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      Philosophical Hermeneutics and Teaching Through Behandlung: The Treatment and Handling of Patients With Care

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          Abstract

          The purpose of this Feature article is to share a teaching approach for academic researchers and clinicians about the treatment of patients beyond their biomedical needs. To achieve this objective, we will delve into the writings of H-G Gadamer which offer a relational approach to the healing process through the exploration of how the German word Behandlung applies to medical and dental education. Through conversational philosophical hermeneutics, Gadamer endeavors to unite the consciousness of one subject with that of the others and refers to the process as appropriation whereby the researcher/clinician is working toward understanding the experience of the individual within the context of a community of patient experiences.

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          Truth and method

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            Understanding the relational aspects of learning with, from, and about the other

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              Listening to and letting pain speak: poetic reflections

              The humanities invite opportunities for people to describe through their metaphors, symbols and language a means in which to interpret their pain and reinterpret their new lived experiences. The patient and family all live with pain and can only use their pain narratives of that experience to confront or even to begin to understand the quantifiable discipline of medicine. The patient and family narratives act to retain meaning within a lived pained experience. These narratives add meaning to the person as a stay against only having a clinical-pathological understanding of what is happening to our body and as a person. We need to understand the pathology pain while also being mindful of suffering. In this article, the theoretical and scientific approach to pain research and clinical practice intersects with the philosophical, ontological and reflective lived experience of the person living with pain. Through unique pain narratives, poetry and stories as a means of offering empathy and understanding as healing, the humanities in medicine bring into meaning another kind of therapy equal to the evidence-based medicine clinicians and researchers use to seek a cure. In this way, the medical humanities are addressing the person's healing through the reduction of suffering and isolation by letting pain speak while others can focus in on their medical knowledge/practice and research while 'finding' a cure. Listening to pain opens-up to the possibility that much can be learned through multiple expressions of the pain narrative. This article provides an invitation to learn how we might articulate and listen to pain carefully and differently.
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                Author and article information

                Journal
                J Patient Exp
                J Patient Exp
                JPX
                spjpx
                Journal of Patient Experience
                SAGE Publications (Sage CA: Los Angeles, CA )
                2374-3735
                2374-3743
                13 March 2020
                December 2020
                : 7
                : 6
                : 893-897
                Affiliations
                [1 ]Faculty of Dentistry, Division of Oral Health and Society, Ringgold 5620, universityMcGill University; , Montreal, Quebec, Canada
                Author notes
                [*]Richard B Hovey, McGill University, 2001 McGill College Avenue, Suite 500, Montreal, Quebec, Canada H3A 1G1. Email: richard.hovey@ 123456mcgill.ca
                Author information
                https://orcid.org/0000-0001-9534-4807
                Article
                10.1177_2374373520904201
                10.1177/2374373520904201
                7786665
                b4e81afe-569a-4e65-a294-d7082c8d1316
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Feature
                Custom metadata
                ts3

                clinician–patient relationship,communication,empathy,interprofessional education,patient/relationship centered skills,patient expectations,physician engagement,relationships in health care

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