Lecutre 3333 Ups Flashcards
Yo u n g e r ( 1 9 9 5 ) : t h e p r i m a r y e x p e r i e n c e o f suffering is alienation in 3 phases
• you become alienated from yourself even hatred
hatred (eg Oliver Sacks A leg to stand on)
• Alienated from others (rips aside the social self, need to speak, unsure of reception)
• Makes strangers out of those you know well (an insight into a foreign territory)
What is suffering? From Cassell (2004)
suffering is a state of distress brought about
by an actual or perceived threat to the integrity or continued
existence of the whole person ie body/self which includes
cultural and social dimensions (eg Ca Cx/fertility)
• It occurs in relation to any aspect of the person, their social
roles, group identification, the relation with the body and the
self and the family, our own purpose in living, our relationship with a higher being.
• It involves a sense of submitting to a set of circumstances (loss of autonomy)
• An anguish experienced as a pressure to change and a threat to our composure, integrity and the fulfilment of our intentions.
• Suffering destroys the ability to communicate.
Pain and suffering not the same
When Pain has a purpose then it is not suffering and thus requires no healing
- only when pain serves no useful purpose we suffer
Healing of suffering - Younger (1995) argues if we can find some way to regain our voice this is the basis of the mastery of suffering. In regaining a voice this is where the role of narrative can appear. - 3 phases of regaining voice
• mute suffering
• Expressive suffering (the narrative)
• Finding an authentic voice
• Jaye 1998 definition of healing
Healing relates to notions of transformation, restoration,
resolution, being made whole
What stories are associated with suffering and what sorties are associated with curing
Narratives help with healing – the ‘chaos narrative’ is often associated with suffering, quest and witness narratives help us move forward, restitution helps with curing
Di fferences between healing & curing for health
- might be physically cured from cancer ‘
- might be not emotionally healed Yk
• Curing and healing may intertwine; but healing goes
beyond; curing ≠ healing
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How might healing work?
Helman (2000):
through language, ritual and the
manipulation of powerful cultural symbols
How might healing work?
Kleinman (1980:372)
healing has 3 stages – labeling
the sickness with a culturally appropriate category,
the label is ritually manipulated to culturally
transform it, this creates a new potent cultural symbol
of ‘well’ that is applied independently of behavioral
or social change
How might healing work?
Moerman (2002) on psychotherapy
Moerman (2002) on psychotherapy – psychotherapy
works by helping us to create stories or myths, these
stories make our demoralisation less painful, healing
emerges from the depth of the meanings we create
for our suffering through these culturally specific
stories we learn to tell
Reading summary
Healing is conceptualised here as the intensely personal experience at the heart of recovery. As a process and a destination, healing is necessary when there has been a disruption of integrity and wholeness, experienced as suffering. We described healing as a journey of exploration that takes time and hard work, facilitating connection and integration, understanding and wisdom. It is in the exploration that healing can occur, implying that we are not passive (or even active) recipients of care; rather we are active participants creating or making use of the opportunities available to us, developing a story that is uniquely ours. A recovery that I recognise and that recognises me is one that embraces, and put at its heart, the lived experience of mental illness and healing.
FROOM SLIDES:
• Her participants described healing as: making sound
or whole, journeying both forwards and backwards,
hard work and transformation, connection, finding
meaning, transcending suffering, blooming and
contentment, exploration, gaining wisdom
• She queries why psychiatry works with ‘recovery’ as
its goal not ‘healing’. Using healing could assist in
de-stigmatizing psychiatric care, ensuring patients
rights are met, removing the burden that there is
something wrong with you when you seek treatment
that you must overcome…
Narratives, healing rituals and symbols help
build a bridge from our current suffering into a
future place of healing by giving us a reason for
our suffering which is culturally congruent with
our own beliefs and values.
Yes
