Psychotherapy & Liaison Skills
Over the past several decades, clinical applications of the medical humanities have proliferated. The use of various modalities of medical humanities including narrative medicine and narrative ethics, reflective practice, and visual arts in medicine have been demonstrated to improve patient care, increase physician wellness, and aid in educating trainees. However, psychiatry has lagged behind other medical specialties in adopting and studying the medical humanities (1).
Clinical medical humanities have been studied and utilized in understanding the psychosocial impact of medical illness on both patients and the clinicians caring for them. Such a mission is closely aligned with the work done by consultation-liaison psychiatrists. As medicine becomes increasingly technologically advanced, cross-cultural in scope, and ethically challenging, CL psychiatrists are positioned to steward teams and institutions navigating these complexities. To that end, the medical humanities provide new lenses by which to access and understand the experiences of our patients, extend our capacity to effectively liaise with other professionals whose perspectives may be widely divergent from our own, improve our ability to convey myriad skills to our trainees, and bolster our own resilience in the face of morally, interpersonally, and medically challenging work.
This interactive workshop will (1) introduce attendees to core concepts in the clinical application of the medical humanities and their application to CL psychiatry; (2) briefly summarize several approaches within the medical humanities including narrative medicine, reflective practice, and utilization of the visual arts/photography in the practice and teaching of medicine; (3) briefly review current evidence for the utilization of the medical humanities in clinical practice and teaching with an emphasis on actionable strategies for the CL setting; and (4) provide an opportunity for attendees to participate in a small-group narrative medicine exercise tailored to the CL psychiatry setting.
Dr. Daniel Shalev and Dr. Christian Hicks will introduce the topic with a brief summary of the scope of medical humanities and their clinical uses to date (15min).
Dr. Mary Ann Cohen will discuss the clinical aspects of the medical humanities in navigating challenges facing the future of consultation-liaison psychiatry such as the retention of humanism and caring in productivity-oriented, market-driven, technology-dependent medical environments and their implications for the doctor-patient relationship, and physician burnout (10min).
Dr. Jane Rosenthal will discuss her experiences as a consultation-liaison psychiatrist leading small groups for “The Big Read,” an institutional initiative inviting faculty, staff, and students to read and discuss a book concurrently (10min).
Dr. Jennifer Sotsky will provide an introduction to the discipline of narrative medicine, with a special focus on its applications to the consultation-liaison psychiatrist (10min).
Following the talks, 30 minutes will be reserved for a small-group guided narrative medicine exercise.
15 minutes will be reserved for questions and discussion.