BMJ 1999;318:48-50 ( 2 January )

Education and debate

Narrative based medicine

Why study narrative?

This is the first in a series of five articles on narrative based medicine

Trisha Greenhalgh, senior lecturera Brian Hurwitz, senior lecturerb

a Department of Primary Care and Population Sciences, Royal Free and University College London Medical School, London N19 5NF, b Department of Primary Care, Imperial College School of Medicine at St Mary's, London W2 1PG

Correspondence to: Dr Greenhalgh p.greenhalgh@ucl.ac.uk

The first 150 words of the full text of this article appear below.

    What is narrative?

One day when Pooh Bear had nothing else to do, he thought he would do something, so he went round to Piglet's house to see what Piglet was doing. It was snowing as he stumped over the white forest track, and he expected to find Piglet warming his toes in front of the fire, but to his surprise he saw that the door was open, and the more he looked inside the more Piglet wasn't there.1

This excerpt from the opening chapter of a well known children's story illustrates a number of features of narrative as a linguistic form. Firstly, it has a finite and longitudinal time sequence---that is, it has a beginning, a series of unfolding events, and (we anticipate) an ending. Secondly, it presupposes both a narrator and a listener whose different viewpoints affect how the story is told. Thirdly, the narrative is concerned with individuals; rather . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Articles

Ethics and narrative
BMJ 1999 318: 0. [Full Text] [PDF]

Ethics and narrative
BMJ 1999 318: 0. [Full Text] [PDF]

This article has been cited by other articles:

  • Tetley, J., Grant, G., Davies, S. (2009). Using Narratives to Understand Older People's Decision-Making Processes. Qual Health Res 19: 1273-1283 [Abstract]  
  • Monrouxe, L. V., Rees, C. E., Bradley, P. (2009). The Construction of Patients' Involvement in Hospital Bedside Teaching Encounters. Qual Health Res 19: 918-930 [Abstract]  
  • Watson, S. (2007). An extraordinary moment: The healing power of stories. cfp 53: 1283-1287 [Full text]  
  • Workman, S., Mann, O.E. (2007). 'No control whatsoever': end-of-life care on a medical teaching unit from the perspective of family members. QJM 100: 433-440 [Abstract] [Full text]  
  • Humphrey, C. (2006). Ways of seeing: Biomedical perspectives on the social world. JRSM 99: 602-606 [Full text]  
  • Taylor, C., White, S. (2006). Knowledge and Reasoning in Social Work: Educating for Humane Judgement. Br J Soc Work 36: 937-954 [Abstract] [Full text]  
  • Collett, T J, McLachlan, J C (2006). Evaluating a poetry workshop in medical education. Med. Humanities 32: 59-64 [Abstract] [Full text]  
  • Gooberman-Hill, R., Ebrahim, S. (2006). Informal care at times of change in health and mobility: a qualitative study. Age Ageing 35: 261-266 [Abstract] [Full text]  
  • Mukherjee, R. A. S., Owen, K., Hollins, S. (2006). Evaluating qualitative papers in a multidisciplinary evidence-based journal club: a pilot study. Psychiatr. Bull. 30: 31-34 [Full text]  
  • Wilks, T. (2005). Social Work and Narrative Ethics. Br J Soc Work 35: 1249-1264 [Abstract] [Full text]  
  • Moss, B., Roberts, C. (2005). Explanations, explanations, explanations: how do patients with limited English construct narrative accounts in multi-lingual, multi-ethnic settings, and how can GPs interpret them?. Fam Pract 22: 412-418 [Abstract] [Full text]  
  • Matalon, A., Nachmani, T., Rabin, S., Maoz, B. (2005). The narrative approach as an effective single intervention in functional somatic symptoms in a multi-disciplinary referral clinic for primary care frequent attenders. Fam Pract 22: 114-117 [Abstract] [Full text]  
  • Walshe, C. E, Caress, A. L, Chew-Graham, C., Todd, C. J (2004). Case studies: A research strategy appropriate for palliative care?. Palliat Med 18: 677-684 [Abstract]  
  • Bayoumi, A. M., Kopplin, P. A. (2004). The storied case report. CMAJ 171: 569-570 [Full text]  
  • Roberts, C. (2004). 'Only connect': the centrality of doctor-patient relationships in primary care. Fam Pract 21: 232-233 [Full text]  
  • Di Gallo, A. (2003). While my Sister went to the Disco, I went to Hospital and Met the Doctors: Narrative as a Measure of the Psychological Integration of the Experience of Cancer in Childhood and Adolescence. Clin Child Psychol Psychiatry 8: 489-502 [Abstract]  
  • Jones, S J, Lyons, R A (2003). Routine narrative analysis as a screening tool to improve data quality. Inj. Prev. 9: 184-186 [Abstract] [Full text]  
  • Haidet, P., Paterniti, D. A. (2003). "Building" a History Rather Than "Taking" One: A Perspective on Information Sharing During the Medical Interview. Arch Intern Med 163: 1134-1140 [Abstract] [Full text]  
  • Reis, S., Hermoni, D., Livingstone, P., Borkan, J. (2002). Integrated narrative and evidence based case report: Case report of paroxysmal atrial fibrillation and anticoagulation. BMJ 325: 1018-1020 [Full text]  
  • Thompson, E A, Reilly, D (2002). The homeopathic approach to symptom control in the cancer patient: a prospective observational study. Palliat Med 16: 227-233 [Abstract]  
  • Power, R (2002). The application of qualitative research methods to the study of sexually transmitted infections. Sex. Transm. Infect. 78: 87-89 [Abstract] [Full text]  
  • WILLIAMS, D. D. R., GARNER, J. (2002). The case against the evidence': a different perspective on evidence-based medicine. Br. J. Psychiatry 180: 8-12 [Abstract] [Full text]  
  • Peile, E B, Easton, G P, Olney, S (2001). The Renaissance School of General Medicine. BMJ 323: 1454-1455 [Full text]  
  • Fraser, S. W, Greenhalgh, T. (2001). Complexity science: Coping with complexity: educating for capability. BMJ 323: 799-803 [Full text]  
  • Platt, F. W., Gaspar, D. L., Coulehan, J. L., Fox, L., Adler, A. J., Weston, W. W., Smith, R. C., Stewart, M. (2001). "Tell Me about Yourself": The Patient-Centered Interview. ANN INTERN MED 134: 1079-1085 [Full text]  
  • Carson, A. M (2001). That's another story: narrative methods and ethical practice. J. Med. Ethics 27: 198-202 [Abstract] [Full text]  
  • Smith, L. A., Wise, P. H., Chavkin, W., Romero, D., Zuckerman, B. (2000). Implications of Welfare Reform for Child Health: Emerging Challenges for Clinical Practice and Policy. Pediatrics 106: 1117-1125 [Full text]  
  • Guyatt, G. H., Haynes, R. B., Jaeschke, R. Z., Cook, D. J., Green, L., Naylor, C. D., Wilson, M. C., Richardson, W. S., for the Evidence-Based Medicine Working Group, (2000). Users' Guides to the Medical Literature: XXV. Evidence-Based Medicine: Principles for Applying the Users' Guides to Patient Care. JAMA 284: 1290-1296 [Abstract] [Full text]  
  • Kirk, M. (2000). Genetics, Ethics and Education: considering the issues for nurses and midwives. Nurs Ethics 7: 215-226 [Abstract]  

Rapid Responses:

Read all Rapid Responses

The Lost Tradition
Ross Upshur
bmj.com, 6 Jan 1999 [Full text]
A lesson told long ago
Matthias Löhr
bmj.com, 14 Jan 1999 [Full text]
Narrative based medicine
Brian McMullen
bmj.com, 16 Jan 1999 [Full text]
The black plastic bag of qualitative research
Robert Power
bmj.com, 30 Jan 1999 [Full text]
Narrative based medicine
Louise Robinson
bmj.com, 15 Feb 1999 [Full text]
Working narratively
Katherine R Clare
bmj.com, 21 Feb 2003 [Full text]
Re: Working narratively
Lisa C Blakemore-Brown
bmj.com, 22 Feb 2003 [Full text]



Access jobs at BMJ Careers
Whats new online at Student 

BMJ