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KMID : 1164420080030020081
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Health Communication
2008 Volume.3 No. 2 p.81 ~ p.90
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Levels of Narrativity in Doctor-patient-interaction
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Gabriele Lucius-Hoene
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Abstract
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Narratives have been recognized as an important way of conveying the subjective meaning of personal experiences. Constructing personal narratives can also be considered as an epistemological tool to maske sense of ongoing events. In research on medical communication, the impact of a narrative approach to doctor-patient-communication has led to an extensive exploration of patients’ narratives. On the other hand, narrative aspects of doctors’ communication and actions have come into focus as well. After elaborating the special characteristics of narrative communication, the paper by means of examples drawn from clinical interactions identifies different levels of narrativity and of narrative collaboration in the manifold activities of doctor-patient-communication. It stresses the importance for medical doctors to recognize and acknowledge the patients’ as well as their own explicit and implicit stories. The profit of attending to narrative aspects is not only to better understand the meaning of an illness and its impact in patients’ lifes, but by taking them into account also to meet their needs, to improve cooperation and compliance and to be sensitive to the ethical aspects of clinical work.
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KEYWORD
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Narrative medicine, Doctor-patient-interaction, Coping
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