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Teaching Psychiatry Through Literature The Short Story as Case History
William M. Tucker
Academic Psychiatry 1994;18:211-219.
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Columbia College of Physicians and Surgeons; New York State Office of Mental Health

© 1994 Academic Psychiatry.

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Abstract
The author proposes a simple systematic way to analyze short stories as if they were case histories. Class discussions are organized around five basic questions, stated in the article, and use Erikson's framework of life stages to translate life experiences into the language of psychic conflict. Fiction writers effectively dramatize psychological and developmental issues in a way that makes them real and memorable to psychiatric residents. Stories may be of particular value in illustrating the process of change and in exploring the topic of prognosis, which are often overlooked in more traditional teaching formats. The author has presented this approach at several recent meetings of the American Association of Directors of Psychiatric Residency Training and the American Academy of Child and Adolescent Psychiatry, and workshop participants have reported success in its use, which depends on the teacher's clinical rather than literary skills.Abstract Teaser
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