Precision or narrative medicine? Child neurology needs both!
Détails
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Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_92FFF2BD3B1C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Precision or narrative medicine? Child neurology needs both!
Périodique
Archives de pediatrie
ISSN
1769-664X (Electronic)
ISSN-L
0929-693X
Statut éditorial
Publié
Date de publication
08/2023
Peer-reviewed
Oui
Volume
30
Numéro
6
Pages
415-419
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Precision medicine aims to understand the mechanisms of diseases and to find treatments adapted to each individual or group of patients, on the basis of biological characteristics and environment. It uses new tools based on digital technologies. Narrative medicine was theorized, in the 2000s, as a reaction to the increasing technicality and the notion of a lack of human relations in care: It focuses on recognizing the essential place of the patient's experience of illness and life history in the diagnosis and management of diseases as well as in the training of caregivers. These two opposite currents are rarely considered together. In fact, they have in common the basic principle that each patient is unique, and both are often more closely intertwined than we think, especially in the field of child neurology. Five case histories and discussions presented here aim to demonstrate that combining the precision approach with the narrative approach can improve the diagnosis, treatment, classification, and understanding of neurological conditions, as well as enhance the dialog with families and make teaching more meaningful. Not only rare diseases but common problems, such as paroxysmal events, pain, epilepsy, intellectual disability, and autism spectrum disorder, are addressed from both perspectives.
Mots-clé
Humans, Child, Narrative Medicine, Autism Spectrum Disorder/diagnosis, Autism Spectrum Disorder/therapy, Caregivers, Pain, Neurology, Autism, Child neurology, Narrative medicine, Out-of-body experience, Paroxysmal extreme pain disorder, Precision medicine
Pubmed
Web of science
Open Access
Oui
Création de la notice
13/07/2023 13:15
Dernière modification de la notice
19/12/2023 7:23