy is asked of the physician that will be rewarded by greater patient satisfaction and better clinical outcomes. What is empathy? It has been defined as a psychological process that enables an individual to have feelings that are more congruent with others as well as himself: it is basically the ability to understand and share others’ feelings. Empathy can be distinguished into cognitive, which is the ability to understand how another person feels, and affective, which is experiencing the same emotions that the other person feels (Hoffman, 2000; McDonald et al. 2015).

The negative aspects of the traditional approach

At present, the doctor-patient relationship is overwhelmingly based on scientific aspects, a position corroborated by the biomedical innovations that have occurred over time, from antibiotics to organ transplants, and which have made it possible to solve many health problems. Medical examinations tend to be always and only “scientific”: diagnosis is based on objective parameters, treatment centered on clinical protocols closely related to scientific research, and consequently the patient’s “well-being” will be linked only to the achievement of certain standard goals.

All this fails to consider that medical practice is above all a human endeavor and that each patient is his or her own case. The patient’s history, the so-called anamnesis, is reduced to repetitive, routine sentences, whereas the human case should be the focus of clinical practice. (Montgomery, 2006). Narrative medicine makes it possible to view individual subjects as persons rather than clinical cases, to understand the world in which they live, and to tailor drug treatment to their needs. Both the patient and all caregivers, including caregivers, will be taken into account.

The goal: to improve patient care by enhancing both medical science and human aspects. Only in this way can the person be assisted as a whole and in a more meaningful way (Franke RJ, 2016). Narrative medicine fosters empathy and trust between patients and patients and between patients and physicians by improving communication with effect a therapeutic on patients. It is used in individuals with cancer, AIDS, stroke, and generally chronic diseases, but also in seemingly more mundane conditions, such as chronic spontaneous urticaria (Cappuccio et al, 2017). Another area of application is palliative care, treatment given to people at the end of their lives.



  • Profile picture of Dr. Antonio Varriale
    active 4 years ago

    Aesthetic Doctors, Dentists, Basic Doctors

    • Via Grotta dell Olmo 20 - Giugliano in Campania
  • Profile picture of Dr. Domenico D'Angelo
    active 4 years ago

    Otolaryngologists, Basic Doctors, Competent Doctor

    • Via Pola 5 - San Prisco
  • Profile picture of Studio Medico San Pellegrino
    active 3 years, 8 months ago

    Sports Doctors, Basic Doctors

    Spread the word!

    Recommend this special

    doctor to a friend

    message phone house
    WhatsApp conferences
    and webinars
  • Profile picture of Dott. Domenico Napolitano
    active 4 years ago

    Gynecologists, Basic Doctors, Aesthetic Doctors

    • Viale Orazio Flacco 5 - Bari
  • Profile picture of Dr. Lucia Catalano
    active 4 years ago

    Gynecologists, Senologists, Basic Doctors

    • Via Belluno 1 - Roma


Irritable bowel syndrome

Irritable bowel syndrome is a common disorder affecting the large intestine. This is a chronic condition that must be managed for the long term. Only a small number of people


Keratitis is an ocular condition caused by inflammation of the cornea, the transparent membrane that lines the central anterior part of the eye, at the iris and pupil, and that


If saliva starts to accumulate, it may start dripping out of the mouth involuntarily. While this may be considered normal in infants, in older children and adults it may be


1/6 – Melanoma Melanoma is a malignant tumor that originates from melanocytes, cells that contain the pigment, called melanin, responsible for skin coloration. It can develop in the skin all


Anorexia nervosa is an eating disorder that causes the sufferer to voluntarily deprive himself or herself of food or to consume extremely limited amounts of food that are not compatible

Heart failure (acute)

Acute Heart Failure (AHF) is a potentially life-threatening clinical condition that can result from the worsening of an already diagnosed chronic heart failure (heart failure) or represent its onset event.

Hip fracture

Hip fracture is a serious injury with life-threatening complications. Most hip fractures occur at the femur, the long bone that extends from the pelvis to the knee. The part most


Syphilis is a sexually transmitted disease (STD) caused by the bacterium Treponema pallidum and characterized by three successive stages of increasing severity (primary, secondary, and advanced syphilis), with slow and


Chickenpox to date remains the most prevalent vaccine-preventable disease in our country. It is transmitted airborne, person-to-person, through Pflugge droplets or by direct contact with skin lesions of patients with

Cholecyst stones

The gallbladder (or gallbladder) is a hollow green pear-shaped organ located below the liver; it is part of the digestive system and its function is to store bile, a dark

your advertising
exclusively ON

complete the form and you will be contacted by one of our managers