Fred L.Griffin, M.D.
Psychiatry and Psychoanalysis

Interests

Teaching and Supervision

I spend a significant portion of my professional time in teaching and supervision of psychotherapy and psychoanalysis in the University of Alabama Department of Psychiatry and the New Orleans-Birmingham Psychoanalytic Center.  In addition for graduate psychotherapists, psychiatrists, and psychoanalysts, I direct continuing education programs through the Psychoanalytic Center and provide case supervision for clinicians in practice on an individual basis.

Writing 

I am active in professional writing in psychoanalysis, psychiatry, and medicine.  A list of my publications may be found under the Resume section of this website.  I am particularly interested in learning from creative writers ways of conveying the analytic experience in words that are more “real” and convincing than the style of traditional scientific writing.  In addition, in some of my writings I explore the similarities between the creative process in writing and other arts and the process of psychotherapy and psychoanalysis—what is “written” and “read” in the therapeutic situation.  I also describe ways that clinicians may learn about dimensions of their own work by reading imaginative literature and by trying their hands at creative writing themselves..

I serve on the panel of writing consultants for the New Directions Program in Psychoanalytic Critical Thinking and Writing (Washington Psychoanalytic Center).  I am available for professional writing consultation.

Other Interdisciplinerary Interests 

I am interested in explorations between psychoanalysis and other disciplines, such as creative writing, literature, art, and medicine.  (See Resume section for presentations and publications.  Also, see Narrative Medicine below.)

Narrative Medicine

Narrative medicine is an emergent discipline that focuses on the subjective experience of the patient, of the doctor, and of the physician-with-the-patient.  The term “narrative” refers to a way of listening to patients in which physicians may come to hear the fuller “story” of the human being who is experiencing an illness.  In this field physicians read stories, or narratives, written by published physician-authors about clinical experience and they write their own narratives about their experience with patients.  In so doing, physicians not only come to know more comprehensively about their patients’ lives, but they also learn more about their own emotional reactions to their patients and thereby are able to be more responsive to them - to the benefit of patient and physician alike. 

The practice of narrative medicine improves the physician’s capacity for listening, for self-awareness, and for self-reflection.  Through narrative medicine doctors may be able to emotionally process—to “digest” and “metabolize”—the secondary trauma of working with patients who come for care in all conditions of distress, day in and day out, for years.  This lessens physician burn-out and improves physician satisfaction.  Most importantly, it allows the physician to be more emotionally present with patients and enables him or her to better accompany them through their illnesses.

Like psychoanalysis and psychotherapy, narrative medicine is centrally involved with the doctor-patient relationship.  And narrative medicine shares much in common with the process of psychotherapy and psychoanalysis, in which patients and analysts/therapists are able to recognize and name feelings and put emotional experience into a context of more comprehensive understandings. 

The following is an excerpt from a commentary by me in the Spring 2006 issue of the Permanente Journal. 

Restoring Our Humanity: Our Intention to Heal
by Fred L. Griffin, M.D. 10, No. 1

Being a doctor can be such a lonely place to inhabit. Our task-oriented approaches to patient care can all too often reduce us to feeling more like two-dimensional characters in someone else's story than three- and four-dimensional people in our own meaningful lives. Never has there been a time in the history of medicine when physicians have had a greater need to find meaning in what they do. When we translate clinical experience into written narratives, we bring to life the physician-patient relationships in which we live. The act of writing helps us to restore our own humanity, and the act of seeing ourselves with our patients on the written page reminds us of what led most of us into medicine in the first place. These stories both humanize the physician-patient encounter and make physicians feel more like the human beings they are than the "human-doings" they sometimes become. And it is only through being more fully human ourselves that we may convey convincingly to patients our intention to heal.

Doctors’ Stories: Introduction to Narrative Medicine

I offer a weeklong Scholars Week course in the spring for third- and fourth-year medical students, titled: “Doctors’ Stories: Introduction to Narrative Medicine.”
Please see the following link to an article about the course in the 2006 Winter issue UAB Medicine, “Student Rounds: Medicine and the Arts” (pp 22-23): Click here to Download in PDF

Narrative Medicine Discussion Group

I also co-lead (with Waid Shelton, MD, a pulmonologist) a monthly Narrative Medicine Discussion Group for UASOM faculty.  In it physicians read and discuss the works of published physician-writers and write and reflect upon their own patient narratives. 

Publications Featuring Dr. Griffin’s Work in Narrative Medicine:

“Narrative Medicine: Emphasizing the Humanness of the Physician-Patient Relationship.” , UAB  SYNOPSIS, Vol. 24, No. 23, June 20, 2005. Full text

“Student Rounds: Medicine and the Arts,” UAB Medicine, Vol. 31, No. 3, Winter 2006, pp 22-23:
Click here to Download PDF format

“Life Stories: Another Kind of Page Calls Future Doctors.”  UAB Magazine, Summer 2007. Full text

“Journal Club: Narrative Medicine Writes a New Chapter in the Physician-Patient Relationship.” UAB Medicine, Summer 2007. Download in PDF format (Article p.21)

uab medicine summer 07

 

 

 

 

 

References to other publications and presentations in the area of narrative medicine may be found in the Resume section of this website.