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What does the quote "This idea of telling as creation, however, may threaten those who regard...

What does the quote "This idea of telling as creation, however, may threaten those who regard themselves as dutiful observers of reality and careful scribes of what is found" mean? It is from Narrative Medicine by Rita Charon.

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Narrative medicine is a medical approach that utilizes people's narratives in clinical practice,research,and education as a way to promote healing.In doing this,narrative medicine aims not only to validate the experiance of the patient,but also to encourage creativity and self reflection in the physician.

The quote says

.Eg;If a dermatologist describes a rash as a "2 cm diameter dry,erythematous eruption with silver scalling periphery" it is a case of psoriasis,identical to many others seen.There is no creativity in the art of describing,merely a transparent rendering of act.Not so:despite the commitment to describe only what one sees,one's seeing is influenced by prior categories,diagnostic impulses,comparative memmory,conventionalised diction and concurrent clinical facts that suggest this diaganosis instead of that one.

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