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1 NBM: narrative based medicine NBM DIPEx 5 TOBYO ,287 46,401

2 34 S S S S S S

3 35 S S S S S S S S S S 6 S Myasthenia Gravis S MG

4 , MG S S S S S 2 MG S 30 S S 2005

5 37 50 S S S S S S 2009 S S S 7 1. 病いとの出会い S S

6 S 20 S 2. 症状コントロールの軌跡

7 39 MG 1 MG MG 3. 医療との関わり

8 40 MG S S S 家族との関係 1 1 S

9 41 5 S 3 S 4 S S 8 S S S S S 5. 経済的自立 S MG 1972 S MG S 2 8 S S

10 夢の持続 S

11 43 S S S S S 7. 団地の住民活動への関与 S 48 S S ) S

12 44 S S S DK 5 6 S S S

13 45 8. 孤独死 との関わり S S S S

14 46 S S S S S 9. まとめ S S MG S MG S S S S

15 47 S S S S S S S S MG S S 参考文献 /9/ DIPEx-Japan /9/24 Kleinman, Arthur. The Illness Narratives: Suffering, Healing, and the Human Condition, Basic Books: New York, No TOBYO /9/27

16

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1937 100 Q&A Q A 6 6 Q&A Q A EBM Q &A Q A 1 100 1 0 Q A WHO 1978 6000 1 2 17. 106 109, 2005., 1998 Q&A Q A C 1986 2 Narrative Based Medicine NBM NBM Q A Q: A 38 AT MD DO DO 1890 DD 2002 2007 3 2007

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