lecture 2 and 3 Flashcards
what are the 4 franks naratives
restitution, quest, chaos, testimonial
describe the restitution narrative
yesterday i was healthy, today i am unwell, tomorrow i will be well again
this story line will NOT fit -
for when treatment doesn’t work this storyline
offers nothing to fall back upon
The active character in this story is the
medication or the treatment modality.
Biomedicine emerges as heroic and triumphant
describe the chaos narrative
not as admired as restitution stories
people have no distance from illness in their life, are consumed by it instead
‘and then… and then… and then…’ - their stories may not be coherant
Witnesses to these stories often try to
redirect them, to lead the teller onwards to
an uplifting narrative arc, but in a chaos story
the whirlpool effect is stronger
leaves out possibility of hope and improvement as treatment is rendered useless as it is possibly turned away
describe the quest narrative
The story line provides a departure date, an initiation period and then a return in this case rather like the stages of a journey.
its constructed so that the teller is heroic.
the story teller endurance is highlighted
these teach the person the value of suffrage, finding greater meaning in it.
describe the testimonial narrative
pressing you to witness and to believe and
excluding information that contradicts their key storyline.
all the other stories can be thought of as testimonials due to them omitting some information for the purpose of the story
if all stories are in some way a testimonial story, describe how
Restitution stories leave out the metaphysical aspects of illness; Chaos stories
leave out the possibility of hope and acceptance; Quest stories tend to diminish
greatly the suffering involved at least initially in a quest…
What is the WHO definition of health
a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.
whats that cassell definition of disease vs illness
- illness is what we feel when we go to visit a doctor and disease is what we have after we have been to the doctor’s office and we are on our way back home.
define disease
the objective set of biomedical facts in which the body is not functioning as it usually would
define illness
subjective, includes a persons experience while being sick
define language of distress
how people communicate their experience of illness with others, where subjective experience meets social acknowledgement
what is contested diagnosis
when you believe you are ill but others don’t. or others think you are ill but you don’t believe so
define hierarchies of resort
3 sectors of health care – lay, folk
and professional with the professional being the tiny tip of the iceberg and the other 2 sectors below the surface of our acention most of the time
define healthcare pluralism
who we go to and in what order when we experience illness
define lay and folk
folk refers to the cultrally specific, often smaller scale, preyer and indigenous healers
lay refers to the people around you
