Narrative medicine is a fresh discipline of health care that helps patients and health professionals to tell and listen to the complex and unique stories of illness. The Principles and Practice of Narrative Medicine expresses the collective experience and discoveries of the originators of the field. Arising at Columbia University in 2000 from roots in the humanities and patient-centered care, narrative medicine draws patients, doctors, nurses, therapists, and health activists together to re-imagine a health care based on trust and trustworthiness, humility, and mutual recognition. Over a decade of education and research has crystallized the goals and methods of narrative medicine, leading to increasingly powerful means to improve the care that patients receive. The methods described in this book harness creativity and insight to help the professionals in being with patients, not just to diagnose and treat them but to bear witness to what they undergo. Narrative medicine training in literary theory, philosophy, narrative ethics, and the creative arts increases clinicians' capacity to perceive the turmoil and suffering borne by patients and to help them to cohere or endure the chaos of illness. Narrative medicine has achieved an international reputation and reach. Many health care settings adopt methods of narrative medicine in teaching and practice. Through the Master of Science in Narrative Medicine graduate program and health professions school curricula at Columbia University, more and more clinicians and scholars have obtained the rigorous training necessary to practice and teach narrative medicine. This text is offered to all who seek the opportunity for disciplined training in narrative medicine. By clearly articulating our principles and practice, this book provides the standards of the field for those who want to join us in seeking authenticity, recognition, affiliation, and justice in a narrative health care.

Ruby is the youngest child in the tightly knit Bronstein family, a sensitive, observant girl who looks up to her older brothers and is in awe of her stern but gentle father, a Holocaust survivor whose past and deep sense of morality inform the family's life. But when Ruby is ten, her eldest brother enters the hospital and emerges as someone she barely recognizes. It is only the first in a startling series of tragedies that befall the Bronsteins and leave Ruby reeling from sorrow and disbelief.
This disarmingly intimate and candid novel follows Ruby through a coming-of-age marked by excruciating loss, one in which the thrills, confusion, and longing of adolescence are heightened by the devastating events that accompany them. As Ruby's family fractures, she finds solace in friendships and the beginnings of romance, in the normalcy of summer camp and the prom. But her anger and heartache shadow these experiences, separating her from those she loves, until she chooses to reconcile what she has lost with whom she has become.
Nellie Hermann's insightful debut is a heartbreakingly authentic story of the enduring potential for resilience and the love that binds a family.