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Bless me reader for I have sinned: physicians and confessional writing.

Delese Wear¹, Therese Jones

¹Department of Behavioral and Community Health Sciences, Northeastern Ohio Universities College of Medicine, Rootstown, OH 44272, USA. dw@neoucom.edu

Perspectives in Biology and Medicine

|May 25, 2010

Summary

Physicians

Area of Science:

Medical Humanities
Physician-Patient Relationship
Medical Ethics

Background:

Physicians have a significant history of literary contributions across various genres.
Confessional writing by physicians, particularly in the last 50 years, offers unique insights into medical practice.
This writing often involves disclosures of medical errors and negative patient-related emotions.

Purpose of the Study:

To explore the historical and literary context of confessional writing by physicians.
To analyze the elements and implications of physician confessional narratives.
To understand how this form of writing may provide resolution and acknowledge shared humanity.

Main Methods:

Historical review of confessional practices (legal, religious, literary).

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Analysis of selected confessional writings by physicians.

Examination of narratives published in prominent clinical journals (e.g., JAMA, Annals of Internal Medicine, The Lancet).

Main Results:

Physician confessional writing has evolved over the past half-century.
These narratives frequently address medical errors and difficult patient interactions.
Authors often engage in confessional sequences, exposing vulnerability and seeking acknowledgment.

Conclusions:

Confessional writing by physicians serves as a literary genre and a means of processing experiences.
Exposure and acknowledgment of shared humanity in these narratives can offer resolution.
Expression of regret for harm done is a common theme, fostering empathy and understanding.