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Accession number;07A0195149
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| Title;The Practice of Narrative-based Diabetes Care |
| Author;
SUGIMOTO MASATAKE
(Kumagayagekabyoin)
MOMOTA HATSUE
(Kumagayagekabyoin)
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Journal Title;Japanese Journal of Psychosomatic Medicine
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Journal Code:Z0162B
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ISSN:0385-0307
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VOL.47;NO.3;PAGE.193-200(2007)
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| Figure&Table&Reference;FIG.1, TBL.6, REF.5 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Despite rapid advances in recent years in the field of diabetology, current diabetic therapies still remain unsatisfactory and lead to poor outcomes. What is problematic presumably is that diabetic disorders are closely related to daily life style of the patient, and that the effective therapy requires good self-management of patient's daily life. In diabetes, the treatment significantly depends on the discretion of individual patients and profoundly involves the concept of values by which they live. Here biomedical models are quite limited in offering solutions to diabetic disorders. To cope with the difficulty of this nature in diabetic treatment, psychobehavioral study of diabetes has arisen as an alternative approach and made considerable achievements in intervention and support to change patient's behavior. However, there are encountered many cases that challenge the psychobehavioral approach. In these cases, we employ a narrative approach. Unlike the conventional approach based on obectivity and dualism (cause and effect) that characterize modern science, the narrative approach incorporates viewpoints from medical anthropology into diabetic treatment and heavily weighs patient's subjective attitude and interpretation of events. It is a nonlinear approach and complementary to those areas that are still beyond what biomedical models may address to. The narrative approach is expected to expand the possibility of diabetes practice. (author abst.) |
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