Patients Making Meaning


Book Description

"This book explores how women make meaning at various health flashpoints in their lives, overcoming fear, anxiety, and anger to draw upon self-advocacy, research, and crucial decision-making. Combining focus group research, content analysis, autoethnography, and textual inquiry, the book argues that the making and remaking of what we call "patient epistemologies" is a continual process wherein a health flashpoint-sometimes a new diagnosis, sometimes a reoccurrence or worsening of an existing condition or the progression of a natural process-can cause an individual to be thrust into a discourse community that was not of their own choosing. This study will interest students and scholars of health communication, rhetoric of health and medicine, women's studies, public health, healthcare policy, philosophy of medicine, medical sociology and medical humanities"--




Patients Making Meaning


Book Description

This book explores how women make meaning at various health flashpoints in their lives, overcoming fear, anxiety, and anger to draw upon self-advocacy, research, and crucial decision-making. Combining focus group research, content analysis, autoethnography, and textual inquiry, the book argues that the making and remaking of what we call “patient epistemologies” is a continual process wherein a health flashpoint—sometimes a new diagnosis, sometimes a reoccurrence or worsening of an existing condition or the progression of a natural process—can cause an individual to be thrust into a discourse community that was not of their own choosing. This study will interest students and scholars of health communication, rhetoric of health and medicine, women’s studies, public health, healthcare policy, philosophy of medicine, medical sociology, and medical humanities.




How Nurses Can Facilitate Meaning-making and Dialogue


Book Description

In healthcare, nurses often have a great deal of contact with patients on a 24-hour basis. They are in a position to hear the patient’s stories not only while giving care, but also during more informal communication throughout the day. This puts them in a position to use their response to patients in a more conscious manner and realize therapeutic aims by exploiting narrative means in a methodological way. This book extensively describes how this can be accomplished, not only through a theoretical exposé, but also using case studies. In addition to this pragmatic focus, it explains how narrative relates to larger concepts such as self-management, shared decision making, recovery and person-centred care, and shows that narrative can be a vehicle to these desired outcomes. The book also considers organizational aspects of narrative-oriented healthcare by introducing a model in which narrative plays an important role. As such, it will allow nurses in the field to make a paradigmatic switch from a perspective dominated by delivery of care to one that is person-centred, recovery-oriented and dialogic in nature.




Making Meaning of Narratives


Book Description

The most challenging aspect of narrative research is to find and select stories that go beyond "a good story" to some kind of wider, theoretical meaning or implication. How can we know what is good work in narrative research if there are no methodological commandments? How can nonlinear concepts, such as persuasiveness, credibility, and insightfulness be measured? Exploring these provocative questions, the contributors to this volume examine such issues as the various guides to doing qualitative research, how scholars from two different disciplines (psychology and literature) respond to an analysis of several autobiographies that were published and analyzed by a third scholar, how to make meaning of narrative interviews by considering the problem of interpreting what is not said, how cultural meanings and values (particularly about gender) are transmitted across generations, the transformational power of stories within social organizations and the use of these stories as an agent of change, and more. The papers in this volume come from five countries (United States, Finland, Holland, Israel, and England) and five disciplines (criminology, literature studies, nursing, psychology, and sociology). These chapters will spur and support the quest for understanding through narrative and reflect the many ways to approach this type of research.




Spirituality and Meaning Making in Chronic Illness


Book Description

Many spiritual caregivers, including chaplains, spiritual directors and clergy, are unaware of how they can support people with chronic health conditions. This book combines insights on chronic illness with spiritual care skills and suggestions to enhance well-being for people living with long-term illness. Using a narrative approach, the author reflects on the stories of two women - Dorothy from The Wizard of Oz, who travels from Kansas (a state of health) to Oz (an illness experience), alongside the author's personal experiences of managing an incurable autoimmune disease. Chapters will include guidelines and exercises that help equip caregivers to facilitate healing with people who live with long-term health conditions.




Making Meaning in Older Age


Book Description

Making meaning in life can be challenging at any age. However, making and sustaining meaning in advancing age can be especially difficult due to physiological changes, declining health, and multiple losses. From years of personal and professional experience, and with much warmth, the authors address the multifaceted nature of meaning and offer practical ways in which older adults can find and sustain meaning despite the transitions experienced with advancing age. They also offer ways in which family members can help their aging loved ones in their journey of meaning-making. Bringing together the pieces of one’s life through meaning-making is vital for older adults and offers a precious gift for their loved ones!




Meaning-making Methods for Coping with Serious Illness


Book Description

This book provides an alternative, complementary approach to the existing conventional approaches to religious and spiritually oriented coping. By focusing on the role of culture, the authors take into account the methods employed by a vast number of people who do not directly identify themselves as religious. The empirical data used in this book derive from studies conducted in several countries; Sweden, China, South Korea, Turkey and Malaysia, across which religion plays a different role in the social and cultural life of individuals. This approach and these empirical data are unique and allow comparisons to be made between different cultural settings. By introducing the concept of meaning-making coping, the authors explore the influence of culture on choice of coping methods, be they purely religious, spiritual or existential. The term "existential meaning-making coping" is used to describe coping methods that are related to existential questions; these methods include religious, spiritual and existential coping methods. Meaning-making Methods for Coping with Serious Illness contributes to new approaches and theoretical models of coping. As such it is an invaluable resource for health care, medical, public health and sociology students and researchers. It will also be of interest to educators and policy-makers working in the area of health.




Communication, Culture, and Making Meaning in the City


Book Description

As communicative, cultural, and political spaces, cities present a vast array of racial, ethnic, national, sexual, and socioeconomic experiences around which human communities take shape. This shaping forms a germinal point of mass cultural life. City planners decide where buildings and neighborhoods are developed, which ultimately affects who residents interact with, how they get there, and why they choose city life. From these experiences, boundaries and possibilities arise that define cultures of “the city.” In Separately Together: Ethnographic Engagements of the City, contributors focus on theorizing the notion of “the city” as a communicatively constituted cultural space, drawing on situated, reflexive ethnographic examinations of “the city” to show the complex and varied ways in which cities produce social meaning.




What's in the Syringe?


Book Description

"A member of the palliative care team meets Alicia for the first time. They meet in the infusion bay, where the thin curtains offer symbolic privacy. Alicia is in her early 60s, and had gone to the doctor with a persistent cough. Subsequent tests revealed metastatic lung cancer. She has just finished her first cycle of first line chemotherapy, which she tolerated well. A quick review of her chart reveals no obvious physical symptoms such as pain or shortness of breath. Her social history is notable for the recent death of her husband. She has one adult child, who lives nearby"--




Meaning-centered Group Psychotherapy for Patients with Advanced Cancer


Book Description

Meaning-Centered Psychotherapy (MCP) for advanced cancer patients is a highly effective intervention for advanced cancer patients, developed and tested in randomized controlled trials by Breitbart and colleagues at Memorial Sloan-Kettering Cancer Center. This treatment manual for group therapy provides clinicians in the oncology and palliative care settings a highly effective, brief, structured intervention shown to be effective in helping patients sustain meaning, hope and quality of life.