EBM and NBM for Psychosomatic Medicine : An Opinion as a General Practitioner(Symposium/Evidence-based Approach and Narrative Approach in Psychosomatic Medicine: Theory, Practice and Research)

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  • 心身医療におけるEBMとNBM : 総合診療の立場から(心身医療におけるエビデンス・ベイスト・アプローチとナラティブ・アプローチ:理論・実践・研究,シンポジウム,第47回日本心身医学会総会)
  • 心身医療におけるEBMとNBM--総合診療の立場から
  • シンシン イリョウ ニ オケル EBM ト NBM ソウゴウ シンリョウ ノ タチバ カラ

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Evidence based medicine (EBM) requires the integration of the research evidence with our clinical practice. Many epidemiological data support correlation of psychosocial factors and health problem. These epidemiological data can change our cognition on medical problems therapeutically. Therefore, EBM is not conflict with psychosomatic medicine. Narrative based medicine (NBM) emphasizes importance to subjectivity of patient. Resent epidemiological data supports this principle. NBM is based on relativism. EBM also does not require faith in any single narrative. Thus, EBM and NBM are not opposed to each other. The practice of psychosomatic medicine is to listen to our patients' narrative told by their body as somatic symptom. EBM and NBM can help this challenging practice.

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