Academia and Clinic
15 April 1995

Literature and Medicine: Contributions to Clinical Practice

Publication: Annals of Internal Medicine
Volume 122, Number 8

Abstract

Introduced to U.S. medical schools in 1972, the field of literature and medicine contributes methods and texts that help physicians develop skills in the human dimensions of medical practice. Five broad goals are met by including the study of literature in medical education: 1) Literary accounts of illness can teach physicians concrete and powerful lessons about the lives of sick people; 2) great works of fiction about medicine enable physicians to recognize the power and implications of what they do; 3) through the study of narrative, the physician can better understand patients' stories of sickness and his or her own personal stake in medical practice; 4) literary study contributes to physicians' expertise in narrative ethics; and 5) literary theory offers new perspectives on the work and the genres of medicine. Particular texts and methods have been found to be well suited to the fulfillment of each of these goals. Chosen from the traditional literary canon and from among the works of contemporary and culturally diverse writers, novels, short stories, poetry, and drama can convey both the concrete particularity and the metaphorical richness of the predicaments of sick people and the challenges and rewards offered to their physicians. In more than 20 years of teaching literature to medical students and physicians, practitioners of literature and medicine have clarified its conceptual frameworks and have identified the means by which its studies strengthen the human competencies of doctoring, which are a central feature of the art of medicine.

Get full access to this article

View all available purchase options and get full access to this article.

References

1.
Broyard A. Intoxicated by My Illness and Other Writings on Life and Death. Broyard A, ed. New York: Clarkson Potter; 1992.
2.
Hawkins AH. Reconstructing Illness: Studies in Pathography. West Lafayette, Indiana: Purdue University Press; 1993.
3.
Kleinman A. The Illness Narratives: Suffering, Healing, and the Human Condition. New York: Basic Books; 1988.
4.
Brody H. Stories of Sickness. New Haven: Yale University Press; 1987.
5.
Coles R. The Call of Stories: Teaching and the Moral Imagination. Boston: Houghton Mifflin; 1989.
6.
Peabody FW. Doctor and Patient: Papers on the Relationship of the Physician to Men and Institutions. New York: Macmillan; 1930.
7.
Cassell EJ. The Healer's Art. Cambridge: MIT Press; 1985.
8.
Arnold M. Literature and science. In: Discourses in America. London: Macmillan; 1889:72-137.
9.
Snow CP. The Two Cultures and the Scientific Revolution: The Rede Lecture, 1959. Cambridge: Cambridge University Press; 1959.
10.
Trilling L. The Leavis-Snow controversy. In: Beyond Culture: Essays on Literature and Learning. New York: Harcourt Brace Jovanovich; 1965: 126-54.
11.
Bishop MG. ‘A new cageful of ferrets!’-medicine and the ‘two cultures’ debate of the 1950s (Editorial). J R Soc Med. 1991; 84:637-9.
12.
Trautmann J. The wonders of literature in medical education. Mobius. 1982; 2:23-31.
13.
Rabuzzi K, ed. Toward a new discipline. Lit Med. 1982; 1.
14.
Trautmann J, ed. Healing Arts in Dialogue: Medicine and Literature. Carbondale: Southern Illinois University Press; 1981.
15.
Wear D, Kohn M, Stocker S, eds. Literature and Medicine: A Claim for a Discipline. Proceedings of the Northeastern Ohio Universities College of Medicine's Literature & Medicine Conference, May 1984. McLean, Virginia: Society for Health and Human Values; 1987.
16.
Jones AH, ed. Tenth anniversary retrospective. Lit Med. 1991; 10.
17.
Jones AH. Literature and medicine: traditions and innovations. In: Clarke B, Aycock W, eds. The Body and the Text: Comparative Essays in Literature and Medicine. Lubbock, Texas: Texas Tech University Press; 1990:11-24.
18.
Baker NJ. Literary medicine. Minn Med. 1990; 73(11):19-20.
19.
Porter WG. Medicine and literature. N C Med J. 1993; 54(2):96-9.
20.
Risse GB. Literature and medicine (Editorial). West J Med. 1992; 156:431.
21.
Trilling L. On the teaching of modern literature. In: Beyond Culture: Essays on Literature and Learning. New York: Harcourt Brace Jovanovich; 1965:3-27.
22.
Billings JA, Coles R, Reiser SJ, Stoeckle JD. A seminar in ‘Plain Doctoring.’ J Med Educ. 1985; 60:855-9.
23.
Loughman C. Meeting the dark: autobiography in Hawthorne's unfinished tales. Gerontologist. 1992; 32:726-32.
24.
Kohn M, Donley C, Wear D, eds. Literature and Aging: An Anthology. Kent, Ohio: Kent State University Press; 1992.
25.
Ozer IJ. Images of epilepsy in literature. Epilepsia. 1991; 32:798-809.
26.
Wear D, Nixon LL. ‘Scoot down to the edge of the table, hon’: women's medical experiences portrayed in literature. Pharos. 1991; 54(1):7-11.
27.
Hawkins AH. Charting Dante: the Inferno and medical education. Lit Med. 1992; 11:200-15.
28.
Christian RF. The later stories. In: Tolstoy: A Critical Introduction. Cambridge: Cambridge University Press; 1969.
29.
Connelly JE. The whole story. Lit Med. 1990; 9:150-61.
30.
Banks JT. Death labors. Lit Med. 1990; 9:162-71.
31.
Donnelly WJ. Experiencing the death of Ivan Ilych: narrative art in the mainstream of medical education. Pharos. 1991; 54(2):21-5.
32.
Young-Mason J. Tolstoi's ‘The Death of Ivan Ilyich’: a source for understanding compassion. Clinical Nurse Specialist. 1988; 2:180-3.
33.
Coiner C. ‘No one's private ground’: a Bakhtinian reading of Tillie Olsen's ‘Tell Me a Riddle.’ Feminist Studies. 1992; 18:257-81.
34.
Blackmur RP. Henry James. In: Makowsky V, ed. Studies in Henry James. New York: New Directions; 1983:91-124.
35.
Kermode F. Introduction. In: Kermode F, ed. The Figure in the Carpet and Other Stories. New York: Penguin Books; 1986:7-30.
36.
Preston RP. The Dilemmas of Care: Social and Nursing Adaptations to the Deformed, the Disabled, and the Aged. New York: Elsevier; 1979:3-7.
37.
Flores A, ed. The Kafka Problem. New York: Octagon Books; 1963.
38.
Kirsch A. The emotional landscape of ‘King Lear.’ Shakespeare Quarterly. 1988; 39:154-70.
39.
Freud S. The theme of the three caskets. In: Strachey J, ed. The Standard Edition of the Complete Psychological Works of Sigmund Freud. v. 12. London: Hogarth Press; 1953-1974:291-301.
40.
Frank AW. Reclaiming an orphan genre: the first-person narrative of illness. Lit Med. 1994; 13:1-21.
41.
Frank AW. The rhetoric of self-change: illness experience as narrative. Sociological Quarterly. 1993; 34:39-52.
42.
Secundy MG, Nixon LL, eds. Trials, Tribulations, and Celebrations: African-American Perspectives on Health, Illness, Aging, and Loss. Yarmouth, Maine: Intercultural Press; 1991.
43.
Stanford AF. Mechanisms of disease: African-American women writers, social pathologies, and the limits of medicine. NWSA Journal: A Publication of the National Women's Studies Association. 1994; 6:28-47.
44.
Shuttleworth S. George Eliot and Nineteenth-Century Science: The Make-Believe of a Beginning. Cambridge: Cambridge University Press; 1984.
45.
Weigand HJ. ‘The Magic Mountain’: A Study of Thomas Mann's Novel ‘Der Zauberberg.’ Chapel Hill: The University of North Carolina Press; 1964.
46.
Gaegan P. Notes on ‘The Plague.’ In: Bree G, ed. Camus: A Collection of Critical Essays. Englewood Cliffs, New Jersey: Prentice-Hall; 1962:145-51.
47.
Murphy TF, Poirier S, eds. Writing AIDS: Gay Literature, Language, and Analysis. New York: Columbia University Press; 1993.
48.
Cady J. ‘A common geography of the mind’: physicians in AIDS literature. Semin Neurol. 1992; 12:70-4.
49.
Wellek R, Wellek N, eds. Chekhov: New Perspectives. Englewood Cliffs, New Jersey: Prentice-Hall; 1984.
50.
Dirckx JH. Anton Chekhov's doctors. Pharos. 1991; 54(3):32-5.
51.
Trautmann J. William Carlos Williams and the poetry of medicine. Ethics in Science & Medicine. 1975;2:105-114.
52.
Montello MW. The Moviegoer. Acad Med. 1991; 66:332-3.
53.
Hawkins AH. The myth of cure and the process of accommodation: ‘Awakenings’ revisited. Medical Humanities Review. 1994; 8(1):9-21.
54.
Rodin AE, Key JD. Humanism and values in the medical short stories of Arthur Conan Doyle. South Med J. 1992; 85:528-37.
55.
Sheldon SH, Noronha PA. Using classic mystery stories in teaching. Acad Med. 1990; 65:234-5.
56.
Rockney R. Life threatening emergencies involving children in the literature of the doctor. Journal of Medical Humanities. 1991; 12:153-61.
57.
Posen S. The portrayal of the physician in non-medical literature—the female physician. J R Soc Med. 1993; 86:345-8.
58.
Posen S. The portrayal of the physician in non-medical literature—the physician and his family (Editorial). J R Soc Med. 1992; 85:314-7.
59.
Dirckx JH. The mad doctor in fiction. Pharos. 1992; 55(3):27-31.
60.
Epstein LC. The ‘reading’ of patients. R I Med. 1993; 76:333-5.
61.
Charon R. Medical interpretation: implications of literary theory of narrative for clinical work. Journal of Narrative and Life History. 1993; 3:79-97.
62.
Daniel SL. The patient as text: a model of clinical hermeneutics. Theor Med. 1986; 7:195-210.
63.
Leder D. Clinical interpretation: the hermeneutics of medicine. Theor Med. 1990; 11:9-24.
64.
Belkin BM, Neelon FA. The art of observation: William Osler and the method of Zadig. Ann Intern Med. 1992; 116:863-6.
65.
Bruner J. Actual Minds, Possible Worlds. Cambridge: Harvard University Press; 1986.
66.
Brooks P. Reading for the Plot: Design and Intention in Narrative. New York: Vintage Books; 1985.
67.
Kreiswirth M. Trusting the tale: the narrativist turn in the human sciences. New Literary History. 1992; 23:629-57.
68.
Polkinghorne DE. Narrative Knowing and the Human Sciences. Albany: State University of New York Press; 1988.
69.
Booth W. The Rhetoric of Fiction. 2d ed. Chicago: University of Chicago Press; 1983.
70.
Benjamin W. Illuminations. Zohn H, trans. New York: Schocken; 1969.
71.
Ricoeur P. Time and Narrative. McLaughlin K, Pellauer D, trans. Chicago: University of Chicago Press; 1985.
72.
Mishler E. The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, New Jersey: Ablex; 1984.
73.
Toombs SK. Illness and the paradigm of lived body. Theor Med. 1988; 9:201-26.
74.
Borkan JM, Quirk M, Sullivan M. Finding meaning after the fall: injury narratives from elderly hip fracture patients. Soc Sci Med. 1991; 33:947-57.
75.
Gerhardt U. Qualitative research on chronic illness: the issue and the story. Soc Sci Med. 1990; 30:1149-59.
76.
Del Vecchio Good MJ, Munakata T, Kobayashi Y, Mattingly C, Good BJ. Oncology and narrative time. Soc Sci Med. 1994; 38:855-62.
77.
Hunter KM. Doctors' Stories: The Narrative Structure of Medical Knowledge. Princeton: Princeton University Press; 1992.
78.
Toulmin S. The construal of reality: criticism in modern and postmodern science. In: Mitchell WT, ed. The Politics of Interpretation. Chicago: University of Chicago Press; 1983:99-117.
79.
Hunter KM, ed. Narrative and medical knowledge. Lit Med. 1994; 13(1).
80.
Terry JS, Gogol EL. Poems and patients: the balance of interpretation. Lit Med. 1987; 6:43-53.
81.
Younger JB. Literary works as a mode of knowing. Image: Journal of Nursing Scholarship. 1990; 22:39-43.
82.
Downie RS. Literature and medicine. J Med Ethics. 1991; 17:93-6.
83.
Calman KC, Downie RS, Duthie M, Sweeney B. Literature and medicine: a short course for medical students. Med Educ. 1988; 22:265-9.
84.
Charon R. The narrative road to empathy. In: Spiro HM, Curnen MG, Peschel E, St. James D, eds. Empathy and the Practice of Medicine: Beyond Pills and the Scalpel. New Haven: Yale University Press, 1993:147-59.
85.
Clouser KD. Humanities in medical education: some contributions. J Med Philos. 1990; 15:289-301.
86.
Coulehan JL. Teaching the patient's story. Qualitative Health Research. 1992; 2:358-66.
87.
Charon R. To render the lives of patients. Lit Med. 1986; 5:58-74.
88.
Marshall PA, O'Keefe JP. Medical students' first person narrative of a patient's story of AIDS. Soc Sci Med. 1994; 40:67-76.
89.
Shafer A, Fish MP. A call for narrative: the patient's story and anesthesia training. Lit Med. 1994; 13:124-42.
90.
Vaughan SC. Joint authorship in the physician–patient interaction. Pharos. 1990; 53(3):38-42.
91.
Selzer R. Mortal Lessons. New York: Simon & Schuster; 1987.
92.
Nashold JR. Doctors who write. Spies in the heart of love. N C Med J. 1992; 53(5):205-9.
93.
Daniel HJ 3d. Medicine and the biological sciences: new vistas for verse. N C Med J. 1990; 51(8):406-9.
94.
Konner M. Medicine at the Crossroads: The Crisis in Health Care. New York: Pantheon Books; 1993.
95.
Suchman AL, Matthews DA. What makes the patient-doctor relationship therapeutic? Exploring the connexional dimension of medical care. Ann Intern Med. 1988; 108:125-30.
96.
Miles SH. The case: a story found and lost. Second Opin. 1990; 15:55-9.
97.
Radey C. Imagining ethics: literature and the practice of ethics. J Clin Ethics. 1992; 3:38-45.
98.
Burrell D, Hauerwas S. From system to story: an alternative pattern for rationality in ethics. In: Engelhardt HT, Callahan D, eds. Knowledge, Value and Belief. The Foundations of Ethics and its Relationship to Science. v.2. Hastings-on-Hudson, New York: Hastings Center, Institute of Society, Ethics and the Life Sciences; 1977:111-52.
99.
Reich WT. Experiential ethics as a foundation for dialogue between health communication and health-care ethics. J Applied Communication Research. 1988; 16:16-28.
100.
Gustafson JM. Moral discourse about medicine: a variety of forms. J Med Philos. 1990; 15:125-42.
101.
Churchill LR. The human experience of dying: the moral primacy of stories over stages. Soundings. 1979; 62:24-37.
102.
Jones AH. Literature and medicine: illness from the patient's point of view. In: Winslade WJ, ed. Personal Choices and Public Commitments: Perspectives on the Medical Humanities. Galveston Texas: Institute for the Medical Humanities; 1988:1-15.
103.
Schwartz MA, Wiggins OP. Systems and the structuring of meaning: contributions to a biopsychosocial medicine. Am J Psychiatry. 1986; 143:1213-21.
104.
Slavney PR, McHugh PR. Life stories and meaningful connections: reflections on a clinical method in psychiatry and medicine. Perspect Biol Med. 1984; 27:279-88.
105.
Jonsen A, Toulmin S. The Abuse of Casuistry: A History of Moral Reasoning. Berkeley: University of California Press; 1988.
106.
Carson RA. Interpretive bioethics: the way of discernment. Theor Med. 1990; 11:51-9.
107.
Miles SH, Hunter KM, eds. Case stories: a series. Second Opinion. 1990; 11:54.
108.
Connelly JE, DalleMura S. Ethical problems in the medical office. JAMA. 1988; 260:812-5.
109.
Puma JL, Schiedermayer DL. Outpatient clinical ethics. J Gen Intern Med. 1989; 4:413-20.
110.
Connelly JE, Campbell C. Patients who refuse treatment in medical offices. Arch Intern Med. 1987; 147:1829-33.
111.
Radwany SM, Adelson BH. The use of literary classics in teaching medical ethics to physicians. JAMA. 1987; 257:1629-31.
112.
Nixon LL, Wear D. ‘They will put it together/and take it apart’: fiction and informed consent. Law Med Health Care. 1991; 19:291-5.
113.
Radey C. Telling stories: creative literature and ethics. Hastings Cent Rep. 1990; 20(11):25.
114.
Jones AH. Literary value: the lesson of medical ethics. Neohelicon. 1987; 14:383-92.
115.
Booth W. The Company We Keep: An Ethics of Fiction. Berkeley: University of California Press; 1988.
116.
Miller JH. The Ethics of Reading: Kant, de Man, Eliot, Trollope, James, and Benjamin. New York: Columbia University Press; 1987.
117.
Siebers T. The Ethics of Criticism. Ithaca: Cornell University Press; 1988.
118.
Nussbaum MC. Love's Knowledge: Essays in Philosophy and Literature. New York: Oxford University Press; 1990.
119.
Murdoch I. The Sovereignty of Good. London: Ark Paperbacks; 1986.
120.
Charon R. Narrative contributions to medical ethics: recognition, formulation, interpretation, and validation in the practice of the ethicist. In: DuBose ER, Hamel R, O'Connell LJ, eds. A Matter of Principles? Ferment in U.S. Bioethics. Valley Forge, Pennsylvania: Trinity Press International; 1994:260-83.
121.
Benner P. The role of experience, narrative, and community in skilled ethical comportment. ANS Adv Nurs Sci. 1991; 14(2):1-21.
122.
Iser W. The Act of Reading: A Theory of Aesthetic Response. Baltimore: Johns Hopkins University Press; 1978.
123.
Culler J. Stories of reading. In: On Deconstruction: Theory and Criticism after Structuralism. Ithaca: Cornell University Press; 1982:64-83.
124.
Holland N. The Dynamics of Literary Response. New York: Columbia University Press; 1989.
125.
Tompkins J, ed. Reader Response Criticism: From Formalism to Post-Structuralism. Baltimore: Johns Hopkins University Press; 1980.
126.
Barthes R. Semiology and medicine. In: Howard R, trans. The Semiotic Challenge. New York: Hill and Wang; 1988:202-13.
127.
Foucault M. The Birth of the Clinic: An Archaeology of Medical Perception. Sheridan-Smith AM, trans. New York: Pantheon; 1973.
128.
de Man P. Blindness and Insight. Minneapolis: University of Minnesota Press; 1986.
129.
Bloom H, de Man P, Derrida J, Hartman G, Miller JH. Deconstruction and Criticism. New York: Continuum; 1985.
130.
Derrida J. Of Grammatology. Spivak GC, trans. Baltimore: Johns Hopkins University Press; 1976.
131.
Bakhtin MM. The Dialogic Imagination: Four Essays by M.M. Bakhtin. Emerson C, Holquist M, trans. Holquist M, ed. Austin, Texas: University of Texas Press; 1981.
132.
Poirier S, Brauner DJ. Ethics and the daily language of medical discourse. Hastings Cent Rep. 1988; 18(8-9):5-9.
133.
Banks JT, Hawkins AH, eds. The art of the case history. Lit Med. 1992; 11(1).
134.
Poirier S, Brauner DJ. The voices of the medical record. Theor Med. 1990; 11:29-39.
135.
Donnelly WJ. Righting the medical record. Transforming chronicle into story. JAMA. 1988; 260:823-5.
136.
Hawkins AH. Oliver Sack's ‘Awakenings’: reshaping clinical discourse. Configurations. 1993; 2:229-45.
137.
More ES, Milligan MA, eds. The Empathic Practitioner: Empathy, Gender, and Medicine. New Brunswick, New Jersey: Rutgers University Press; 1994.
138.
Gilbert S, Gubar S. The Madwoman in the Attic: The Woman Writer and the Nineteenth-Century Literary Imagination. New Haven: Yale University Press; 1979.
139.
Flynn E, Schweickart P, eds. Gender and Reading: Essays on Readers, Texts, and Contexts. Baltimore: The Johns Hopkins University Press; 1986.
140.
Showalter E, ed. The New Feminist Criticism: Essays on Women, Literature, and Theory. New York: Pantheon; 1985.
141.
Marcus S. Freud and Dora: story, history, case history. In: Bernheimer C, Kahane C, eds. In Dora's Case: Freud-Hysteria-Feminism. New York: Columbia University Press; 1985:56-91.
142.
Hillman J. The fiction of case history: a round with Freud. In: Healing Fiction. Barrytown, New York: Station Hill Press; 1983: 3-49.
143.
Alcorn MW, Bracher M. Literature, psychoanalysis, and the re-formation of the self: a new direction for reader-response theory. Proceedings of the Modern Language Association. 1985; 100:342-54.
144.
Trilling L. Freud: within and beyond culture. In: Beyond Culture: Essays on Literature and Learning. New York: Harcourt Brace Jovanovich; 1965:77-102.
145.
Skura MA. The Literary Use of the Psychoanalytic Process. New Haven: Yale University Press; 1981.
146.
Wilson J, Blackwell B. Relating literature to medicine: blending humanism and science in medical education. Gen Hosp Psychiatry. 1980; 2:127-33.
147.
Quill TE, Frankel RM, eds. Special stories issue. Medical Encounter. 1994; 11(1).
148.
Gill TM, Feinstein AR. A critical appraisal of the quality of quality-of-life measurements. JAMA. 1994; 272:619-26.
149.
Spiro H. What is empathy and can it be taught? Ann Intern Med. 1992; 116:843-6.

Comments

0 Comments
Sign In to Submit A Comment

Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 122Number 815 April 1995
Pages: 599 - 606

History

Published in issue: 15 April 1995
Published online: 15 August 2000

Keywords

Authors

Affiliations

Rita Charon, MD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Joanne Trautmann Banks, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Julia E. Connelly, MD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Anne Hunsaker Hawkins, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Kathryn Montgomery Hunter, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Anne Hudson Jones, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Martha Montello, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Suzanne Poirer, PhD
From College of Physicians and Surgeons of Columbia University, New York, New York. The Pennsylvania State University College of Medicine, Hershey, Pennsylvania. University of Virginia School of Medicine, Charlottesville, Virginia. Northwestern University Medical School and the University of Illinois College of Medicine, Chicago, Illinois. University of Texas Medical Branch, Galveston, Texas. Harvard Medical School, Boston, Massachusetts.
Corresponding Author: Rita Charon, MD, Department of Medicine, College of Physicians and Surgeons of Columbia University, 622 West 168th Street, PH 9E, New York, NY 10032.
Grant Support: In part by the Henry J. Kaiser Family Foundation Faculty Scholar Award in General Internal Medicine (1989-1992; grant no. Kaiser CU50492001) awarded to Dr. Charon and the Kaiser Narrative-in-Medicine Circle, during whose meetings this paper was conceptualized and written.

Metrics & Citations

Metrics

Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. For an editable text file, please select Medlars format which will download as a .txt file. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format





Download article citation data for:
Rita Charon, Joanne Trautmann Banks, Julia E. Connelly, et al. Literature and Medicine: Contributions to Clinical Practice. Ann Intern Med.1995;122:599-606. doi:10.7326/0003-4819-122-8-199504150-00008

View More

Login Options:
Purchase

You will be redirected to acponline.org to sign-in to Annals to complete your purchase.

Access to EPUBs and PDFs for FREE Annals content requires users to be registered and logged in. A subscription is not required. You can create a free account below or from the following link. You will be redirected to acponline.org to create an account that will provide access to Annals. If you are accessing the Free Annals content via your institution's access, registration is not required.

Create your Free Account

You will be redirected to acponline.org to create an account that will provide access to Annals.

View options

PDF/EPUB

View PDF/EPUB

Related in ACP Journals

Full Text

View Full Text

Figures

Tables

Media

Share

Share

Copy the content Link

Share on social media