Skip to main content
Log in

Cancer as an interruption in the plot: the contribution of the psychology in patients’ reframing their own narratives

  • Original Article
  • Published:
Journal of Medicine and the Person

Abstract

The human being results from a co-constructed narration, which happens within background meanings and cultural frameworks, and in turn provide meanings to assign to each human experience. These meanings precede individual lives, they are their implicit premises, and in that way, they allow us to find significant answers to our experiences and to build a plot to our own story—placing each experience in a precise place that fits within our past and future history. When the experience is extra-ordinary like having a cancer, the need for a meaning is stronger and more difficult: this difficulty is expressed by the psychological suffering. When patients appeal to a psychologist/psychotherapist, they are impelled by the suffering induced in the perception of a break in their narrative and the psychotherapeutic work is a work on the narratives, aimed to help patients in re-writing their own stories from different perspectives. This re-writing will be completely adaptive only when able to produce new frameworks of meaning through the change of implicit premises.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. Sacks O (1985) The man who mistook his wife for a hat. Summit Books, New York

    Google Scholar 

  2. Parry A (1991) A universe of stories. Fam process. 30(11):37–54

    Article  CAS  Google Scholar 

  3. Sclavi M (2003) Arte di ascoltare e mondi possibili; Come si esce dalle cornici di cui siamo parte. Paravia Bruno Mondadori Editore, Milano

  4. Natoli S (2002) L’esperienza del dolore. Feltrinelli Editore, Milano

  5. Terkelsen KG (1980) Toward a theory of family life cycle. In: Carter EA, McGoldrick M (eds) The family life cycle: a framework for family therapy. Gardner Press, New York

    Google Scholar 

  6. Bellani ML (2005) L’intervento psicologico sulla crisi. In: Morasso G, Tomamichel M (eds) La sofferenza psichica in oncologia. Modalità di intervento, Carocci, Roma, pp 79–90

    Google Scholar 

  7. Annunziata MA, Muzzatti B (2012) Psychosocial issues in cancer care. Neuropathological diseases 1:41–56

    Article  Google Scholar 

  8. AA.VV. (2002). Psico-oncologia. Masson, Roma

  9. Surbone A, Zwitter M, Rajer M, Stiefel R (eds.) (2013). New challenges in communication with cancer patients. Springer, New York

  10. Sontag S. (1978). Illness as metaphor. Farrar, Straus & Girroux

  11. Annunziata MA, Muzzatti B (2013) Improving communication effectiveness in oncology: the role of emotions. In: Surbone A, Zwitter M, Rajer M, Stiefel R (eds) New challenges in communication with cancer patients. Springer, New York, pp 235–246

    Chapter  Google Scholar 

  12. Rogers C (1951) Client-centered therapy. Houghton Mifflin, Boston

    Google Scholar 

  13. Engel GL (1977) The need for a new medical model: a challenge for biomedicine. Science 196:119–136

    Article  Google Scholar 

  14. Balint E (1969) The possibilities of patient-centered medicine. J R Coll Gen Pract. 17:269–276

    CAS  PubMed Central  PubMed  Google Scholar 

  15. Mead N, Bower P (2000) Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 51:1087–1110

    Article  CAS  PubMed  Google Scholar 

  16. Charon R (2001). Narrative medicine: form, function and ethics. Ann Intern Med. 134(1)

Download references

Acknowledgments

The authors wish to thank Ms Anna Vallerugo, MA, for her writing assistance.

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria Antonietta Annunziata.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Annunziata, M.A., Muzzatti, B. Cancer as an interruption in the plot: the contribution of the psychology in patients’ reframing their own narratives. J Med Pers 12, 51–54 (2014). https://doi.org/10.1007/s12682-014-0174-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12682-014-0174-5

Keywords

Navigation