The mental health benefits of storytelling for health care workers
-
0:02 - 0:03For the last few years,
-
0:03 - 0:06I've been a writer in residence
at the Stanford Medical School. -
0:06 - 0:09I was hired by an incredible woman,
-
0:09 - 0:11she's a poet and an anesthesiologist,
-
0:11 - 0:13named Audrey Shafer,
-
0:13 - 0:15and she started the Medicine
and the Muse Program -
0:15 - 0:19to reintroduce humanities back
into medical education and training. -
0:20 - 0:23My job was to teach writing, storytelling
-
0:23 - 0:25and general communication skills
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0:25 - 0:28to physicians, nurses, medical students
-
0:28 - 0:29and other health care workers.
-
0:30 - 0:32And I thought I'd get
a ton of great student essays -
0:32 - 0:37about dissecting cadavers
and poems about the spleen. -
0:37 - 0:38And I did.
-
0:38 - 0:39But almost immediately,
-
0:39 - 0:43I started getting more essays
that made me really anxious -
0:43 - 0:44and really worried.
-
0:44 - 0:47My students were writing
about their crushing anxiety, -
0:47 - 0:50the unbearable pressure
on them to succeed, -
0:50 - 0:52their mental health diagnoses,
-
0:52 - 0:53their suicide attempts,
-
0:53 - 0:55how alone and isolated they felt
-
0:55 - 0:58and wondered if they'd gone
into the right profession, -
0:58 - 1:00and they weren't even doctors yet.
-
1:00 - 1:03This is my student Uriel Sanchez.
-
1:03 - 1:06(Audio) Uriel Sanchez:
The choice you are given through medicine, -
1:06 - 1:08from a lot of your mentors even, is like,
-
1:08 - 1:09you have to choose,
-
1:09 - 1:13like, being a really good person
or a really good doctor. -
1:13 - 1:16(Music)
-
1:16 - 1:19Laurel Braitman: Physicians' own humanity
and emotional well-being -
1:19 - 1:22are almost never made
a core part of their training -
1:22 - 1:23or even acknowledged.
-
1:23 - 1:25And real vulnerability,
-
1:25 - 1:28like sharing certain mental health
diagnoses, for example, -
1:28 - 1:30can be absolutely career-ending.
-
1:31 - 1:35But nearly 30 percent of American
medical students are depressed, -
1:35 - 1:37and one in 10 have thought about suicide.
-
1:37 - 1:40And it's actually even worse
for practicing physicians. -
1:40 - 1:43There's really widespread
job dissatisfaction, -
1:43 - 1:44high rates of depression,
-
1:44 - 1:47and doctors have one
of the highest suicide rates -
1:47 - 1:49of any profession in the United Sates.
-
1:50 - 1:52This is scary.
-
1:52 - 1:54Not just for them but for us, too.
-
1:54 - 1:57I really think doctors
have the most important job. -
1:57 - 1:59And if their lives are at stake,
-
1:59 - 2:00ours are, too.
-
2:00 - 2:05Now, I am absolutely not
a mental health professional, -
2:05 - 2:06I'm a writer,
-
2:06 - 2:10which most days is absolutely
the complete and total opposite. -
2:10 - 2:12But I can tell you
that the more opportunities -
2:12 - 2:14that I give health care workers
-
2:14 - 2:17to share their daily frustrations,
their fears, their joys, -
2:17 - 2:20what surprises them, what they resent,
-
2:20 - 2:21the better they seem to feel.
-
2:21 - 2:25So at Medicine and the Muse,
we offer evening, weekend -
2:25 - 2:27and day-long storytelling workshops
-
2:27 - 2:30at farms and other places
with really good food. -
2:30 - 2:35I invite other journalists,
writers, producers, -
2:35 - 2:37podcasters and poets,
-
2:37 - 2:39and they teach writing,
-
2:39 - 2:42communication and storytelling skills
to our participants. -
2:42 - 2:44And those participants
practice being vulnerable -
2:44 - 2:47by sharing their stories
out loud with one another. -
2:47 - 2:48And in doing so,
-
2:48 - 2:51they reconnect with what drew them
to medicine in the first place. -
2:51 - 2:53These are the skills they'll draw on
-
2:53 - 2:57when they realize and are confronted
with the stressful, messy reality -
2:57 - 2:59of the work they've chosen.
-
2:59 - 3:02This is how they realize it's a calling.
-
3:02 - 3:05So I have a prescription
here for you today. -
3:05 - 3:09It's not from physicians, it's for them,
-
3:09 - 3:11and I asked my students for help.
-
3:11 - 3:14And before I start,
let me just say I work with doctors, -
3:14 - 3:16but I'm absolutely convinced
-
3:16 - 3:19that this applies
to almost any profession, -
3:19 - 3:22especially those of us
who are so committed to our work, -
3:22 - 3:24and it can be so intense and overwhelming,
-
3:24 - 3:28that sometimes we forget
why we chose to do it in the first place. -
3:28 - 3:32To me, sharing a true vulnerable story
-
3:32 - 3:35is a lot like raising
a flag up a flagpole. -
3:35 - 3:37Other people see it,
-
3:37 - 3:39if they agree with it
and it resonates with them, -
3:39 - 3:41they come and stand under it with you.
-
3:41 - 3:44That's what my student
Maite Van Hentenryck did. -
3:44 - 3:48(Audio) Maite Van Hentenryck:
I mean, it was super anxiety-inducing, -
3:48 - 3:50and I shared parts of myself
-
3:50 - 3:54that I really have probably told
five classmates. -
3:56 - 4:00LB: When Maite was a baby,
she had to have her leg amputated. -
4:00 - 4:02When she got to medical school,
-
4:02 - 4:04she was taking just a standard class quiz,
-
4:04 - 4:05and she got asked the question,
-
4:05 - 4:07"Please tell us about the first time
-
4:07 - 4:10you encountered someone
with a disability." -
4:10 - 4:13She wondered if her supervisors
had ever considered -
4:13 - 4:16that the person with the disability
was her, the doctor. -
4:16 - 4:20So she talked about it in front
of about 100 of her friends, peers, -
4:20 - 4:23which is a big deal, because,
you know, she's really shy. -
4:23 - 4:25And afterwards, what happened,
-
4:25 - 4:27is a number of students with disabilities,
-
4:27 - 4:28that she didn't know,
-
4:28 - 4:31came up to her and asked her
to colead a group on campus -
4:31 - 4:34that's now advocating for more visibility
and inclusion in medical training. -
4:36 - 4:39In English, we tend
to call people creatives -
4:39 - 4:41if they have a certain job.
-
4:41 - 4:45Like, designer or architect or artist.
-
4:45 - 4:47I hate that term.
-
4:47 - 4:50I think it's offensive and exclusionary.
-
4:50 - 4:53Creativity doesn't belong
to a certain group of people. -
4:53 - 4:55A lot of my work with physicians
and medical students -
4:55 - 4:59is just reminding them that no matter
what profession we choose, -
4:59 - 5:00we can make meaning,
-
5:00 - 5:04find beauty in the hard stuff and create.
-
5:04 - 5:07This is medical student Pablo Romano.
-
5:07 - 5:10(Audio) Pablo Romano: My parents
immigrated here from Mexico -
5:10 - 5:11many years ago,
-
5:12 - 5:14and when I was in college,
they passed away. -
5:14 - 5:17I was 18 when my dad died
and then 20 when my mom died. -
5:18 - 5:21LB: Not only has Pablo been talking
publicly for the first time -
5:21 - 5:23about being an orphan,
-
5:23 - 5:27but together, we started a live
storytelling series we're calling Talk Rx, -
5:27 - 5:29and it's become a really
popular place for his peers -
5:30 - 5:33to show their most vulnerable
and powerful thoughts and feelings. -
5:35 - 5:36(Audio) PR: I go to a school
-
5:36 - 5:39that cares so much about data
and research and numbers. -
5:39 - 5:42At the end of the day,
what moves people is stories. -
5:45 - 5:48LB: Arifeen Rahman
is a second-year medical student. -
5:48 - 5:50And before she was born,
-
5:50 - 5:54her parents immigrated from Bangladesh
to the United States. -
5:54 - 5:57She grew up in a really beautiful home
in Northern California, -
5:57 - 5:58very safe and stable,
-
5:58 - 6:00her parents are still together,
-
6:00 - 6:04she never went hungry,
and she graduated from Harvard. -
6:04 - 6:07(Audio) Arifeen Rahman:
I didn't feel like the stories I had -
6:07 - 6:10were worth telling or that they mattered.
-
6:10 - 6:12LB: Arifeen did have stories, though.
-
6:12 - 6:14Recently, she gave a talk
about being maybe -
6:14 - 6:17the only Bangladeshi American girl
-
6:17 - 6:18to win an essay contest
-
6:18 - 6:21from the Daughters
of the American Revolution -- -
6:21 - 6:22(Laughter)
-
6:22 - 6:26and then dress up for Halloween
as the Declaration of Independence. -
6:26 - 6:28And I love Arifeen's story so much,
-
6:28 - 6:31because to me it represents
all that is good and bad -
6:31 - 6:32and hard and exhausting
-
6:32 - 6:35about representing the new American dream.
-
6:37 - 6:40(Audio) AR: The hardest thing
was coming up against that voice -
6:40 - 6:42that was telling me
no one wants to hear my stories, -
6:42 - 6:46like, why invest the time in this thing
-
6:46 - 6:49that doesn't really mean anything
in the grand scale of life. -
6:50 - 6:53Maybe the biggest thing is,
like, maybe it does. -
6:57 - 6:59LB: Life is so short.
-
7:00 - 7:03For me, the only thing,
really, that matters with my time here -
7:04 - 7:07is feeling like I can connect
with other people -
7:07 - 7:09and maybe make them feel
slightly less alone. -
7:09 - 7:11And in my experience,
-
7:11 - 7:14that's what stories do
absolutely the best. -
7:15 - 7:19So, my student and a collaborator
in a lot of these endeavors -
7:19 - 7:21is Candice Kim.
-
7:21 - 7:24She's an MD-PhD student
in medical education. -
7:24 - 7:26She's written about #MeToo in medicine,
-
7:26 - 7:30navigating her queer identity
in a conservative field -
7:30 - 7:33and her mom's metastatic cancer diagnosis.
-
7:33 - 7:36And recently, she started also
doing some really interesting research -
7:36 - 7:38about our work.
-
7:38 - 7:40(Audio) Candace Kim:
We've seen that students -
7:40 - 7:42who participate in our
storytelling opportunity -
7:42 - 7:48show between a 36 and 51 percent
decrease in distress. -
7:48 - 7:50LB: If this was a mental health drug,
-
7:50 - 7:53it would be an absolute blockbuster.
-
7:53 - 7:55Results seem to last up to a month.
-
7:55 - 7:57It might be longer,
-
7:57 - 8:00a month is just when Candice
stopped measuring. -
8:00 - 8:01So we don't even know.
-
8:01 - 8:04Not only that, but 100 percent
of our participants -
8:04 - 8:07recommend these opportunities to a friend.
-
8:07 - 8:10For me, though, the most important thing
that our work has done -
8:10 - 8:13is create a culture of vulnerability
-
8:13 - 8:17in a place [where] there was
absolutely none before. -
8:17 - 8:18I think what this does
-
8:18 - 8:21is that it allows doctors and other folks
-
8:21 - 8:24an opportunity to envision
a different kind of future for themselves -
8:24 - 8:26and their patients.
-
8:26 - 8:27This is Maite again.
-
8:27 - 8:30(Audio) MVH: I want to be the doctor
that remembers when your birthday is -
8:30 - 8:32without having to look at the chart.
-
8:32 - 8:34And I want to be the doctor who knows
-
8:34 - 8:36what my patient's favorite color is
-
8:36 - 8:39and what TV shows they like to watch.
-
8:39 - 8:43I want to be the doctor
that's remembered for listening to people -
8:43 - 8:46and making sure
I take care of all of them -
8:46 - 8:48and not just treating their disease.
-
8:49 - 8:52LB: Being human is a terminal condition.
-
8:52 - 8:55We all have it,
and we are all going to die. -
8:56 - 8:59Helping health care professionals
communicate more meaningfully -
8:59 - 9:00with each other,
-
9:00 - 9:02with their patients and with themselves
-
9:02 - 9:05is certainly not going to magically change
-
9:05 - 9:08everything that is wrong
with the contemporary health care system, -
9:08 - 9:12and it's not going to live to the immense
burdens we place on our physicians, -
9:12 - 9:13but it is absolutely key
-
9:13 - 9:16in making sure that our healers
are healthy enough -
9:16 - 9:18to heal the rest of us.
-
9:18 - 9:21Communicating with each other
with vulnerability, -
9:21 - 9:23listening with compassion,
-
9:23 - 9:26is, I believe, the absolute best
medicine that we have. -
9:26 - 9:28Thank you.
-
9:28 - 9:31(Applause)
- Title:
- The mental health benefits of storytelling for health care workers
- Speaker:
- Laurel Braitman
- Description:
-
Health care workers are under more stress than ever before. How can they protect their mental health while handling new and complex pressures? TED Fellow Laurel Braitman shows how writing and sharing personal stories helps physicians, nurses, medical students and other health professionals connect more meaningfully with themselves and others -- and make their emotional well-being a priority.
- Video Language:
- English
- Team:
- closed TED
- Project:
- TEDTalks
- Duration:
- 09:44
marialadias edited English subtitles for The mental health benefits of storytelling for health care workers | ||
Erin Gregory edited English subtitles for The mental health benefits of storytelling for health care workers | ||
Brian Greene edited English subtitles for The mental health benefits of storytelling for health care workers | ||
Erin Gregory approved English subtitles for The mental health benefits of storytelling for health care workers | ||
Erin Gregory edited English subtitles for The mental health benefits of storytelling for health care workers | ||
Joanna Pietrulewicz accepted English subtitles for The mental health benefits of storytelling for health care workers | ||
Joanna Pietrulewicz edited English subtitles for The mental health benefits of storytelling for health care workers | ||
Joanna Pietrulewicz edited English subtitles for The mental health benefits of storytelling for health care workers |