HEALING

To be healers we will have to understand the dynamic of healing I

relationships, what makes them work. what makes them fall,

why some helping professionals learn to become healers and

why others never rise above the level of technical competence.

This book is a report on what we have learned in our effort to

study healers and healing skills in a more systematic way.

Both of us have spent our lives in health care. Churchill has

been educating medical students, hospital house staff, nurses,

and chaplains in academic medical centers since 1973.

Schenck has worked in a wide range of nonprofit healthcare

review organizations: as an administrator, as a community organizer

for health services, and as a chaplain in hospital and hospice

settings. Both of us have seen firsthand how the relational

dimension of professional help is sometimes the difference

between good and bad outcomes. Even when outcomes are

unfavorable, finding meaning in the problems is powerfully

affected by the ability to elicit trust and to empathize with others,

as well as by commitments like shared responsibility, loyalty.

Search m this book Go and deep respect for the humanity of another person. This book

is an effort to put on display what we have Iearned from

interviews with 50 clinicians recognized by their peers as

healers. lessons that we believe speak not only to doctors but to

the broad spectrum of professionals who work in health care.

We have both been deeply humbled by what we have

Iearned and b the responsiveness of the people we

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Healers: Extraordinary Clinicians at Work

To be healers we will have to understand the dynamic of healing

relationships, what makes them work. what makes them fall,

why some helping professionals learn to become healers and

— why others never rise above the level of tedinical competence.

Get this book in rim 7 This book is a report on what we have Ieamed in our effort to

p study healers and healing skills in a more systematic way.

Both of us have spent our lives in health care. Churchill has

5.1 0 been educating medical students, hospital house staff, nurses,

.H°'§'.°.r.‘?. and chaplains in academic medical centers since 1973.

an 0 Reviews Schenck has worked in a wide range of nonprofit healthcare

i Write review organizations: as an administrator, as a community organizer

-_ . for health services, and as a chaplain in hospital and hospice

'/ settings. Both of us have seen firsthand how the relational

dimension of professional help is sometimes the difference

between good and bad outcomes. Even when outcomes are

unfavorable, finding meaning in the problems is powerfully

affected by the ability to elicit trust and to empathize with others,

- as well as by commitments like shared responsibility, loyalty.

Search m this book Go and deep respect for the humanity of another person. This book

is an effort to put on display what we have Ieamed from

interviews with 50 clinicians recognized by their peers as

healers. lessons that we believe speak not only to doctors but to

the broad spectmm of professionals who work in health care.

> My library We have both been deeply humbled by what we have

Ieamed and b the res nsiveness of the eole we

3 David Schenck, Larry Church

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We have both been deeply humbled by what we have

Ieamed, and by the responsiveness of the people we

interviewed. We Ieamed much about healing, but we also

Ieamed what a rare and valuable thing it is to be able to discuss

healing, to be able to reflect on powers that both seem beyond

us and yet reside in us as human beings. A short version of our

research findings was reported in 2008 in Annals of lntemal

Medicine. Many of the numerous responses we received from

physician readers were remarkable and gratifying, but none

more so than that of an Italian physician who wrote that reading

the article was a healing experience for him, confirming the part

of his work he found most meaningful.

We hope clinical educators reading this book will pay more

attention to the phenomenon of healing, and will be motivated to

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improve both their skills and those of their learners. We hope

the general public will feel that some of the things they most

prize in professional helpers are beginning to be recognized and

valued, and will demand greater competence in these skills from

those who make claims to help them.

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We begin in Chapter 1 with a report of interviews with 50

clinicians over a 2-year period. clinicians identified by their I

peers as expert healers. Their responses to the questions we

posed were sometimes obvious and remarkably simple, at other

times surprising and complex. They consistently engaged the

subject of healing by offering practical advice—describing things

Get this book in print 7 they do, rather than discussing ideas or concepts. The

audiotapes of these interviews comprise over 600 pages oi

transcripts. Our analysis of this material clustered around eight

themes. each described as a practical skill. We have sought to

remain true to the form of the responses. and have couched

hese skills as imperatives—things to do with patients and

clients. rather than ways to think about them. Mastering these

skills would provide enduring improvements for patients, just as

practicing these skills consistently would provide the most

enduring rewards of patient rare for clinicians.

Many of the practitioners we interviewed recognized that

patient care inevitably involves ritual processes. Chapter 2

steps back from a locus on healing skills as separate capacities

to consider how they function together as elements in a larger

ritual structure. In Chapter 3 we turn our interpretive lens to a

finer focus. this time explicatlng and interpreting one particularly

fruitful interview in detail.

Caring for the sick has always been of extraordinary

importance to human beings and. coupled as it now is with the

power of modem science. parallels and interconnections

between healing in health care and healing in religious and

. spiritual traditions are natural and inevitable. These parallels

and interconnections are the subject of Chapter 4.

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But what about the patient perspective on healing? In

Chapter 5 we review some of the most articulate and prominent

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patient narratives about illness and clinician—patient

5,1 0 relationships. from ‘the other side of the bed rail.”

t,Hc.‘\‘!°_.y‘_'§ One of the most exciting facets of healing is the amount of

,, _ recent research on the biological pathways involved and the

g 0 REVIEWS subsequent rethinking of just how healing occurs. Chapter 6

. Write review reviews the considerable amount that is known from scientific

C . studies on healing, drawing from work in behavioral science,

'/ physiology, neurology, immunology. and placebo studies. In this

chapter we argue for a rethinking of the placebo effect as an

element in a larger phenomenon we term the ‘healing

response.” Here we also make suggestions for a model of

medical education that would integrate training in healing skills

__ more completely into health professions curricula.

. All of our infonhants recognized that their power to help

Search In this book Go others is closely intertwined with their own well-being. Healers

need wholeness in themselves to evoke the healing potential

inherent in others. One of our interview questions sought to

Ab°”t ""5 b°°k elicit ways that professionals sustain their health and find

wholeness in the midst of very demanding practices. This is the

, focus of Chapter 7.

' My “brary In the final chapter we connect healing with ethics, focusing