Module 1: Narratives Of Health

Question 1

Chaos narrrative

Answer 1

A continuous story without an end stuck in the present and related to suffering - it follows the pattern of ‘and then…. And then…. And then…’

Question 2

Restitution narrative

Answer 2

Typical of health workers, a story line that says ‘Yesterday I was well, today I am sick, tomorrow I will be completely well again’

Question 3

Quest narrative

Answer 3

A storyline where people go on to find greater meaning for themselves in their illness by accomplishing some important and difficult task

Question 4

What part of reality do restitution stories leave out?

Answer 4

The metaphysical aspects of illness

Question 5

What part of reality do chaos stories leave out?

Answer 5

The possibility of hope and acceptance

Question 6

What part of reality do quest narratives leave out?

Answer 6

They tend to diminish greatly the suffering involved at least initially in a quest

Question 7

By developing sophistication in interpreting stories helps us to understand what?

Answer 7

The context of peoples health experiences - and to recognise that people respond to illness in varied ways - recovery is a process not an event

Question 8

Explain what it means by “Recovery is a process, not an event”

Answer 8

People respond to illness in varied ways

Question 9

Explain what it means by “health practitioners and scientists are no more bulletproof than anyone else to life’s misfortunes”

Answer 9

You can be a patient and a professional too

Question 10

What does sensitivity to context from health workers and scientists allow them to do?

Answer 10

Examine and reveal our own assumptions about health behaviour and so become better scientists and health workers

Question 11

Explaining health as a journey

Answer 11

Express the distance we must travel to reach another’s experience of health

Question 12

Define illness

Answer 12

Physical and emotional changes, temporary demoralisation

Question 13

Language of distress

Answer 13

Bridge between unwell and social acknowledgment

Question 14

Categorisation of ill people in populations

Answer 14

Derogatory terms for not being well body

Question 15

Curing vs healing

Answer 15

Curing does not equal healing, curing is eliminating the disease

Question 16

Suffering vs pain

Answer 16

Suffering = pain with no purpose
Pain = purposeful eg ballet

Question 17

Disease

Answer 17

Any harmful deviations from normal

Question 18

The importance of understanding stories and storytelling in medicine

Answer 18

Can offer holistic patient centred care

Question 19

Health

Answer 19

The capacity to become sick and recover and continue living your life

Question 20

Contested disgnosis

Answer 20

When individuals have differing opinions of sickness

Question 22

Positive things that having a diagnosis can mean for individuals when suffering with an illness

Answer 22

End to uncertainty or unexplained symptoms
Hope for a cure
A plan of action in relation to treatment that gives our lives a purpose

Question 23

Negative things that having a diagnosis can mean for individuals when suffering with an illness

Answer 23

Some diagnosis create stigma
Some offer no hope for a cure
Deciding whether or not to tell others can be very difficult in terms of heritable illnesses

Question 24

What do pilgrimages describe?

Answer 24

The impact of illness in our lives and hero’s us to conceptualise the distances we must cover to understand another’s experience

Question 25

Suffering

Answer 25

Distress caused by threat or disruption to a state of wellbeing
Loss of autonomy
Alienation from yourself/others

Question 26

Suffering aspects

Answer 26

Physical/mental health
Relationships
Purpose
Spiritual connectedness

Question 27

Explain why healing does not equal curing

Answer 27

Healing considers much more deeper rooted issues within the person

Question 28

Healing aspects

Answer 28

Spiritual
Physical
Emotional
Social

Question 29

Which 2 sorts of healing processes are there?

Answer 29

Healing can be an active process or a serendipitous process - this means discovered by chance in a happy or beneficial way

Question 30

Healing vs curing

Answer 30

Healing means becoming whole
Curing means eliminating all evidence of disease

Question 31

How do narratives demonstrate suffering and healing?

Answer 31

Act as a bridge between suffering and healing

Question 32

Chaos narratives mostly show…

Answer 32

Suffering

Question 33

Quest and witness/testimonial narratives help us with…

Answer 33

Moving forward

Question 34

Restitution narratives aid with…

Answer 34

Healing

Question 35

Intersectionality

Answer 35

Explores the idea of how our biographical attributes interact to determine our ‘life chances’

Question 36

List some biographical attributes

Answer 36

Gender
Income
Occupation
Sexuality

Question 37

Structural suffering

Answer 37

A systematic, widespread, predictable inequality of access to those processes that enhance and sustain wellbeing

Question 38

Processes than enhance and sustain wellbeing

Answer 38

Opportunity
Income
Health

Question 39

Structural suffering impact on our health

Answer 39

Authorises others to regard poor/disenfranchised individuals as worthless or “less” than human

Question 40

Example of structural suffering from lecture - Bhopal incident (explain)

Answer 40

The people of bhopal were represented as the poorer people, while the chemical companies and the government were represented as the richer people who took advantage of the poor

Question 41

2 examples of intersectionality

Answer 41

Disability
Structural suffering

Question 42

Disability influences which life chances

Answer 42

Can be made to feel less worthy
Limited job opportunities

Question 43

The reading (Ellis, 2008) illustrates what?

Answer 43

That disability can influence life chances in many ways

Question 44

Explain what happened in the reading (Ellis, 2008) and the impact it caused

Answer 44

Able bodied people taking pictures of dwarves in public, and they are made to feel a spectacle and less than human

Question 45

Bio power

Answer 45

How social power influences individuals in society

Question 46

Explains the 2 levels that bio power can be at

Answer 46

Population - where biomedicine gathers and gives authorities knowledge to the population as a whole
Individual - who hears the important info and take it on board

Question 47

Bio power at an individual level

Answer 47

Can influence us to undertake technologies of the self or healthy lifestyle behaviour’s