Module 1 Flashcards

1
Q

what are the four key storylines from Frank’s work?

A

chaos
quest
restitution
testimonial

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2
Q

most illness stories have a combination of which narratives?

A

all four narratives, interwoven

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3
Q

what are health narratives?

A

an active process drawing on personal and cultural resources.

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4
Q

What is a restitution story?

A

yesterday I was healthy but today I am sick and tomorrow I will be better

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5
Q

What is an example of a restitution story?

A

a common cold, sick then better

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6
Q

what is the ideal narrative for a medical professional?

A

a restitution story

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7
Q

what is the active character in restitution stories?

A

medication or the treatment modality. biomedicine is triumphant

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8
Q

What are chaos stories?

A

the stories from people who have no distance from their illness in their life

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9
Q

what kind of story development does chaos narrative follow?

A

and then…and then….

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10
Q

what could a chaos story be compared to?

A

a whirlpool, these stories belong to a sufferer

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11
Q

what are quest stories?

A

stories with a departure date, an initiation period and then a return - like stages of a journey

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12
Q

how is the self constructed in a quest story?

A

constructed heroically and key characteristics are endurance and forbearance

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13
Q

what is central in a quest story?

A

the experience of suffering is central to the initial quest

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14
Q

what is an example of a quest story?

A

a person recovering from alcoholics anonymous

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15
Q

what is the reading Hakanson and Ohlen about?

A

telling the stories of homeless people a Swedish community

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16
Q

What are the three timelines in Hakanson and Ohlen?

A

falling ill
being ill
the future

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17
Q

what are testimonial stories?

A

testimonial stories about a certain product

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18
Q

what is the point of testimonial stories?

A

pressing you to witness and to believe excluding information that contradicts their key storyline

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19
Q

what is illness described by Kleinman?

A

to become temporarily demoralised with ones world

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20
Q

what is the nature of illness by helman?

A

illness can be thought of as a type of misfortune which brings on a subjective experience of physical and emotional change

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21
Q

what is the language of distress?

A

acts as a bridge between the subjective experiences of impaired well being and social acknowledgment of them?

22
Q

what is health care pluralism?

A

kleinman suggests that there are multiple sources of expertise/knowledge of health care

23
Q

what are the 3 sectors of health care suggested by Kleinman?

A

lay, folk and professional

24
Q

what is hierarchy of resort?

A

the order in which people follow the sources of knowledge on health care

25
what is contested illness/diagnosis?
when you disagree on the diagnosis of your 'illness'
26
what is disease?
a departure from the norm established by biomedical authority
27
what is health?
the capacity to become sick and to recover
28
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
29
what are the 3 phases of alienation proposed by younger?
alienated from yourself alienated from others makes strangers out of those you know well
30
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
31
what are the 3 phases of regaining voice?
mute suffering expressive suffering finding an authentic voice
32
when does pain equal suffering?
when pain serves no purpose and appears to be enending
33
when is pain not suffering?
when pain has a purpose
34
what is the point of liggins 2018?
to argue that healing should trump recovery in terms of psychiatry
35
what is an example of healing?
being demoralised but finding an authentic narrative
36
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
37
what is intersectionality?
the enhancement and diminution of our life chances according to our biographical attributes and how they overlap
38
what is structural suffering?
where we see a systematic, widespread, predictable inequality of access to those processes that enhance and sustain wellbeing
39
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
40
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
41
what is the reading Ellis. L 2018 on?
seeing the dwarfism disability from their perspective. and what taking photos in public does to them
42
what is bio power?
a theory of how social power operates in societies. usually passively persuasive and unnoticeable
43
what are the two major axes bio power works on?
at the level of large populations and at the level of the individual
44
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
45
in Esmond and Jette what is the example of bio power at the individual level?
using the Fitbit
46
what were the outcomes of researching Fitbit use?
sense of self has merged with the Fitbit technology
47
what are the three dominant epistemological views on departure from health?
biomedical phenomenological social
48
what is biomedical epistemology?
derived from mind body dualism. | prioritises numerically expressed data
49
what is a limitation to biomedical epistemology?
medically unexplained symptoms
50
what is PCC?
person centred care
51
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
52
what is RED?
recognise assumptions evaluate arguments draw conclusions