TY - JOUR AU - Zonza, Massimiliano PY - 2012/10/23 Y2 - 2024/03/28 TI - Narrative Based Medicine and Neonatology: an interpretative approach JF - Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) JA - J Pediatr Neonat Individual Med VL - 1 IS - 1 SE - DO - 10.7363/010114 UR - https://jpnim.com/index.php/jpnim/article/view/010114 SP - 49-52 AB - <p>The use of Evidence Based Medicine (EBM) has progressively lead doctors to focus their practice on the disease and not on the patient anymore. They consider a sick body or a sick part rather than a sick person. Such an attitude results in a progressive process of alienation or “unauthentic experience”. On the contrary the Medical Humanities represents a strong reaction to this state of things, and for Medicine a chance to embrace again its humanistic “vocation”.</p> <p>Narrative Based Medicine (NBM) places at the center of the clinical practice the communicative and relational dimension.</p> <p>This study deepen the application of NBM to the scope of neonatal care.</p> <p>As a result of our work, we have identified in the NBM applied to the neonatal area a fundamental characteristic, the Neonatal Triangle (doctors, patient, parents), and a triple functionality (diagnostic, ethical and educational) placed in three different ideal chronological moments (<em>before</em>, <em>during </em>and <em>after</em>). We explore the close connection between these functions and the clinical work and how the NBM model, through these same functions, enhance the opportunity of care and relationship.</p> <p>The main assumption is obviously the Doctors ability to build a shared narrative relation with the Parents of the little Patients, that in the technical terms of the Narrative Based Medicine is called co-construction of the illness history.</p> <p>We can remark that with the NBM we understand (the narrative frame), build (the therapeutic alliance) and share (decisions).</p> ER -