SlideShare a Scribd company logo
1 of 40
Narrative Based Medicine as a Cultural Relativism in Medical Professionals and Patient Relationships Associate Prof. Takuya TSUJIUCHI MD, PhD. Department of Health Science & Social Welfare, Faculty of Human Sciences, WASEDA University
My Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object]
What is Narrative ?
What is “narrative” ? ,[object Object],[object Object],[object Object],Trisha Greenhalgh & Brian Hurwitz, 1998
Characteristic of “narrative”1 ,[object Object],[object Object],Trisha Greenhalgh,1998
[object Object],[object Object],[object Object],Characteristic of “narrative”2 Trisha Greenhalgh,1998
Narrative Based Medicine
Aims of NBM ,[object Object],[object Object],[object Object]
Interpretation by Medicine ,[object Object],[object Object],[object Object]
      Medical Education   Clinical Experience Disease     Illness Experience Life Experience Illness Medical Paradigm -> interpretation-> Local Cultural Beliefs
The Process of NBM ,[object Object],[object Object]
The Process of NBM ,[object Object],[object Object]
Definition of NBM 1 ,[object Object],[object Object],By Dr. Seiji Saito, 2003
Definition of NBM 2  ,[object Object],[object Object],By Dr. Seiji Saito, 2003
Cultural Relativism in NBM ,[object Object],[object Object]
Illness     Disease Culture of  Medical Professions     Medical Education   Clinical Experience Doctore’s Explanatory Model Culture of Patients     Illness Experience Life Experience Patient’s Explanatory  Model CLASH ! Local Cultural Beliefs Medical Paradigm -> interpretation->
Cultural Relativism ,[object Object],[object Object]
Difficulty  in Practicing NBM
Strong power  of established culture ,[object Object],[object Object],[object Object]
Difficulty to change the value system of medical professional ,[object Object],[object Object],[object Object],[object Object]
Edger Rubin’s Vase http://topics.j-cast.com/keywords/ Make your side view to a wooden interior ! 900US$
Allegory of Edger Rubin’s  vase and face ,[object Object]
Generalization of ethnocentrism  (own-culture centered principle) ,[object Object],[object Object]
Ethno-centrism in Medicine ,[object Object]
Silence and hands-off in the name of cultural relativism ,[object Object],[object Object],[object Object],[object Object],[object Object]
The attitude to drive for: ,[object Object],[object Object],[object Object]
Case of trying NBM Brief introduction of my clinical case using Japanese herbal medicine, 2010
Ms. Yoko-san, 48 year-old ,[object Object],[object Object],[object Object]
Yoko-san’s value ,[object Object],[object Object],[object Object]
Yoko-san’s value ,[object Object],[object Object]
How to practice NBM ? ,[object Object],[object Object]
Progress Notes 1 ,[object Object],[object Object],[object Object]
Progress Notes 2 ,[object Object],[object Object],[object Object]
Progress Notes 3 ,[object Object],[object Object],[object Object]
My reflection ,[object Object],[object Object],[object Object],[object Object]
Progress Notes 3 ,[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Grazie  ! per la vostra cortese attenzione. Takuya TSUJIUCHI MD, PhD.

More Related Content

What's hot

Debate - Pro Euthanasia
Debate - Pro EuthanasiaDebate - Pro Euthanasia
Debate - Pro EuthanasiaJack Frost
 
Talking About Spirituality In The Clinical Setting Can Being Professio...
Talking About  Spirituality In The  Clinical  Setting   Can  Being  Professio...Talking About  Spirituality In The  Clinical  Setting   Can  Being  Professio...
Talking About Spirituality In The Clinical Setting Can Being Professio...Masa Nakata
 
Final Research Paper edited
Final Research Paper editedFinal Research Paper edited
Final Research Paper editedSretta Clark
 
Theendoflifegrp
TheendoflifegrpTheendoflifegrp
Theendoflifegrpmeshcns
 
Ileana Cepeda Health Academy presentation
Ileana Cepeda Health Academy presentationIleana Cepeda Health Academy presentation
Ileana Cepeda Health Academy presentationileanaedith
 
Update in hospice_and_palliative_care
Update in hospice_and_palliative_careUpdate in hospice_and_palliative_care
Update in hospice_and_palliative_careClinica de imagenes
 
Annals of Surgery and Perioperative Care
Annals of Surgery and Perioperative CareAnnals of Surgery and Perioperative Care
Annals of Surgery and Perioperative CareAustin Publishing Group
 
Treatment Methods Based on the Art and Science of Undermining Cancer
Treatment Methods Based on the Art and Science of Undermining CancerTreatment Methods Based on the Art and Science of Undermining Cancer
Treatment Methods Based on the Art and Science of Undermining CancerOasis of Hope Hospital
 
Medical anthropological investigation as to the effect of supportive semi-the...
Medical anthropological investigation as to the effect of supportive semi-the...Medical anthropological investigation as to the effect of supportive semi-the...
Medical anthropological investigation as to the effect of supportive semi-the...Rielo Institute for Integral Development
 
Euthanasia - Types, Arguments For and Against
Euthanasia - Types, Arguments For and AgainstEuthanasia - Types, Arguments For and Against
Euthanasia - Types, Arguments For and AgainstTejas Shah
 
Philosophy and Psychiatry from the Standpoint of the Event
Philosophy and Psychiatry from the Standpoint of the EventPhilosophy and Psychiatry from the Standpoint of the Event
Philosophy and Psychiatry from the Standpoint of the EventUniversité de Montréal
 
Euthanasia presentation
Euthanasia presentationEuthanasia presentation
Euthanasia presentationIrfan Youngman
 
Medical anthropology
Medical anthropologyMedical anthropology
Medical anthropologyMark Peterson
 
Changelings: Children, Culture, and Trauma
Changelings: Children, Culture, and TraumaChangelings: Children, Culture, and Trauma
Changelings: Children, Culture, and TraumaUniversité de Montréal
 
Progress summary paper
Progress summary paperProgress summary paper
Progress summary paperCasey Burritt
 

What's hot (18)

Debate - Pro Euthanasia
Debate - Pro EuthanasiaDebate - Pro Euthanasia
Debate - Pro Euthanasia
 
Talking About Spirituality In The Clinical Setting Can Being Professio...
Talking About  Spirituality In The  Clinical  Setting   Can  Being  Professio...Talking About  Spirituality In The  Clinical  Setting   Can  Being  Professio...
Talking About Spirituality In The Clinical Setting Can Being Professio...
 
Final Research Paper edited
Final Research Paper editedFinal Research Paper edited
Final Research Paper edited
 
Theendoflifegrp
TheendoflifegrpTheendoflifegrp
Theendoflifegrp
 
Ileana Cepeda Health Academy presentation
Ileana Cepeda Health Academy presentationIleana Cepeda Health Academy presentation
Ileana Cepeda Health Academy presentation
 
Health academy
Health academyHealth academy
Health academy
 
Update in hospice_and_palliative_care
Update in hospice_and_palliative_careUpdate in hospice_and_palliative_care
Update in hospice_and_palliative_care
 
Annals of Surgery and Perioperative Care
Annals of Surgery and Perioperative CareAnnals of Surgery and Perioperative Care
Annals of Surgery and Perioperative Care
 
Treatment Methods Based on the Art and Science of Undermining Cancer
Treatment Methods Based on the Art and Science of Undermining CancerTreatment Methods Based on the Art and Science of Undermining Cancer
Treatment Methods Based on the Art and Science of Undermining Cancer
 
Morales
MoralesMorales
Morales
 
Medical anthropological investigation as to the effect of supportive semi-the...
Medical anthropological investigation as to the effect of supportive semi-the...Medical anthropological investigation as to the effect of supportive semi-the...
Medical anthropological investigation as to the effect of supportive semi-the...
 
Quality of life experiences No.3
Quality of life experiences No.3Quality of life experiences No.3
Quality of life experiences No.3
 
Euthanasia - Types, Arguments For and Against
Euthanasia - Types, Arguments For and AgainstEuthanasia - Types, Arguments For and Against
Euthanasia - Types, Arguments For and Against
 
Philosophy and Psychiatry from the Standpoint of the Event
Philosophy and Psychiatry from the Standpoint of the EventPhilosophy and Psychiatry from the Standpoint of the Event
Philosophy and Psychiatry from the Standpoint of the Event
 
Euthanasia presentation
Euthanasia presentationEuthanasia presentation
Euthanasia presentation
 
Medical anthropology
Medical anthropologyMedical anthropology
Medical anthropology
 
Changelings: Children, Culture, and Trauma
Changelings: Children, Culture, and TraumaChangelings: Children, Culture, and Trauma
Changelings: Children, Culture, and Trauma
 
Progress summary paper
Progress summary paperProgress summary paper
Progress summary paper
 

Viewers also liked

SOAP Noting System
SOAP Noting SystemSOAP Noting System
SOAP Noting SystemOmar-AlKadhi
 
Hist Over Psych Anth S10
Hist Over Psych Anth S10Hist Over Psych Anth S10
Hist Over Psych Anth S10cherrybloosom89
 
Story-telling as core curriculum for holistic education
Story-telling as core curriculum for holistic educationStory-telling as core curriculum for holistic education
Story-telling as core curriculum for holistic educationPoh Lee Tan
 
Story telling about history of teaching and learning
Story telling about history of teaching and learningStory telling about history of teaching and learning
Story telling about history of teaching and learningPhuti Ragophala
 
Guest relations executive ppt
Guest relations executive pptGuest relations executive ppt
Guest relations executive pptVikesh Thakur
 
Training Manual and SOP
Training Manual and SOPTraining Manual and SOP
Training Manual and SOPVacaStrategy
 
Complain Management system Presentation
Complain Management system PresentationComplain Management system Presentation
Complain Management system PresentationApoorv Pandey
 
Hospitality in hospital
Hospitality in hospitalHospitality in hospital
Hospitality in hospitalSandeep Singh
 
16150187 Guest Relation Officer
16150187 Guest Relation Officer16150187 Guest Relation Officer
16150187 Guest Relation OfficerRasel Mainul
 
Out patient services
Out patient servicesOut patient services
Out patient servicesNc Das
 
Training, process flow chart sop's
Training, process flow chart  sop'sTraining, process flow chart  sop's
Training, process flow chart sop'sVipul Saxena
 
Complaint handling
Complaint handlingComplaint handling
Complaint handlingnilesh p
 
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L MeenaQuality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L MeenaDr Jitu Lal Meena
 
How to acheive NABH Standards in PHC & CHC Part 2-4
How to acheive NABH  Standards in PHC & CHC Part 2-4How to acheive NABH  Standards in PHC & CHC Part 2-4
How to acheive NABH Standards in PHC & CHC Part 2-4Dr Jitu Lal Meena
 
Lecture 06.culture and types
Lecture 06.culture and typesLecture 06.culture and types
Lecture 06.culture and typesDr.Kamran Ishfaq
 

Viewers also liked (20)

SOAP Noting System
SOAP Noting SystemSOAP Noting System
SOAP Noting System
 
Hist Over Psych Anth S10
Hist Over Psych Anth S10Hist Over Psych Anth S10
Hist Over Psych Anth S10
 
Story-telling as core curriculum for holistic education
Story-telling as core curriculum for holistic educationStory-telling as core curriculum for holistic education
Story-telling as core curriculum for holistic education
 
Story telling about history of teaching and learning
Story telling about history of teaching and learningStory telling about history of teaching and learning
Story telling about history of teaching and learning
 
Presentatie Fred Lee
Presentatie Fred LeePresentatie Fred Lee
Presentatie Fred Lee
 
Progress notes
Progress notes Progress notes
Progress notes
 
Guest relations executive ppt
Guest relations executive pptGuest relations executive ppt
Guest relations executive ppt
 
Plan do-study-act
Plan do-study-actPlan do-study-act
Plan do-study-act
 
Training Manual and SOP
Training Manual and SOPTraining Manual and SOP
Training Manual and SOP
 
Cultural relativism
Cultural relativismCultural relativism
Cultural relativism
 
Project on PHP for Complaint management system
Project on PHP for Complaint management systemProject on PHP for Complaint management system
Project on PHP for Complaint management system
 
Complain Management system Presentation
Complain Management system PresentationComplain Management system Presentation
Complain Management system Presentation
 
Hospitality in hospital
Hospitality in hospitalHospitality in hospital
Hospitality in hospital
 
16150187 Guest Relation Officer
16150187 Guest Relation Officer16150187 Guest Relation Officer
16150187 Guest Relation Officer
 
Out patient services
Out patient servicesOut patient services
Out patient services
 
Training, process flow chart sop's
Training, process flow chart  sop'sTraining, process flow chart  sop's
Training, process flow chart sop's
 
Complaint handling
Complaint handlingComplaint handling
Complaint handling
 
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L MeenaQuality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena
Quality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena
 
How to acheive NABH Standards in PHC & CHC Part 2-4
How to acheive NABH  Standards in PHC & CHC Part 2-4How to acheive NABH  Standards in PHC & CHC Part 2-4
How to acheive NABH Standards in PHC & CHC Part 2-4
 
Lecture 06.culture and types
Lecture 06.culture and typesLecture 06.culture and types
Lecture 06.culture and types
 

Similar to Narrative Based Medicine as a Cultural Relativism in Medical Professionals and Patient Relationsps - Dr. Takuya Tsujiuchi

%22What to do with Stories%22 - R. Charon
%22What to do with Stories%22 - R. Charon%22What to do with Stories%22 - R. Charon
%22What to do with Stories%22 - R. CharonMary Alexandra Macy
 
LThayerpowerpoint
LThayerpowerpointLThayerpowerpoint
LThayerpowerpointlthayer
 
Excelsior_M7A1_Chiropractic Communication_Final
Excelsior_M7A1_Chiropractic Communication_FinalExcelsior_M7A1_Chiropractic Communication_Final
Excelsior_M7A1_Chiropractic Communication_FinalBinyamin Rubinstein
 
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docx
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docxThe Psychiatric Interview Evaluation and Diagnosis, First Edi.docx
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docxarnoldmeredith47041
 
Teaching the Rx Narrative; Story as Medicine
Teaching the Rx Narrative; Story as MedicineTeaching the Rx Narrative; Story as Medicine
Teaching the Rx Narrative; Story as MedicineMarie Ennis-O'Connor
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarshriniwas kashalikar
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarshriniwas kashalikar
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarshriniwas kashalikar
 
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docxtamicawaysmith
 
Ghc Msw Presentation X 22409
Ghc Msw Presentation X 22409Ghc Msw Presentation X 22409
Ghc Msw Presentation X 22409marilyn62
 
History and Philosophy of Psychology, First Edition. Man Cheu.docx
History and Philosophy of  Psychology, First Edition. Man Cheu.docxHistory and Philosophy of  Psychology, First Edition. Man Cheu.docx
History and Philosophy of Psychology, First Edition. Man Cheu.docxpooleavelina
 
Iceman Reborn Film Analysis
Iceman Reborn Film AnalysisIceman Reborn Film Analysis
Iceman Reborn Film AnalysisLori Gilbert
 
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16jbanquev
 
Storytelling in Physiotherapy 24-11-21.pptx
Storytelling in Physiotherapy 24-11-21.pptxStorytelling in Physiotherapy 24-11-21.pptx
Storytelling in Physiotherapy 24-11-21.pptxssuser95d82c1
 

Similar to Narrative Based Medicine as a Cultural Relativism in Medical Professionals and Patient Relationsps - Dr. Takuya Tsujiuchi (18)

%22What to do with Stories%22 - R. Charon
%22What to do with Stories%22 - R. Charon%22What to do with Stories%22 - R. Charon
%22What to do with Stories%22 - R. Charon
 
LThayerpowerpoint
LThayerpowerpointLThayerpowerpoint
LThayerpowerpoint
 
Excelsior_M7A1_Chiropractic Communication_Final
Excelsior_M7A1_Chiropractic Communication_FinalExcelsior_M7A1_Chiropractic Communication_Final
Excelsior_M7A1_Chiropractic Communication_Final
 
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docx
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docxThe Psychiatric Interview Evaluation and Diagnosis, First Edi.docx
The Psychiatric Interview Evaluation and Diagnosis, First Edi.docx
 
Teaching the Rx Narrative; Story as Medicine
Teaching the Rx Narrative; Story as MedicineTeaching the Rx Narrative; Story as Medicine
Teaching the Rx Narrative; Story as Medicine
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikar
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikar
 
Holistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikarHolistic medicine dr. shriniwas kashalikar
Holistic medicine dr. shriniwas kashalikar
 
ANT 407C Symposium Poster
ANT 407C Symposium PosterANT 407C Symposium Poster
ANT 407C Symposium Poster
 
Introduction to BHS
Introduction to BHSIntroduction to BHS
Introduction to BHS
 
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx
352 BUMC PROCEEDINGS 2001;14352–357The technological adva.docx
 
Ghc Msw Presentation X 22409
Ghc Msw Presentation X 22409Ghc Msw Presentation X 22409
Ghc Msw Presentation X 22409
 
History and Philosophy of Psychology, First Edition. Man Cheu.docx
History and Philosophy of  Psychology, First Edition. Man Cheu.docxHistory and Philosophy of  Psychology, First Edition. Man Cheu.docx
History and Philosophy of Psychology, First Edition. Man Cheu.docx
 
Iceman Reborn Film Analysis
Iceman Reborn Film AnalysisIceman Reborn Film Analysis
Iceman Reborn Film Analysis
 
Origins of self advocacy discourse by Jan Wallcraft
Origins of self advocacy discourse by Jan WallcraftOrigins of self advocacy discourse by Jan Wallcraft
Origins of self advocacy discourse by Jan Wallcraft
 
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16
Narrative medicine creating_healing_stories_6th_euriparuralforummarseille_09.16
 
Storytelling in Physiotherapy 24-11-21.pptx
Storytelling in Physiotherapy 24-11-21.pptxStorytelling in Physiotherapy 24-11-21.pptx
Storytelling in Physiotherapy 24-11-21.pptx
 
Working with end of life a psycho-social care
Working with end of life a psycho-social careWorking with end of life a psycho-social care
Working with end of life a psycho-social care
 

More from Rielo Institute for Integral Development

Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...
Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...
Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...Rielo Institute for Integral Development
 
Cultural differences in the expression of psychopathological symptoms in a sa...
Cultural differences in the expression of psychopathological symptoms in a sa...Cultural differences in the expression of psychopathological symptoms in a sa...
Cultural differences in the expression of psychopathological symptoms in a sa...Rielo Institute for Integral Development
 
What can Social Anthropology contribute to the field of Medical Anthropology?...
What can Social Anthropology contribute to the field of Medical Anthropology?...What can Social Anthropology contribute to the field of Medical Anthropology?...
What can Social Anthropology contribute to the field of Medical Anthropology?...Rielo Institute for Integral Development
 
A Human Security Approach in delivering as One to Vulnerable People facing mu...
A Human Security Approach in delivering as One to Vulnerable People facing mu...A Human Security Approach in delivering as One to Vulnerable People facing mu...
A Human Security Approach in delivering as One to Vulnerable People facing mu...Rielo Institute for Integral Development
 
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...Rielo Institute for Integral Development
 
Disease structure of affected people of earthquake and tsunami disaster in No...
Disease structure of affected people of earthquake and tsunami disaster in No...Disease structure of affected people of earthquake and tsunami disaster in No...
Disease structure of affected people of earthquake and tsunami disaster in No...Rielo Institute for Integral Development
 
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...Rielo Institute for Integral Development
 
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...Rielo Institute for Integral Development
 

More from Rielo Institute for Integral Development (17)

The Decline of Power 2013: A complex problem of multiple scales
The Decline of Power 2013: A complex problem of multiple scalesThe Decline of Power 2013: A complex problem of multiple scales
The Decline of Power 2013: A complex problem of multiple scales
 
The End of Power November 4th 2013 United Nations New York
The End of Power November 4th 2013  United Nations New YorkThe End of Power November 4th 2013  United Nations New York
The End of Power November 4th 2013 United Nations New York
 
Correspondence against Triple Catastrophe - NCGM Osamu okazaki
Correspondence against Triple Catastrophe - NCGM Osamu okazakiCorrespondence against Triple Catastrophe - NCGM Osamu okazaki
Correspondence against Triple Catastrophe - NCGM Osamu okazaki
 
Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...
Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...
Cultural Competence: Building Up a Knowledge Base of Cultural Observations in...
 
Cultural differences in the expression of psychopathological symptoms in a sa...
Cultural differences in the expression of psychopathological symptoms in a sa...Cultural differences in the expression of psychopathological symptoms in a sa...
Cultural differences in the expression of psychopathological symptoms in a sa...
 
What can Social Anthropology contribute to the field of Medical Anthropology?...
What can Social Anthropology contribute to the field of Medical Anthropology?...What can Social Anthropology contribute to the field of Medical Anthropology?...
What can Social Anthropology contribute to the field of Medical Anthropology?...
 
A Human Security Approach in delivering as One to Vulnerable People facing mu...
A Human Security Approach in delivering as One to Vulnerable People facing mu...A Human Security Approach in delivering as One to Vulnerable People facing mu...
A Human Security Approach in delivering as One to Vulnerable People facing mu...
 
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...
Medical Anthropology Research in Latin American Immigrants in Saitama and Gun...
 
Disease structure of affected people of earthquake and tsunami disaster in No...
Disease structure of affected people of earthquake and tsunami disaster in No...Disease structure of affected people of earthquake and tsunami disaster in No...
Disease structure of affected people of earthquake and tsunami disaster in No...
 
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...
Integral assistance to refugees: an anthropological approach - Dr. M. Lafuent...
 
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...
Med. Anthr. Workshop Rome - "Project of Refugees Welcoming" - Dr. Monserrat L...
 
Xix md mbasemarcecapolitiche2011
Xix md mbasemarcecapolitiche2011Xix md mbasemarcecapolitiche2011
Xix md mbasemarcecapolitiche2011
 
Xix md mbasegeraciscenari2011
Xix md mbasegeraciscenari2011Xix md mbasegeraciscenari2011
Xix md mbasegeraciscenari2011
 
Xix md mbasegeracinorme2011
Xix md mbasegeracinorme2011Xix md mbasegeracinorme2011
Xix md mbasegeracinorme2011
 
Xix md mbasemazzetticultura2011
Xix md mbasemazzetticultura2011Xix md mbasemazzetticultura2011
Xix md mbasemazzetticultura2011
 
Medicine and Migration in Rome
Medicine and Migration in RomeMedicine and Migration in Rome
Medicine and Migration in Rome
 
Knowledge Base for Transcultural Health
Knowledge Base for Transcultural HealthKnowledge Base for Transcultural Health
Knowledge Base for Transcultural Health
 

Recently uploaded

epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
Valproic Acid. (VPA). Antiseizure medication
Valproic Acid.  (VPA). Antiseizure medicationValproic Acid.  (VPA). Antiseizure medication
Valproic Acid. (VPA). Antiseizure medicationMohamadAlhes
 
Phytochemical Investigation of Drugs PDF.pdf
Phytochemical Investigation of Drugs PDF.pdfPhytochemical Investigation of Drugs PDF.pdf
Phytochemical Investigation of Drugs PDF.pdfDivya Kanojiya
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...MehranMouzam
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..AneriPatwari
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...Divya Kanojiya
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSapna Thakur
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Dr. Dheeraj Kumar
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxSasikiranMarri
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfHongBiThi1
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxKezaiah S
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfMyThaoAiDoan
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamAkebom Gebremichael
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxDr. Dheeraj Kumar
 

Recently uploaded (20)

epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
Valproic Acid. (VPA). Antiseizure medication
Valproic Acid.  (VPA). Antiseizure medicationValproic Acid.  (VPA). Antiseizure medication
Valproic Acid. (VPA). Antiseizure medication
 
Phytochemical Investigation of Drugs PDF.pdf
Phytochemical Investigation of Drugs PDF.pdfPhytochemical Investigation of Drugs PDF.pdf
Phytochemical Investigation of Drugs PDF.pdf
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of:  N...
HERBS AS HEALTH FOOD - Brief introduction and therapeutic applications of: N...
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
 
Informed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptxInformed Consent Empowering Healthcare Decision-Making.pptx
Informed Consent Empowering Healthcare Decision-Making.pptx
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptx
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptx
 

Narrative Based Medicine as a Cultural Relativism in Medical Professionals and Patient Relationsps - Dr. Takuya Tsujiuchi

  • 1. Narrative Based Medicine as a Cultural Relativism in Medical Professionals and Patient Relationships Associate Prof. Takuya TSUJIUCHI MD, PhD. Department of Health Science & Social Welfare, Faculty of Human Sciences, WASEDA University
  • 2.
  • 3.
  • 4.
  • 6.
  • 7.
  • 8.
  • 10.
  • 11.
  • 12.       Medical Education   Clinical Experience Disease     Illness Experience Life Experience Illness Medical Paradigm -> interpretation-> Local Cultural Beliefs
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Illness   Disease Culture of Medical Professions     Medical Education   Clinical Experience Doctore’s Explanatory Model Culture of Patients     Illness Experience Life Experience Patient’s Explanatory Model CLASH ! Local Cultural Beliefs Medical Paradigm -> interpretation->
  • 19.
  • 20. Difficulty in Practicing NBM
  • 21.
  • 22.
  • 23. Edger Rubin’s Vase http://topics.j-cast.com/keywords/ Make your side view to a wooden interior ! 900US$
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Case of trying NBM Brief introduction of my clinical case using Japanese herbal medicine, 2010
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Grazie ! per la vostra cortese attenzione. Takuya TSUJIUCHI MD, PhD.

Editor's Notes

  1. 生活習慣病学( NBM 生活習慣病物語を読む) 2007