Abstracts fra Bibliotek for Læger 3/2017

Originalartikel: Lægemission som bevægelse

- Udvikling og gennemslagskraft i Danmark mellem 1890 og 1970

Daniel Henschen

Medical mission as a movement

- Development and impact in Denmark between 1890 and 1970.

Bibl Læger 2017;209:180-209.

This article focuses on the overall lines of Danish medical missions with a cultural history focus. First, the interactions between mission projects and Danish missionaries and supporters are examined. During the inter-war period, the missionary movement built an extensive medical system offering medical care for up to 100,000 people annually in different parts of the then colonial world. Later, the support within the Danish society declined and the movement was largely marginalized with the emergence of secular development aid. Second, the impact of the movement is investigated in relation to the dissemination of knowledge concerning the medical mission as well as colonial health and tropical medicine in general. The medical mission, in its heydays, drew primary support from within the missionary movement and some ecclesiastical organizations, most importantly The Danish Inner Mission (Indre Mission) which represented 10-15% of the population. The supporters received information about medical conditions in the South which were not (or only to a limited extent) accessible elsewhere in contemporary society. In the rest of Danish society, however, the impact was limited and even in medical environments, medical mission was only limitedly disseminated.

Interview: Kunsten på hospitalet

- En samtale med præst Synne Garff og kunsthistoriker Dorthe Aagesen om restaureringen af Elisabeth-freskerne på det tidligere Sankt Elisabeth Hospital

Redaktionen

Etisk stuegang: Stigmatiserer vi overvægtige patienter i sundhedsvæsenet?

Katla Heðinsdóttir & Nana Cecilie Halmsted Kongsholm

Interessekonflikter

Stigmatization of obese patients in the health-care system

Bibl Læger 2017;209:228-233.

While it may appear self-evident that all patients should be met with respect, care and unprejudiced treatment, many overweight and obese patients suffer from stigma and discrimination in the healthcare system. A growing body of evidence suggests that negative stereotypes of obese people as being lazy, unattractive, sloppy, less intelligent or non-compliant are prevalent among health-care professionals. Physicians tend to exhibit less patience, understanding and trust in their interactions with obese patients, and some nurses find the patients repulsive and time-consuming. This stigma is ethically problematic for several reasons. Not only do obese patients often feel humiliated and ashamed in their encounter with health-care facilities; stigmatization can also negatively influence their mental and physical health by increasing the risk of developing eating disorders, depression and further weight gain, and by increasing the likelihood of delays or cancellations of medical attention and preventive care. There is a pressing need for a change in the way obese people are dealt with in the health-care system, and health-care professionals must make a greater effort to avoid contributing to the existing stigma through their behavior, terminology and underlying assumptions.

Et billede fra min hverdag: Hvorfor forsøge?

Habib Frost

Originalartikel: »Jeg forstår, men gør du?«

- Om narrativ medicin, nærlæsning og hvorfor sundhedsprofessionelle skal læse litteratur

Anne-Marie Mai & Camilla Schwartz

Interessekonflikter

”I understand, but do you?”.

- Narrative medicine, close reading and why doctors should read literature

Bibl Læger 2017;209:236-253.

This article introduces narrative medicine as a research field which has gained growing international interest. In Denmark, several research publications have been launched and narrative medicine has become part of the education of doctors and nurses at The University of Southern Denmark. The article discusses the main ideas of narrative medicine and introduces the principle of “close reading” of literature as developed by professor Rita Charon from Columbia University. Narrative medicine is based on the idea that narrative competences are crucial for doctors and nurses in their effort to understand the individual story of their patients and to help them effectively. Narrative medicine is not a communication strategy, but a way of improving human understanding of both patients, doctors, nurses and relatives. The praxis of close reading is exemplified through an analysis of the voice, the metaphor, the time and the space in Klaus Lynggaard’s collection of poems “Personfølsomme oplysninger” (”Person-sensitive information”) (2016) and Maria Gerhardt’s novel ”Der bor Hollywoodstjerner på vejen” (“Hollywood stars live in the neighborhood”) (2014).

Fem skarpe: Dage og nætter med Kemobob

- En samtale med Klaus Lynggaard om hans digtsamling »Personfølsomme oplysninger«

Redaktionen

Fotodokumentation: Forskertårnet

Anastasija Kiake, Anders Rohlin Olsen, Mathias Hauge Rasmussen, Hanna Søreide Lauridsen & Martin Hvistendal Pedersen

Kvartalets genstand: Doktor Sviths hysterophor

Morten A. Skydsgaard

Fem skarpe: Det digitale hamsterhjul

- En samtale med speciallæge Imran Rashid om bogen »Sluk«.

Redaktionen