{"title":"Using patient narratives as source material for creative writing","authors":"P. McDonald","doi":"10.1093/MED/9780198806660.003.0014","DOIUrl":"https://doi.org/10.1093/MED/9780198806660.003.0014","url":null,"abstract":"Patient and carer involvement in medical education has been shown to lead to improved outcomes. There is a vast amount of online narrative material describing the lived experience of patients that could be systematically used in medical education. This chapter describes a creative writing module which encourages students to research and create a fictional character with a chronic disorder and then write about them in the new narrative genre of clinical realism. This genre is defined as ‘fictional writing where health problems are systematically represented, not as a metaphor, not as a plot point, and not as the central topic of the writing, but as a part of a character’s personal identity and day-to-day experience.’ The students reported that by writing repeatedly about the same character, they felt more empathic towards them, even if they initially felt little affinity with the character. This chapter discusses the practicalities and benefits of running the course.","PeriodicalId":381689,"journal":{"name":"Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124195837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Narrative practice, neurotrauma, and rehabilitation","authors":"P. Frommelt, Maria I. Medved, J. Brockmeier","doi":"10.1093/med/9780198806660.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780198806660.003.0009","url":null,"abstract":"This chapter conceives of rehabilitation after neurotrauma (which includes stroke and traumatic brain injury) as a unique area of narrative meaning-making. It outlines the nature and need of narrative competence in this field and examines some of the particularities of narrative formation and negotiation of meaning in the context of rehabilitative interactions after brain trauma. As a reaction to the shortcomings of the traditional biomedical approach, it advances a holistic, person-centred, and narrative-based approach to neurorehabilitation. Person-centred care is not only concerned with biological disorders and pathological symptoms but also with individuals and their (auto-)biographical, social, and cultural life worlds. In understanding the goal of neurorehabilitation as enabling persons with a neurotrauma to regain full agency, autonomy, and subjectivity, the chapter suggests the narrative approach as a powerful way to reach this goal.","PeriodicalId":381689,"journal":{"name":"Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122582754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Structural dream analysis","authors":"Christian Roesler","doi":"10.1093/med/9780198806660.003.0018","DOIUrl":"https://doi.org/10.1093/med/9780198806660.003.0018","url":null,"abstract":"Patient dreams in psychotherapy can be seen as narratives pointing to underlying conflicts as well as to potential solutions for overcoming mental health problems. Conceptualizations of the dream and its potential in the psychoanalytic tradition meanwhile are well supported by empirical dream research. Nevertheless, there is a strong need for more research connecting the meaning conveyed by the dream with the psychopathology of the patient and with process in psychotherapy. Structural Dream Analysis (SDA) as a method to investigate the meaning conveyed in dream series from analytical psychotherapies is introduced. It combines earlier methods of narrative analysis with psychoanalytic ways of interpreting symbols into a coherent and manualised interpretive method; the application of the method is demonstrated with a case example.","PeriodicalId":381689,"journal":{"name":"Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127365820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}