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Training through Shame: Affect and Temporality in Medical Education
Literature and Medicine
|December 8, 2025
Summary
Shame in medical training is explored through narrative analysis of memoirs. Understanding temporal aspects of shame can reshape medical education for better support and humanistic patient care.
Area of Science:
- Medical Humanities
- Narrative Medicine
- Psychology of Emotion
Background:
- Shame is a significant emotion within healthcare and medical education.
- Existing frameworks often overlook the temporal dimensions of shame.
- Cultural contexts in the US and UK shape shame experiences in medical training.
Purpose of the Study:
- To analyze the temporal nature of shame in medical training using narratology.
- To explore how different conceptions of time influence shame experiences.
- To identify opportunities for improving medical education through a shame-sensitive lens.
Main Methods:
- Narratological analysis of popular medical memoirs.
- Drawing on feminist, phenomenological, and queer of color theories of time and shame.
- Mapping temporal modes onto shame experiences.
Main Results:
- Identified two primary modes of time in medical training: linear and future-oriented.
- Linked these temporal modes to chronic and acute shame experiences.
- Memoir anecdotes highlight challenges and potential for narrative change.
Conclusions:
- Medical training narratives can be reshaped to support diverse student experiences.
- A shame-sensitive approach can foster more humanistic patient care.
- Understanding temporality is key to addressing shame in medical education.
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