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• W2328594531 abstract "OPEN ACCESSJuly 27, 2010Pain and the Humanities: Exploring the Meaning of Pain in Medicine Through Drama, Literature, Fine Arts and Philosophy Beth Murinson, MD, PhD, MS Beth Murinson, MD, PhD, MS Johns Hopkins University School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.8129 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: This course is designed to enrich the experience of students preparing for clinical medicine by providing a brief, multicultural exposure to the humanities. It includes materials that describe, portray, and involve reactions to pain that have been selected from drama, literature, fine arts, and philosophy. The course was designed to provoke discussion, challenge participants to reflect deeply about their responses to pain, and bring learners to the point of meaningful emotional growth. Methods: An 8-hour humanities-based curriculum (as 4 two-hour sessions embedded in the Johns Hopkins University School of Medicine professionalism course) was delivered to multiple groups of 24 or fewer students. The objectives included: guiding medical students in acknowledging emotional aspects of pain and developing empathetic responses; prompting discussion and awareness of distinctions among pain and suffering experiences, specifically bodily pain vs. that due to psychosocial causes; encouraging the formation of professional values that incorporate conscientiousness and a non-judgmental stance toward those experiencing pain. Students were required to participate within the classroom and complete an assignment. Results: Quantitative analysis demonstrated several key findings. First, pain narratives were highly effective in evoking affective awareness of pain experience. Second, multi-cultural materials were highly valued by students and led to invigorated reflections on the meaning of pain in a socio-cultural context. Third, philosophic inquiry into professional values was more effective when discussions of literary pain narrative and fine arts preceded philosophy (concrete to abstract), in contrast to presenting philosophy first. Qualitative analysis revealed that: emotional suffering, (e.g., isolation, heartache, etc.) is nearly universal for students at this stage, while physical pain is not; distinguishing physical pain from psychological or social suffering was initially difficult for some students, but the majority improved in this capacity; and that students were challenged to define their own values which served to enhance awareness of other's value systems. Discussion: The pain and humanities curriculum provided a much-needed opportunity for the pre-clinical students to examine the meaning of pain in a medical context. Because pain is a complex experience, innovative approaches to teaching about pain are essential. Educational Objectives By the end of the module, the learner will be able to: Discuss and reflect on pain as a feature of many diseases.Understand how pain “meaning” is influenced by context and culture.Understand the dynamic and multidimensional nature of pain-related suffering.Understand the difference between mental (psychosocial) pain and physical pain. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Pain and the Humanities Instructor's Guide.pdf Pain and the Humanities Student Workbook.pdf Pain and the Humanities Syllabus.pdf Pain and the Humanities Teaching Resource Fine Art.pdf Pain and the Humanities Faculty Manual Appendix.pdf Pain and the Humanities Faculty Manual.pdf To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationMurinson B. Pain and the Humanities: Exploring the Meaning of Pain in Medicine Through Drama, Literature, Fine Arts and Philosophy. MedEdPORTAL. 2010;6:8129. https://doi.org/10.15766/mep_2374-8265.8129 Copyright & Permissions© 2010 Murinson. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsPain MeasurementLiteratureHumanitiesPain ThresholdFine ArtsDramaPhilosophy Disclosures None to report. Funding/Support This research was supported by grants from the Mayday Fund and the Milbank Foundation. Dr. Murinson is the recipient of a NINDS Mentored Career Development Award Grant number NS048146. Prior Presentations Sutton T, Burin E, Murinson A, Cohen Z, Murinson B. Cultivating empathy: results of a new humanities-based curriculum in pain. Presented at: The Art and Science of Medical Education Symposium, JHSOM, 2008. Sutton T, Burin E, Cohen Z, Murinson A, Murinson B. Cultivating empathy: Results of a new humanities-based curriculum in pain. Presented at: American Pain Society Meeting; 2007; Washington, DC. Sutton T, Burin E, Murinson A, Cohen Z, Murinson B. Cultivating empathy: Results of a new humanities-based curriculum in pain. Presented at: 12th World Congress on Pain; August 2008; Glasgow, UK. Loading ..." @default.
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