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Educating Doctors' Senses Through the Medical Humanities: How Do I Look? [Kõva köide]

(Plymouth University, UK)
Educating Doctors Senses Through the Medical Humanities: "How Do I Look?" uses the medical diagnostic method to identify a chronic symptom in medical culture: the unintentional production of insensibility through compulsory mis-education. This book identifies the symptom and its origins and offers an intervention: deliberate and planned education of sensibility through the introduction of medical humanities to the core undergraduate medicine and surgery curriculum.

To change medical culture is an enormous challenge, and this book sets out how to do this by answering the following questions:











How has a compulsory mis-education for insensibility developed in medical culture and medical education?





How is sensibility capital generated, who owns it and how is it distributed, mal-distributed and re-distributed? What is the place of resistance (or dissensus) in this process?





How can the symptom of a developed insensibility be addressed pedagogically through introduction of the medical humanities as core and integrated curriculum provision?





How can both the identity constructions of doctors and doctorpatient relationships be tied up with education for sensibility?





How can artists work with clinicians, through the medical humanities in medical education, to better educate sensibility?

The book will be of interest to all medical educators and clinicians, including those health and social care professionals outside of medicine who work with doctors.
Foreword xi
Introduction 1(9)
Medicine's push--pull relations with the senses
1(3)
Culture's sensory paradox
4(1)
Stemming the disembodiment of medicine
5(1)
Eco-logical vs ego-logical perception
6(4)
1 Medicine making sense: the senses as a system
10(17)
Transforming a burden, shaping doctors
10(2)
Refraction
12(1)
Re-thinking the human sensorium
13(1)
The augmented senses
14(2)
Reasoning in the senses: abductive judgement
16(2)
Affordance and ecological perception: ask not what's inside your head, but what your head's inside of
18(1)
Mindfulness or mindlessness?
19(2)
Vigilant and paradoxical attention
21(1)
Sensibility capital: `what are you looking at?', or politics meets aesthetics
22(3)
The curriculum as a sensory text
25(2)
2 `Out, damned spot!': the abject in medicine, cadaver dissection and education for insensibility
27(21)
Shall we throw physic to the dogs?
27(1)
Dealing with disgust
28(1)
Medicine's cloud
29(2)
Sensible medicine
31(1)
Cadaver dissection
32(6)
Cadaver dissection and cultural difference
38(2)
Facing disgust: subject, object, abject re-visited
40(4)
The return of the repressed
44(2)
Doctor as `deject'
46(2)
3 How do I smell?
48(13)
Developing a taste for diagnostic acumen
48(4)
A surfeit of the malodorous: cultivating empathy for a stranger's bad breath
52(4)
"There are so many distinct smells in medicine"
56(2)
Inodorate spaces
58(3)
4 From listening to hearing
61(13)
The body sings
61(1)
The body is a flute
62(4)
The medical humanities: an archaeological artefact to be excavated and restored
66(1)
Similes or resemblances
67(1)
Listening for evidence
68(2)
Ditch the stethoscope?
70(4)
5 Medical students learn `sonic alignment': the medical humanities and listening
74(15)
Ambient and elective noise in clinical spaces
74(1)
Enriching practice through the arts
75(2)
Ten examples of `sonic alignment' embodied learning or body pedagogics
77(9)
Hearing and listening as communication expertise
86(3)
6 "How do I look?": from `looking' to `seeing'
89(18)
Thirty shades of white
89(1)
A dis-embodied road map for clinical reasoning -- illness scripts learned in vitro
90(2)
Embodied words
92(2)
Educating the senses for diagnostic acumen: Type 1 reasoning
94(2)
When the gallery becomes the ward
96(2)
Honing visual acumen in medicine
98(9)
7 Doing and researching aesthetic work in the visual domain
107(15)
The eyes have it
107(2)
Making sense of diagnosis
109(2)
Artists and doctors collaborate in `thinking aloud'
111(3)
Democratising the medical gaze in medicine
114(2)
Aesthetic ways of knowing in health care
116(1)
Resemblances
117(2)
The visual rhetoric of clinical practice
119(1)
Kinds of reasoning in the senses
120(2)
8 Touch/don't touch
122(15)
Rusting at the bedside: medicine running out of touch
122(3)
Percussion
125(3)
Mo-Mo twins: let's stick together
128(1)
Do patients want to be touched?
129(2)
Anaesthetics stays in touch
131(4)
Touch/don't touch redux
135(2)
9 "How do I look?": performativity and identity
137(17)
Doctors' self-display in the mirror of the patient
137(6)
Mimicry and dress: the death of the white coat and the white oat as death
143(5)
Who cares, and just what cures? Does the management of impressions of the doctor matter?
148(3)
Camouflage
151(3)
References 154(17)
Index 171
Alan Bleakley is Emeritus Professor at the University of Plymouths Peninsula School of Medicine and Dentistry, UK.