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1.
Lit Med ; 39(2): 219-226, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34897125
3.
Lit Med ; 39(2): 227-248, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34897126

RESUMO

Recent studies of fictionality within narrative theory have emphasized the permeability between global fictions and nonfictions. That is, global nonfictions often deploy elements of local fictionality without compromising their global commitments. This paper seeks to contribute to this ongoing exploration by arguing that nonfictional illness narratives deploy fictionality to enrich their referential content. I examine Brian Fies' graphic memoir Mom's Cancer, emphasizing how the text utilizes fictionality to address the complicated question of how to narrate the illness experience of others. I also move beyond the particulars of Mom's Cancer to consider (a) how the graphic medium lends itself to the inventions of fictionality, (b) why authors of illness narrative often turn to the indirections of fictionality to come to terms with the actual experiences of illness, and c) how a rhetorical understanding of fictionality can help answer recent challenges to the role of narrative studies in the medical humanities.


Assuntos
Ciências Humanas , Neoplasias , Humanos , Narração
4.
Lit Med ; 39(2): 333-350, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34897131

RESUMO

This essay examines two short stories by David Foster Wallace from his final collection, Oblivion. Both are narratives of violent events (a suicide in "Good Old Neon" and a school shooting in "The Soul is Not a Smithy"), and in each case the narrator comes into conflict with the medical authorities diagnosing them. Wallace's writing of this period has been identified by critic Thomas Tracey as "representations of trauma," a reading borne out by the stories' temporal fragmentation and narrative lacunae. I argue that these tropes of trauma writing are deployed ironically, and highlight instances in each story wherein trauma is undermined as an explanatory narrative of the protagonists' suffering. Such a reading not only opens up new avenues in Wallace studies but also raises important questions surrounding medical diagnosis and the value of patient narrative, even a misinformed one, as a diagnostic tool.


Assuntos
Tédio , Narração , Humanos , Comportamento Obsessivo , Leitura , Redação
5.
Dev Psychol ; 57(11): 1991-2005, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34914459

RESUMO

This longitudinal follow-up studied continued effects of parental influences on narrative identity in young adulthood. Decades of research have shown the importance of parental shared reminiscing and positive parenting for the development of children's and youths' autobiographical memory and narrative identity. Yet, research on long-term influences of parenting on narrative indices in adulthood is scarce, even though parents' traces remain a part of narrative identity throughout the life span (Köber & Habermas, 2018). Therefore, in this study, 118 individuals (at time 1: Mage = 17.3 years, SD = .77, 73% female, 82% White) reported at age 17 on their perceived positive parenting. As emerging and young adults, as part of follow-ups at ages 26 and again at 32, participants provided life story interviews. First, it was tested whether earlier positive parenting longitudinally predicted parents' traces in later life stories. Second, we studied the joint long-term prediction of parenting and parents' traces to several narrative features of these young adults' life stories, including emotional tone, coherent positive resolution, and narrative complexity. Results replicated prior research on parents' traces and showed moreover that perceived parenting shape offspring's narrative identity well into young adulthood. These long-term findings are consistent with the notion that narrative identity in adulthood is rooted in the family, and continuously shaped by experiences with parents. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Poder Familiar , Pais , Adolescente , Adulto , Emoções , Feminino , Humanos , Masculino , Narração , Relações Pais-Filho , Adulto Jovem
6.
Narrat Inq Bioeth ; 11(2): 141-145, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34840169

RESUMO

This symposium includes twelve personal narratives from individuals who live with serious mental health challenges that are sometimes diagnosed as schizophrenia, bipolar disorder, major depression, posttraumatic stress disorder, or other conditions. Such challenges are often persistent, lead to stigma and discrimination, and can deeply affect quality of life. Serious mental health challenges are frequently approached as life-long medical conditions, given a diagnosis and treated with medications. However, some pursue non-medical treatments, peer support, use diet and exercise to promote wellness, embrace models of recovery, and function well even when symptoms persist. Approaches often differ across nations, depending upon their resources and philosophy of mental health challenges. Three commentaries on these narratives are also included, authored by experts and scholars in the fields of cultural psychiatry, refugee mental health, human rights advocacy, child's health, and global mental health. We intend this collection of stories to broaden the range of acceptable responses to mental health challenges, raise awareness of stigma and bias in mental health care, and share the wisdom and preferences of those living with mental health challenges.


Assuntos
Transtornos Mentais , Transtornos de Estresse Pós-Traumáticos , Criança , Humanos , Transtornos Mentais/terapia , Saúde Mental , Narração , Qualidade de Vida , Estigma Social
7.
Narrat Inq Bioeth ; 11(2): 177-182, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34840182

RESUMO

The 12 narratives included in this symposium on living with mental health challenges reflect the broad spectrum of experiences and interpretations of individuals who have mental health conditions. They also reflect the range of views within global mental health discourse about effective ways to improve the mental health of individuals and populations. Some important issues are common in these narratives, notably how experiencing trauma, particularly in childhood, can impact mental health. The narratives present a broad spectrum of views regarding the interpretation of mental health conditions and the ways mental healthcare systems have addressed them. These narratives demonstrate an urgent need globally to liberate the field of mental health from the overuse of the biomedical model and allow other models to compete and receive support.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Atenção à Saúde , Humanos , Transtornos Mentais/terapia , Saúde Mental , Narração
8.
Cien Saude Colet ; 26(suppl 3): 4885-4894, 2021.
Artigo em Português | MEDLINE | ID: mdl-34787183

RESUMO

The scope of this paper is to analyze the discursive strategies of a Ministry of Health publication, by virtue of the fact that another notion of food and nutrition care (FNC) emerges from them. Through discourse analysis, the results are interpreted mainly in the light of Edgar Morin and Anemarie Mol's studies. The analysis identified elements of the complex thinking constituting a broadened perspective about the food and FNC practices in the context of matrix support. As the main discursive strategy, narratives contextualize care in sinuous and inconclusive scenarios, emphasizing the immanence of unpredictability and uncertainty. Metaphorical resources reveal displacements that remove the centrality of Biomedicine and weave in the subject the practical wisdom of dealing with the coexistence between the generality of body and food metrification and the uniqueness of everyday life and eating. The stories contribute to the understanding of FNC as shared management, which aims to restore viable and ever provisional order. In conclusion, by exposing and legitimizing the plurality of ways of acting, the document that emerges from and relates back to it can have repercussions on health education and raise the theoretical repertoire surrounding FNC practices.


Assuntos
Educação em Saúde , Narração , Brasil , Alimentos , Humanos
9.
Prax Kinderpsychol Kinderpsychiatr ; 70(7): 613-625, 2021 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-34734549

RESUMO

Projective methods have lost significance in child and adolescent psychiatric diagnostics. These methods allow access to important emotional and conflictual topics that can only be determined to a limited extent via diagnostic discussions and questionnaires. The Thematic Apperception Test (TAT-A) has been updated for use in adolescents. For this purpose, special image templates with new motifs were developed, which were redrawn photorealistically in color to increase ambiguity and stimulate imagination. To check the thematic valences, the panels were presented to 184 schoolgirls in Seoul, South Korea, for assessment. The practical suitability and acceptance of the image templates were evaluated on a small clinical German sample (N = 13), and the valences in terms of content were determined by two raters. The results clarify that photorealistic color representation is an appropriate method for this new concept of TAT. In particular, "empty" panels with landscape views initiate meaningful narratives, thereby enabling access to personal topics.


Assuntos
Transtornos Mentais , Técnicas Projetivas , Adolescente , Criança , Emoções , Humanos , Narração , Teste de Apercepção Temática
10.
Artigo em Inglês | MEDLINE | ID: mdl-34769759

RESUMO

Although there has been an increase in awareness of the struggles experienced by caregivers, discourse on caregiving remains confined mostly to academia, policy circles or the family unit. There have been suggestions that public discourse on informal caregiving dwells overwhelmingly on the outsize toll it takes on the health of caregivers. However, few studies have examined societal narratives on caregivers-a gap our study aims to fill. We leveraged an online media database of 12 billion words collated from over 30 million articles to explore societal narratives on caregivers in six Asian countries. Computational linguistics and statistical analysis were applied to study the content of narratives on caregivers. The prevalence of societal narratives on caregivers was highest in Singapore-five times higher than Sri Lanka, which evidenced the lowest prevalence. Findings reveal that the inadequacies of institutional care as well as the need to train and empower caregivers are pressing issues that need to be prioritized on the policy agenda in Asia. Of broader significance, the diverse capabilities across Asia present opportunities for cross-country learning and capacity-building.


Assuntos
Cuidadores , Narração , Humanos , Singapura , Sri Lanka
11.
J Aging Stud ; 59: 100972, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34794718

RESUMO

This article offers a fresh examination of Mitch Albom's bestseller Tuesdays with Morrie (1997) from a perspective of literary age studies, with a special focus on the concept of later-life mentorship. The classic mentor figure, commonly seen as the archetype of a wise old teacher, is revived through the healing power of an end-of-life narrative. The mentorial relationship between a young man and an old man shows that the personal growth is as an ongoing and ageless process of becoming that can lead to wisdom and a better understanding of aging and living-with-dying. It also reveals that later-life narratives of mentorship are an integral part of the transmission of knowledge and humanistic values to establish solid relationships between generations. Life lessons with Morrie, collected in the form of a memoir, provide readers with important tools to learn to accept life in all its dimensions, and show how literary narratives of growing older can help deconstruct negative western notions of old age and lead to more meaningful lives in all life stages.


Assuntos
Envelhecimento , Mentores , Humanos , Conhecimento , Masculino , Narração
12.
Int J Public Health ; 66: 1604262, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34795554

RESUMO

Objectives: Studies of storytelling (ST) used as a research tool to extract information and/or as an intervention to effect change in the public knowledge, attitudes, and behavior/practice (KAB/P) were sought and analyzed. Methods: Medline, EMBASE, PsycINFO, ERIC, Web of Science, Art and Humanities database, Scopus, and Google Scholar were searched, and a basic and broad quantitative analysis was performed, followed by an in-depth narrative synthesis of studies on carefully selected topics. Results: From this search, 3,077 studies were identified. 145 studies entered quantitative analysis [cancer and cancer screening (32/145), HIV (32/145), mental health (10/145), vaccination (8/145), and climate change (3/145)]. Ten studies entered final analysis [HIV/AIDs (5), climate change (1), sexual health (3), and croup (1)]. ST techniques included digital ST (DST), written ST, verbal ST, and use of professional writers. Of the ten studies, seven used ST to change KAB/P; the remainder used ST to extract insights. Follow-up and evaluation were very limited. Conclusion: ST reveals insights and serves as an intervention in public health. Benefits of ST largely outweigh the limitations, but more follow-up/evaluation is needed. ST should play a more significant role in tackling public health issues. PROSPERO registration number: CRD42019124704.


Assuntos
Narração , Saúde Pública , Humanos , Projetos de Pesquisa
13.
Artigo em Inglês | MEDLINE | ID: mdl-34769982

RESUMO

BACKGROUND: Health impact assessment (HIA) is a tool used to assess the potential health impacts of proposed projects, programs, and policies. The extent of the use of HIAs conducted on health sector proposals, and what they focus on, is currently largely undocumented. This paper reviews HIAs conducted on health sector proposals, their characteristics and describes the settings in which they were conducted. METHODS: A systematic review was conducted, including peer-reviewed journals and grey literature utilizing keywords, synonyms, and subject headings relevant to HIA and the health sector. Eligibility criteria were independently applied to the identified works and data appraisal conducted using the Critical Appraisal Skills Programme qualitative checklist tool. RESULTS: 19 HIAs were identified and included in the review, including 13 rapid, three intermediate, and two comprehensive HIAs. The HIAs use was evident across a range of health service contexts, though all but one had been conducted in developed countries. CONCLUSION: The use of HIAs in the health sector is limited. There were various benefits attributed to the HIAs analysed including and not limited to the allocation of resources, reducing inequalities, and identification of possible negative consequences of a project. There is an opportunity to improve the use and reporting of HIAs across health settings internationally to enhance the consideration of broader determinants of health, influence decision making, and use of evidence in health sector planning for the future.


Assuntos
Avaliação do Impacto na Saúde , Narração , Políticas
14.
Appl Nurs Res ; 62: 151489, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34814993

RESUMO

INTRODUCTION: In this study, we tested the feasibility of using a narrative inquiry - three-dimensional space inquiry to elicit the experiences of an adult family member who shared her journey of care and advocacy for her husband situated in a dementia care unit. BACKGROUND: The voices of family members are rarely heard in relation to their experiences about being included in or making decisions about their loved one's care. Shared decision-making has been an important patient-centred approach to nursing care since the 1990s; however, it is often not a reality in aged care facilities. METHOD: An interview was conducted with one adult family member using the three-dimension space that is inspired by narrative theorists to analyse the narrative. RESULTS: Three themes were identified in the responses: communication between staff and family, staffing in the dementia care unit, and loss of voice and shared decision making. CONCLUSION: Results of this study indicate that narrative inquiry supports the telling of personal experiences around a problem and then using that information to raise awareness of those issues that are not always heard but which are essential for change in health care policy and practice.


Assuntos
Família , Narração , Adulto , Idoso , Comunicação , Tomada de Decisões , Feminino , Humanos
15.
N C Med J ; 82(6): 393, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34750212

Assuntos
Narração , Humanos
16.
J Contin Educ Nurs ; 52(10): 454-456, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34609247

RESUMO

Digital storytelling (DST) is a collaborative and participatory art-based approach based on experiential narratives. This column provides strategies and tips for using DST. As part of continuing education, DST training should provide information about health care experiences to enhance learning for nurses. The use of DST can foster self-knowledge and professional identity. [J Contin Educ Nurs. 2021;52(10):454-456.].


Assuntos
Comunicação , Enfermeiras e Enfermeiros , Educação Continuada , Educação Continuada em Enfermagem , Humanos , Aprendizagem , Narração
17.
Int J Qual Stud Health Well-being ; 16(1): 1983950, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34633907

RESUMO

PURPOSE: nurses working in home care often encounter patients with multiple diagnoses in unpredictable environments. This may cause ethical and emotional challenges and influence nurses' daily work. The aim of this study was to illuminate the meaning of nurses' lived experiences of encountering patients in home care. METHODS: narrative interviews were conducted with 11 nurses. These interviews were audiotaped and transcribed verbatim and analysed using a phenomenological hermeneutic approach. FINDINGS: the findings are presented under three main themes: (1)"Being receptive to the other" (with subthemes "Caring about the encounter," and "Establishing trusting relationships"). (2) "Need to handle Handling the unpredictable" (with subthemes "Being alone in the encounter" and "Being experienced and competent"). (3) "Managing frustration" (with subthemes "Feeling insufficient" and "Feeling restricted". Having overall nursing responsibility challenged the nurse's self-confidence in providing care trustfully. CONCLUSIONS: encountering patients in home care means relating to the other unconditionally, which aim to highlight patients' needs. Being a nurse in home care is both emotionally demanding and rewarding. Having the courage to face their own and the patients' vulnerabilities will entail the promotion of natural receptivity and responsiveness to patients' needs.


Assuntos
Serviços de Assistência Domiciliar , Enfermeiras e Enfermeiros , Emoções , Hermenêutica , Humanos , Narração
18.
PLoS One ; 16(10): e0257866, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34644325

RESUMO

Communication of science through online media has become a primary means of disseminating and connecting science with a public audience. However, online media can come in many forms and stories of scientific discovery can be told by many individuals. We tested whether the relationship of a spokesperson to the science story being told (i.e., the narrative perspective) influences how people react and respond to online science media. We created five video stimuli that fell into three treatments: a scientist presenting their own research (male or female), a third-party summarizing research (male or female), and an infographic-like video with no on-screen presenter. Each of these videos presented the same fabricated science story about the discovery of a new ant species (Formicidae). We used Qualtrics to administer and obtain survey responses from 515 participants (~100 per video). Participants were randomly assigned to one of the videos and after viewing the stimulus answered questions assessing their perceptions of the video (trustworthiness and enjoyment), the spokesperson (trustworthiness and competence), scientists in general (competence and warmth), and attitudes towards the research topic and funding. Participants were also asked to recall what they had seen and heard. We determined that when participants watched a video in which a scientist presented their own research, participants perceived the spokesperson as having more expertise than a third-party presenter, and as more trustworthy and having more expertise than the no-spokesperson stimuli. Viewing a scientist presenting their own work also humanized the research, with participants more often including a person in their answer to the recall question. Overall, manipulating the narrative perspective of the source of a single online video communication effort is effective at impacting immediate objective outcomes related to spokesperson perceptions, but whether those objectives can positively influence long-term goals requires more investigation.


Assuntos
Educação à Distância/métodos , Narração , Percepção da Fala , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Disciplinas das Ciências Biológicas/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
19.
Res Dev Disabil ; 119: 104109, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34655956

RESUMO

BACKGROUND: The 22q11.2 Deletion Syndrome (22q11DS) is associated with language deficits and weak intellectual functioning. In other clinical groups, linguistic and cognitive difficulties have been associated with impaired acquisition of narrative abilities. However, little is known about the narrative abilities of children with 22q11DS. AIMS: To describe the ability of children with 22q11DS to produce and comprehend narrative macrostructure. Additionally, to examine the role of intellectual functioning in explaining their narrative difficulties. METHODS AND PROCEDURES: Narrative skills of 14 school-aged children with 22q11DS were compared to those of younger typically developing (TD) children matched on mental age and same-aged peers with Developmental Language Disorder (DLD). OUTCOMES AND RESULTS: Children with 22q11DS had significantly lower scores on narrative comprehension than younger TD children. No significant differences emerged on narrative production. Children with 22q11DS and children with DLD did not differ significantly on any of the narrative measures. CONCLUSIONS AND IMPLICATIONS: Narrative comprehension in children with 22q11DS seems more affected than production. Narrative comprehension difficulties cannot be entirely explained by a low level of intellectual functioning. Narrative comprehension and production abilities in 22q11DS require further consideration.


Assuntos
Síndrome de DiGeorge , Idoso , Criança , Compreensão , Síndrome de DiGeorge/complicações , Humanos , Inteligência , Linguística , Narração
20.
Indian J Med Ethics ; VI(4): 328-330, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34666978

RESUMO

Episodes of domestic violence are incredibly more common than what is documented. While we have had a law against it in India since 2005, the prevalence of domestic violence is high in India at close to 30 percent (as per National Family Health Survey, 2015-16). Yet, with interventions such as Dilaasa in Maharashtra, Bhoomika in Kerala, and Sukoon in Haryana - among others - visibility has increased; and so has support seeking behaviour. The narrative here is based on my personal observation - with some extensions from my imagination built in to give a structure to the narrative - which jarred as I saw how the consequences of violence can be so debilitating, how violence begets more violence*, becomes a question of contingent power; how it flows on through the survivor, creating more survivors.


Assuntos
Violência Doméstica , Humanos , Índia , Narração , Prevalência , Sobreviventes
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