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Koki Kato @kokikatokk.bsky.social · 5d

Could it not be said that the meaning of illness is a kind of creation by the patient? And the listener who is there is also there as a creator. A new narrative is born when the listener asks questions to 'fill in the gaps'.

Koki Kato @kokikatokk.bsky.social · 5d

From ‘How to Read Literature Like a Professor’ Japanese edition by Thomas Foster

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Koki Kato @kokikatokk.bsky.social · 5d

The figure is drawn like a sketch in the writer's invention, but in the second reader's invention, the gaps are filled by taking on that figure. So we sometimes, without realising it ourselves, fill in the gaps with elements not in the text.’

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Koki Kato @kokikatokk.bsky.social · 5d

The writer invents a character using memory, observation and creativity, and the reader - not the reader as a set, but the individual reader of the book - reinvents the character using their own memory, observation and creativity.

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Koki Kato @kokikatokk.bsky.social · 5d

'Characters are the product of the writer's imagination - and the reader's. These two strong dynamics create characters in literature.

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Koki Kato @kokikatokk.bsky.social · 5d

This is why neutrality is essential here: an Intentional stance of not knowing.

Koki Kato @kokikatokk.bsky.social · 5d

Intertextual awareness is essential, but whereas with a literary work in the public domain, it is possible to find out if we have read it or not, with a biography, the connection is only possible in a dialogue with the patient.

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Koki Kato @kokikatokk.bsky.social · 5d

It is essential to explore how the patient's past experiences and predictions for the future are connected to the present, but this is a task that only the patient can do for themselves.

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Koki Kato @kokikatokk.bsky.social · 5d

How is the present state of affairs connected to what we are discussing? Asking questions in the dark does not reveal meaningful connections.

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Koki Kato @kokikatokk.bsky.social · 5d

Inductive Foraging.

The first part of the medical interview is to let the patient narrate and retain the information that comes out of it.

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Koki Kato @kokikatokk.bsky.social · 6d

So we explore context. Context comprises ‘con’ and ‘text’, whose origin is in weaving together (of back and forth). The narrative approach is sometimes described as 'weaving a beautiful tapestry', which is aptly put.

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Koki Kato @kokikatokk.bsky.social · 6d

Intertextuality means that works in the present are imbued with specific meanings in relation to works in the past. When we think about narratives, we are searching for this intertextuality.

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Koki Kato @kokikatokk.bsky.social · 6d

Temporality in phenomenology (how one is anchored within the present, which is imbued with specific meaning by past experiences and an anticipated future) is related to intertextuality in literary theory.

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Koki Kato @kokikatokk.bsky.social · 9d

clinicaterapeutica.it/ojs/index.ph...

Guarda The Art of Observation – How Art Enhances Healthcare Professionals’ Skills | La Clinica Terapeutica

clinicaterapeutica.it

Koki Kato @kokikatokk.bsky.social · 9d

bjgp.org/content/73/7...

GPs are not ‘things’

‘People are not things’ is a memorable mantra, sometimes attributed to the late Lord David ‘Rambo’ Ramsbotham (1934–2022), a former British army general and outspoken chief inspector of prisons. The...

bjgp.org

Koki Kato @kokikatokk.bsky.social · 9d

Ferrara, V., Pozzilli, P., De Gara, L., Mancuso, T., La Torre, G., & Guarino, M. (2025). The Art of Observation - How Art Enhances Healthcare Professionals' Skills. La Clinica terapeutica, 176(5), 672–674.

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Koki Kato @kokikatokk.bsky.social · 27d

@joannelreeve.bsky.social @johnlauner.bsky.social

Koki Kato @kokikatokk.bsky.social · 27d

I recommend this paper to GENERALISTS. It is about PRACTICAL WISDOM, which is not often written about coherently.

Whether technē (doing) or phronesis (being) is more important in medicine depends on the goal: whether the goal is the treatment of disease or the healing of illness.

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Koki Kato @kokikatokk.bsky.social · 27d

@syjameel.bsky.social

Koki Kato @kokikatokk.bsky.social · 27d

I recommend this paper to GENERALISTS. It is about PRACTICAL WISDOM, which is not often written about coherently.

Whether technē (doing) or phronesis (being) is more important in medicine depends on the goal: whether the goal is the treatment of disease or the healing of illness.

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Koki Kato @kokikatokk.bsky.social · 27d

doi.org/10.1093/jmp/...

Validate User

doi.org

Koki Kato @kokikatokk.bsky.social · 27d

Here is where Eric Cassell, Joanne Reeve, John Gabby & Andreē Le May, Sabena Jameel and Aristotle come in. I can also see where the narrative approach is positioned within it. I feel like I have found a missing piece.

Koki Kato @kokikatokk.bsky.social · 27d

Sabena Yasmin Jameel, A Critical Interpretive Literature Review of Phronesis in Medicine, -The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, Volume 50, Issue 2, April 2025, Pages 117-132.

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Koki Kato @kokikatokk.bsky.social · 27d

I recommend this paper to GENERALISTS. It is about PRACTICAL WISDOM, which is not often written about coherently.

Whether technē (doing) or phronesis (being) is more important in medicine depends on the goal: whether the goal is the treatment of disease or the healing of illness.

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Koki Kato @kokikatokk.bsky.social · Aug 14

Chu, SY., Wen, CC. & Lin, CW. A qualitative study of clinical narrative competence of medical personnel. BMC Med Educ 20, 415 (2020). doi.org/10.1186/s129...

A qualitative study of clinical narrative competence of medical personnel - BMC Medical Education

Background Medicine practiced with narrative competence is called narrative medicine, which has been proposed and used as a model of humane and effective medical practice. Despite the in-depth discuss...

doi.org

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Koki Kato @kokikatokk.bsky.social · Aug 12

Ventres W, Gross P. Getting Started: A Call for Storytelling in Family Medicine Education. Fam Med 2016;48(9):682-687.

www.stfm.org/familymedici...

Family Medicine

www.stfm.org

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Koki Kato @kokikatokk.bsky.social · Jul 21

Recommended reading with this article

doi.org/10.1177/0791...

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