Literature Annotations


Mullan, F., Ficklen, E. & Rubin, K., eds.
Narrative Matters: The Power of the Personal Essay in Health Policy


Genre Anthology (Essays) (293 pp.)
KeywordsCaregivers, Communication, Disease and Health, Doctor-Patient Relationship, Illness and the Family, Illness Narrative/Pathography, Narrative as Method, Patient Experience, Power Relations, Professionalism, Public Health, Racism, Society
SummaryIn 1999, eighteen years after Project HOPE began publishing the journal "Health Affairs," the founding editor, John Iglehart, began a new column: Narrative Matters. This book contains 46 of the 80 essays published to date, and an inspiring foreword by Abraham Verghese. The essays are contained in eight chapters-- "Writing to Change Things: Essays on the Policy Narrative," "Dollars and Sense: Hard Financial Realities," "Bearing Witness: Patient's Stories," "The Maddening System: Frustrations and Solutions," "Trouble in the Ranks: Professional Problems," "Drug Resistance: Battling Undue Influences," "Disparity Dilemmas: Stories on Race and Ethnicity," and "Values and Choice: Stories of Practical Ethics." Familiar voices include those of Fitzhugh Mullan (one of the editors), Abigail Zuger, Howard Brody, Richard Lamm, John Lantos, Danielle Ofri, and Carol Levine. The essays in the first section strike an important cautionary tone, reminding readers that the plural of anecdote too often is taken for policy and that the repetition of anecdote should not be seen as evidence.
CommentaryAs in any collection, quality of the work is somewhat variable, but overall a good source to be used selectively or in its totality.
PublisherThe Johns Hopkins University Press
Edition2006
EditorsFitzhugh Mullan, Ellen Ficklen, & Kyna Rubin
Place PublishedBaltimore
Annotated by Kohn, Martin
Date of Entry 12/07/07