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Psychiatrists should read more novels to understand patients, conference hears

June 22, 2005
by Angela Hussain

Psychiatrists should read more novels to provide them with a better understanding of the "inner worlds" of their patients, a leading conference for psychiatrists was told yesterday.

Reading works by the likes of Dostoyevsky and Sylvia Plath would help psychiatrists comprehend the "narratives" of patients, said psychiatrist Allan Beveridge.

Speaking at the annual conference of The Royal College of Psychiatrists in Edinburgh, Dr Beveridge said psychiatrists prefer to see themselves as scientists and biotechnicians, with many viewing a knowledge of the arts as irrelevant.

However, Dr Beveridge, a consultant psychiatrist at Queen Margaret Hospital, Dunfermline, Scotland, said reading literature allowed psychiatrists to engage the the "inner worlds" of patients.

He said a bioscientific model offered a limited view of human beings, and that reading literature helps to develop empathy.

"By reading literature one can see the world from another person's viewpoint," said Dr Beveridge. "This is especially applicable to literary accounts of illness and suffering."

He cited Dostoyevsky's novels, with their rich array of characters with mental health "disturbances"; Iain Crichton Smith's In the Middle of the Wood, in which the writer describes his own breakdown; Sylvia Plath's The Bell Jar, in which she describes her depressive episodes and Evelyn Waugh's The Ordeal of Gilbert Penfold in which he writes about drug-induced hallucinosis.

Dr Beveridge also said reading literature leads to refined interpretive skills, with the techniques involved in understanding and analysing a novel being applied to understanding a patient's story.

Dr Beveridge said that in the eighteenth century it was widely held that a doctor should be a "man of culture", well versed in the arts. This would help him to "confer wisdom on his clinical practice"

Dr Beveridge told delegates there was now a growing acknowledgement of the value of the humanities in medical education.

He advocated the establishment of a short list of novels to be included in medical training.

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