Abstract
The amount of physical damage may have no fixed relation to how much and in what ways a patient's life is disrupted. The authors discuss a model which addresses the bio-psycho-social complexity of a patient's illness and the narrative constructions which the patient, family members, and health care professionals influence to co-create the patient's identification with being “sick.” This minimalist model invites the reader to consider a variety of interrelated variable lenses through which to view the narratives around a patient's illness. Clinical case examples are used to illustrate the dominant story themes.
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References
Antonovsky, A. (1979).Health, stress, and coping. San Francisco: Jossey-Bass.
Ayd, F. J., & Blackwell, B. (1970).Discoveries in biological psychiatry. Philadelphia: Lippincott.
Brooks, P. (1984).Reading for the plot. New York: Vintage Books.
Connell, G., Whitaker, C., & Keith, D. (1992).Beyond primary care. Paper presented at the Annual Meeting of the American Association for Marital and Family Therapy, Miami, FL.
Doherty, W. J., & Campbell, T. L. (1988).Families and health. Beverly Hills: Sage.
Dym, B. (1987). The cybernetics of physical illness.Family Process, 26, 35–48.
Engel, G. (1977). The need for a new medical model: A challenge for biomedicine.Science, 196, 129–136.
Engel, G. (1980). The clinical application of the biopsychosocial model.American Journal of Psychiatry, 137, 535–544.
Gonzales, S., Steinglass, P., & Reiss, D. (1989). Putting illness in its place: Discussion groups for families with chronic medical illnesses.Family Process, 28, 69–87.
Griffith, J. L., Griffith, M. E., & Slovick, L. S. (1990). Mindbody problems in family therapy: Contrasting first- and second-order cybernetic approaches.Family Process, 29, 13–28.
Hoffman, L. (1990). Constructing realities: An art of lenses.Family Process, 29, 1–12.
Imber-Black, E. (1991). The family-larger system perspective. In A. S. Gurman and D. P. Kniskern (Eds.),Handbook of family therapy (Vol. II) (pp. 583–605). New York: Brunner/Mazel.
Kleinman, A. (1988).The illness narratives: Suffering, healing, and the human condition. New York: Basic Books.
Laughlin, H. P. (1967).The neuroses. Washington, DC: Butterworths.
Lee, R. E., & Ball, P. A. (1978). Some thoughts on the psychological care of the coronary care unit patient. In J. R. Folta & E. S. Deck (Eds.),A sociological framework for patient care (pp. 393–400). New York: John Wiley & Sons.
McDaniel, S. H., Campbell, T., & Seaburn, D. (1989). Somatic fixation in patients and physicians: A biopsychosocial approach.Family Systems Medicine, 7, 5–16.
McDaniel, S. H., Hepworth, J., & Doherty, W. J. (1992).Medical family therapy. New York: Basic Books.
Reiss, D. (1981).The family's construction of reality. Cambridge, MA: Harvard University Press.
Reiss, D., & Kaplan De-Nour, A. (1989). The family and medical team in chronic illness: A transactional and developmental perspective. In C. N. Ramsey (Ed.),Family systems in medicine (pp. 435–444). New York: Guilford.
Ricoeur, P. (1984).Time and narrative (Vol. I). Chicago: University of Chicago Press.
Rolland, J. S. (1987). Chronic illness and the life cycle: A conceptual framework.Family Process, 26, 203–221.
Schnitzer, P. K. (1993). Tales of the absent father: Applying the “story” metaphor in family therapy.Family Process, 32, 441–458.
Silverman, H. (1969). Determinism, choice, responsibility and the psychologist's role as an expert witness.American Psychologist, 26, 5–9.
Sontag, S. (1978).Illness as metaphor. New York: Farrar, Straus, and Giroux.
White, M., & Epston, D. (1990).Narrative means to therapeutic ends. New York: Norton.
Wickram. I. (1976).Biofeedback, behavior therapy and hypnosis. Chicago: Nelson-Hall.
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Lee, R.E., Dwyer, T. Co-constructed narratives around being “sick”: A minimalist model. Contemp Fam Ther 17, 65–82 (1995). https://doi.org/10.1007/BF02249305
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DOI: https://doi.org/10.1007/BF02249305