'Geraniums (red) and Delphiniums (blue)': Trauma, Ethics, and Medical Communications
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More official complaints about medical treatment in the UK relate to poor communications than to wrong diagnoses. This article, in considering the importance of communications training for clinicians, is structured into three sections. From use of a story that introduces the idea of miscommunication and trauma in the first section, the article moves, in the second, to a theorisation of trauma as a concept, addressing issues of intersubjectivity, the relationship between embodied and psychological being, and ethics. From this, the third section engages directly with medical communications training, exemplifying a particular literary-studies approach to matters of communication.
KeywordsMedical communications subjectivity trauma literary studies meaning ethics
This article comes out of the early stages of a project, 'Medicine and Meaning; Illness and Ownership', begun during research leave in 2012-13. I am grateful to Joe Yates, Director of the School of Humanities and Social Science, and to my colleagues in the English Department at Liverpool John Moores University who freed me from teaching and administrative duties enabling me to embark on this new area of work. Avril Danczak, Jane Davie and Margaret Kingston made it possible for me to begin thinking about medical humanities issues through their generosity of spirit, the time they gave to conversations with me, and by offering their insight, knowledge, thought and reflection on clinical experience. I am profoundly grateful to them for all of this, and for the pleasure of those conversations. (They bear no responsibility at all, of course, for what I have done with their ideas.) I am also grateful to members of the audience at the 'A Narrative Future for Healthcare' conference, hosted by King's College, London and Columbia University Medical Centre, in 2013, where I gave an earlier version of this article as a paper, especially to Will Brook, Sarah Clement and Jonathan Tomlinson for feedback or continuing conversations. My thanks to Dee Brown, David Clampin, Joanna Croft, Colin Harrison, Katharine Hodgkin, Diana Mitlin, Andy Mousley, Joanna Price, and David Tyrer who all provided support and intellectual help by discussing ideas and suggesting sources. Timothy Ashplant, James Friel and Joanna Price commented on drafts with the blend of perspicacity, rigour, kindness and honesty that characterises each of them: I am, as ever, deeply grateful. In particular, my special thanks go to Graeme Wilson for making this work possible through intellectual help with sources, contacts and ideas, as well as for many kindnesses – and, above all, for never prescribing chrysanthemums (any colour).
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