# Reading the Patient: First-Person Narratives of Psychiatric Illness in Residency Training as a Path to Clinician Empathy and Better Outcomes

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- Page title: Reading the Patient: First-Person Narratives of Psychiatric Illness in Residency Training as a Path to Clinician Empathy and Better Outcomes | WCP 2026 Summary

> Structured engagement with first-person illness narratives is a low-cost, potentially evidence-based approach to developing clinician empathy, but the final li…

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SO293

Kısa Sözlü Poster SunumuEğitim ve EtikDerleme

# Reading the Patient: First-Person Narratives of Psychiatric Illness in Residency Training as a Path to Clinician Empathy and Better Outcomes

READING THE PATIENT: FIRST-PERSON PSYCHIATRIC ILLNESS NARRATIVES IN RESIDENCY TRAINING AS A ROUTE TO CLINICIAN EMPATHY AND IMPROVED OUTCOMES

Sunan: Marie Yrastorza

Ülke: United States of America

Kurum: HCA Healthcare / TriStar Centennial Medical Center, Department of Psychiatry

Oturum: 3670 - PARALLEL SHORT ORAL POSTER SESSIONS: HISTORY & PHILOSOPHY

Tarih: Fri, 25.09.2026

Structured engagement with first-person illness narratives is a low-cost, potentially evidence-based approach to developing clinician empathy, but the final link in the chain from training to patient outcomes has never been tested.

The aim is to evaluate whether clinician empathy can be deliberately cultivated through first-person narratives of psychiatric illness and whether the chain linking this training to patient outcomes is supported by evidence. The method is a narrative review covering 2000–2025, examining empathy measurement studies, outcome meta-analyses, research on empathy decline, and educational programs based on illness narratives. The findings indicate that therapist empathy predicts psychotherapy outcomes: Elliott’s 2018 meta-analysis of 82 samples comprising 6,138 clients found r=0.28 (95% CI 0.23 to 0.33; d=0.58), an effect comparable in magnitude to the standardized mean difference of approximately 0.30 reported for the superiority of antidepressants over placebo in Cipriani’s 2018 network meta-analysis of 522 studies involving 116,477 participants (this is not a direct comparison, as the estimates come from separate meta-analyses). Although the pooled SMD across 16 RCTs of empathy interventions was 0.68 (95% CI 0.43 to 0.93), heterogeneity was high (I2=88.5%), with possible reporting bias. In contrast, a systematic review of 18 studies (11 involving students and 7 involving residents) and Hojat’s 2009 longitudinal cohort showed that empathy decline was concentrated in the clinical years, particularly the third year, when sustained patient contact begins. The abstract also reports that a six-week course using narratives of mental illness through film, literature, and visual art increased empathy among medical students as assessed by validated scales, while a program using autobiographical narratives by people with schizophrenia reduced social distance and stigma among nursing students. Three of the four links in the causal chain proposed in the poster are supported by meta-analytic evidence; the fourth link, connecting the curriculum to patient outcomes, has not been tested from end to end in any study. In conclusion, narratives of psychiatric illness are proposed as a low-cost, scalable intervention to counteract the loss of empathy observed during training, with a study testing this chain identified as the primary need.

[Orijinal postere git](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1937)

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APA 7: Yrastorza, M., et al. (2026, September 25). Reading the patient: first-person psychiatric illness narratives in residency training as a route to clinician empathy and improved outcomes [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1937

Vancouver: Yrastorza M, et al. Reading the patient: first-person psychiatric illness narratives in residency training as a route to clinician empathy and improved outcomes [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1937

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