
How People Change
Description
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For most people, the quickest route to wisdom, other than experience, is through stories. Stories speak across generational lines and cultures, emphasize the universality of human experience, and offer insight into the dynamics involved in unfamiliar situations.
Freud and D.W. Winnicott were among the few psychiatrists able to write case histories emblematic of the vicissitudes of the human condition. As a rule, the technical and dry approach of the psychiatric literature is not fit to teach doctors how to connect to their patients' suffering because it privileges pathological categories over experience. Tucker, therefore, turns to the drama and conflicts of fictional characters, to restore the human dimension of medicine and to entice practitioners to grasp the emotional and intellectual layers of the particular situations in which their patients are entrapped. The sixteen stories selected here are analyzed to show how they illustrate the process of change, as defined by Erik Erikson's description of the "life cycle." Some of these stories include "Gooseberries" by Anton Chekhov, "The Dead" by James Joyce, and "Her First Ball" by Katherine Mansfield. Physicians and medical students can turn to these narratives as examples of how others have dealt with challenges and debilitating conditions, and encourage their patients to follow similar paths to bring about change in their lives.
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William Tucker, M.D., is Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons. He has been teaching psychiatry and the humanistic aspects of medicine to psychiatric residents, medical students learning internal medicine, and interested colleagues, for the past 30 years.
Content
- Intro
- Title Page
- Copyright
- Dedication
- Contents
- Foreword
- Acknowledgments
- Introduction
- Section 1: A Method for Discussing Short Stories as Case Histories
- Section 2: The Short Stories
- Grisha (Anton Chekhov)
- The Rocking-Horse Winner (D. H. Lawrence)
- Oysters (Anton Chekhov)
- Good-bye Marcus, Good-bye Rose (Jean Rhys)
- Araby (James Joyce)
- The Man Who Was Almost a Man (Richard Wright)
- Her First Ball (Katherine Mansfield)
- In Dreams Begin Responsibilities (Delmore Schwartz)
- My First Marriage (Ruth Prawer Jhabvala)
- Good Country People (Flannery O'Connor)
- The Dead (James Joyce)
- The Adulterous Woman (Albert Camus)
- He (Katherine Anne Porter)
- The Overcoat (Nicolai Gogol)
- Gooseberries (Anton Chekhov)
- Sleep It Off, Lady (Jean Rhys)
- Section 3: Discussion of the Short Stories
- Section 4: Applying Short Stories to Clinical Work
- Appendix: Some Other Stories Illustrating Change
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