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  3. (1)Patients and doctors have long understood the power of telling and listen

(1)Patients and doctors have long understood the power of telling and listen

游客2023-10-23  74
问题     (1)Patients and doctors have long understood the power of telling and listening to personal narratives. Whether among patients in peer support groups or between doctors and patients in the exam room or even between doctors during consultations,
stories are an essential part of how we communicate, interpret experiences and incorporate new information into our lives.
    (2)Despite the existence of storytelling in medicine, research on its effects in the clinical setting has remained relatively thin. While important, a vast majority of studies have been anecdotal, offering up neither data nor statistics but rather stories to back up the authors’ claims.
    (3)Now The Annals of Internal Medicine has published the results of a provocative new trial examining the effects of storytelling on patients with high blood pressure. And it appears that at least for one group of patients, listening to personal narratives helped control high blood pressure as effectively as the addition of more medications.
    (4)Monitoring the blood pressure of nearly 300 African-American patients who lived in urban areas and had known hypertension, the researchers at three-month intervals gave half the patients videos of similar patients telling stories about their own experiences. The rest of the patients received videos of more generic and impersonal health announcements on topics like dealing with stress. While all the patients who received the storytelling DVD had better blood pressure control on average, those who started out with uncontrolled hypertension were able to achieve and maintain a drop as significant as it had been for patients in previous
trials testing drug regimens.
    (5)"Telling and listening to stories is the way we make sense of our lives," said Dr. Thomas K. Houston, lead author of the study and a researcher at the University of Massachusetts Medical School in Worcester and the Veterans Affairs medical center in Bedford, Mass. "That natural tendency may have the potential to alter behavior and improve health."
    (6)Experts in this emerging field of narrative communication say that storytelling effectively counteracts the initial denial that can arise when a patient learns of a new diagnosis or is asked to change deeply ingrained behaviors. Patients may react to this news by thinking, "This is not directly related to me," or "My experience is different." Stories help break down that denial by engaging the listener, often through some degree of identification with the storyteller or one of the characters.
    (7) "The magic of stories lies in the relatedness they foster, "Dr. Houston said. "Marketers have known this for a long time, which is why you see so many stories in advertisements."
    (8)In health care, storytelling may have its greatest impact on patients who distrust the medical system or who have difficulty understanding or acting on health information because they may find personal narratives easier to digest. Stories may also help those patients who struggle with more "silent" chronic diseases, like diabetes or high blood pressure. In these cases, stories can help patients realize the importance of addressing a disease that has few obvious or immediate symptoms. "These types of patients and diseases may be a particular ’sweet spot’ for storytelling," Dr. Houston noted.
    (9)This particular benefit from stories comes as welcome news not only for patients but also for doctors, who are increasingly reimbursed based on patient outcomes. "There’s only so much the doctor can do, so providers are looking for innovative ways to help their patients," Dr. Houston said. While more research still needs to be done, the possibilities for integrating storytelling into clinical practice are numerous. In one possible situation, which is not all that dissimilar from popular dating sites, doctors and patients would be able to access Web sites that would match patients to videos of similar patients recounting their own experiences with the same disease.
    (10)Dr. Houston is currently involved in several more studies that will examine the broader use of story-telling in patient care and describe ways in which it can best be integrated. Nonetheless, he remains certain of one thing: Sharing narratives can be a powerful tool for doctors and patients.
    (11)"Storytelling is human," Dr. Houston said. "We learn through stories, and we use them to make sense of our lives. It’s a natural extension to think that we could use stories to improve our health." [br] According to Para. 6, patients may find that the stories are _______.
选项 A、seldom directly related to them
B、completely different from their experiences
C、more interesting than diagnoses or doctors’ advice
D、similar to their experiences in one way or another
答案 D
解析 第6段最后一句指出了病人对“讲故事”这种方式的态度。该句提到“故事”能让听者(即病人)放下抗拒情绪。因为病人或多或少会对讲故事的人或故事中的人物产生认同感，即他们能够产生共鸣，D与原文的意思最接近。为本题答案。该段第2句中的news并不指“故事”，而是指第1句提到的“一个新的诊断”和“被要求改变积习”的消息，因此A、B不正确；C无原文支持。
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