Module 1 Flashcards
what are the four key storylines from Frank’s work?
chaos
quest
restitution
testimonial
most illness stories have a combination of which narratives?
all four narratives, interwoven
what are health narratives?
an active process drawing on personal and cultural resources.
What is a restitution story?
yesterday I was healthy but today I am sick and tomorrow I will be better
What is an example of a restitution story?
a common cold, sick then better
what is the ideal narrative for a medical professional?
a restitution story
what is the active character in restitution stories?
medication or the treatment modality. biomedicine is triumphant
What are chaos stories?
the stories from people who have no distance from their illness in their life
what kind of story development does chaos narrative follow?
and then…and then….
what could a chaos story be compared to?
a whirlpool, these stories belong to a sufferer
what are quest stories?
stories with a departure date, an initiation period and then a return - like stages of a journey
how is the self constructed in a quest story?
constructed heroically and key characteristics are endurance and forbearance
what is central in a quest story?
the experience of suffering is central to the initial quest
what is an example of a quest story?
a person recovering from alcoholics anonymous
what is the reading Hakanson and Ohlen about?
telling the stories of homeless people a Swedish community
What are the three timelines in Hakanson and Ohlen?
falling ill
being ill
the future
what are testimonial stories?
testimonial stories about a certain product
what is the point of testimonial stories?
pressing you to witness and to believe excluding information that contradicts their key storyline
what is illness described by Kleinman?
to become temporarily demoralised with ones world
what is the nature of illness by helman?
illness can be thought of as a type of misfortune which brings on a subjective experience of physical and emotional change
what is the language of distress?
acts as a bridge between the subjective experiences of impaired well being and social acknowledgment of them?
what is health care pluralism?
kleinman suggests that there are multiple sources of expertise/knowledge of health care
what are the 3 sectors of health care suggested by Kleinman?
lay, folk and professional
what is hierarchy of resort?
the order in which people follow the sources of knowledge on health care
what is contested illness/diagnosis?
when you disagree on the diagnosis of your ‘illness’
what is disease?
a departure from the norm established by biomedical authority
what is health?
the capacity to become sick and to recover
what is the reading Pfister about?
going on a pilgrimage to cure deafness only to find that is not something that needs to be cured and ins something that can be welcomed
what are the 3 phases of alienation proposed by younger?
alienated from yourself
alienated from others
makes strangers out of those you know well
what is suffering?
a state of distress brought about by an actual or perceived threat to the integrity or continued existence of the whole person
what are the 3 phases of regaining voice?
mute suffering
expressive suffering
finding an authentic voice
when does pain equal suffering?
when pain serves no purpose and appears to be enending
when is pain not suffering?
when pain has a purpose
what is the point of liggins 2018?
to argue that healing should trump recovery in terms of psychiatry
what is an example of healing?
being demoralised but finding an authentic narrative
what is the difference between recovery from and recovery in?
recovery from is removing symptoms and returning back to normal whereas recovery in is to live well despite having symptoms
what is intersectionality?
the enhancement and diminution of our life chances according to our biographical attributes and how they overlap
what is structural suffering?
where we see a systematic, widespread, predictable inequality of access to those processes that enhance and sustain wellbeing
what is the social model of disability?
society as disabling - the manner in which circulating norms about what is the appropriate body shape, IQ etc
what is the predicament model of disability ?
noting that disability has medical and material components to it as well as a disabling social world aspect to it too - the result we must resolve ourselves as best we can
what is the reading Ellis. L 2018 on?
seeing the dwarfism disability from their perspective. and what taking photos in public does to them
what is bio power?
a theory of how social power operates in societies. usually passively persuasive and unnoticeable
what are the two major axes bio power works on?
at the level of large populations and at the level of the individual
what are technologies of the self?
varied sets of practices that we take up to try to manage our lives well, to be responsible for our health , to be a ‘good citizen
in Esmond and Jette what is the example of bio power at the individual level?
using the Fitbit
what were the outcomes of researching Fitbit use?
sense of self has merged with the Fitbit technology
what are the three dominant epistemological views on departure from health?
biomedical
phenomenological
social
what is biomedical epistemology?
derived from mind body dualism.
prioritises numerically expressed data
what is a limitation to biomedical epistemology?
medically unexplained symptoms
what is PCC?
person centred care
what is person centred care?
a collaborative humanistic care style that includes the patient’s context and involves the use of narrative, partnership and careful documentation
what is RED?
recognise assumptions
evaluate arguments
draw conclusions
