Advertisement

Narrating a Return to Work After Spinal Cord Injury

  • Carolyn Smith-MorrisEmail author
  • Gilberto Lopez
  • Lisa Ottomanelli
  • Lance Goetz
Chapter
Part of the Social Indicators Research Series book series (SINS, volume 52)

Abstract

Perhaps no social scientific tool is more important to the study of illness and rehabilitation than the narrative. They are not only the vehicle by which treatment for spinal cord injury (SCI), recovery, and adjustment occur but are also the essential communicative device that allow social scientists to understand their. And these tasks are not mutually exclusive. In this chapter, we describe the qualitative arm of a clinical trial of supported employment for persons with SCI. Narratives not only reflected informant adjustments to life and work with an SCI but also gave informants an arena – the interview – in which to actively craft and test some of these new adjustments. Our analysis focuses on the productive, perlocutionary task of the narrative, its unique timelessness, narrator authority, and lifelong adjustment.

Keywords

Spinal Cord Injury Veteran Affair Medical Center Standard Care Group Vocational Rehabilitation Service Support Employment Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgement

This material is based on work supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development. Rehabilitation Research and Development Service Project #B3773R.

References

  1. Armor, D. J. (1996). Race and gender in the U.S. military. Armed Forces & Society, 23(1), 7–27.CrossRefGoogle Scholar
  2. Austin, J. (1962). How to do things with words. Cambridge: Harvard University Press.Google Scholar
  3. Barthes, R. (1975). An introduction to the structural analysis of narrative. New Literary History, 6, 237–272.CrossRefGoogle Scholar
  4. Becker, G. (1998). Disrupted lives: How people create meaning in a chaotic world. Berkeley: University of California Press.Google Scholar
  5. Becker, G., & Kaufman, S. R. (1995). Managing an uncertain illness trajectory in old age: Patients’ and physicians’ views of stroke. Medical Anthropology Quarterly, 9(2), 165–187.CrossRefGoogle Scholar
  6. De Vivo, M. J., Krause, J. S., & Lammertse, D. P. (1999). Recent trends in mortality and causes of death among persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 80(11), 1411–1419.CrossRefGoogle Scholar
  7. Frank, A. (1995). The wounded storyteller: Body, illness, and ethics. Chicago: University of Chicago Press.CrossRefGoogle Scholar
  8. Frank, G., Baum, C., & Law, M. (2010). Chronic conditions, health, and well-being in global contexts: Occupational therapy in conversation with critical medical anthropology. In L. Manderson & C. Smith-Morris (Eds.), Chronic conditions, fluid states: Chronicity and the anthropology of illness (pp. 230–246). New Brunswick: Rutgers University Press.Google Scholar
  9. Garro, L. C., & Mattingly, C. (2000). Narrative as construct and construction. In C. Mattingly & L. C. Garro (Eds.), Narrative and the cultural construction of illness and healing (pp. 1–49). Berkeley: University of California Press.Google Scholar
  10. Hanson, S., Buckelew, S. P., & Hewett, J. (1993). The relationship between coping and adjustment after spinal cord injury: A 5-year follow-up study. Rehabilitation, 28(1), 41–52.Google Scholar
  11. Linton, S. (1998). Claiming disability: Knowledge and identity. New York: NYU Press.Google Scholar
  12. Manderson, L., & Peake, S. (2005). Men in motion: Disability and the performance of masculinity. In C. Sandahl & P. Auslander (Eds.), Bodies in commotion: Disability and performance (pp. 230–242). Ann Arbor: University Michigan Press.Google Scholar
  13. Manderson, L., & Smith-Morris, C. (Eds.). (2010). Chronic conditions, fluid states: Chronicity and the anthropology of illness. Piscataway: Rutgers University Press.Google Scholar
  14. Mattingly, C. (1994). The concept of therapeutic emplotment. Social Science & Medicine, 38(6), 811–822.CrossRefGoogle Scholar
  15. Mattingly, C. (1998a). Healing dramas and clinical plots: The narrative structure of experience. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  16. Mattingly, C. (1998b). In search of the good: Narrative reasoning in clinical practice. Medical Anthropology Quarterly, 12(3), 273–297.CrossRefGoogle Scholar
  17. Mattingly, C. (2000). Emergent narratives. In C. Mattingly & L. C. Garro (Eds.), Narrative and the cultural construction of illness and healing (pp. 181–211). Berkeley: University of California Press.Google Scholar
  18. Mattingly, C., & Garro, L. (Eds.). (2000). Narrative and the cultural construction of illness and healing. Berkeley: University of California Press.Google Scholar
  19. Messinger, S. D. (2010). Rehabilitating time: Multiple temporalities among military clinicians and patients. Medical Anthropology, 29(2), 150–169.CrossRefGoogle Scholar
  20. Montrey, J. S. (2000). Somewhere to go: The therapeutic value of work. Veterans Health System Journal, 5(3), 25–33.Google Scholar
  21. Myerhoff, B. (1986). Life not death in Venice: Its second life. In V. Turner & E. M. Bruner (Eds.), The anthropology of experience (pp. 261–286). Urbana: University of Illinois Press.Google Scholar
  22. Ottomanelli, L., Bradshaw, L. D., & Cipher, D. (2009). Employment and use of vocational rehabilitation services among veterans following spinal cord injury. Journal of Vocational Rehabilitation, 39(1), 39–43.Google Scholar
  23. Ottomanelli, L., Sippel, J. L., Cipher, D. J., & Goetz, L. L. (2011). Factors associated with employment among veterans with spinal cord injury. Vocational Rehabilitation, 34 , 141–150.Google Scholar
  24. Parker, R. (1986). Masculinity, femininity, and homosexuality: On the anthropological interpretations of sexuality in Brazil. In E. Blackwood (Ed.), Anthropology and homosexual behavior (pp. 155–164). London: Haworth Press.Google Scholar
  25. Rogers, L. J., & Swadener, B. B. (Eds.). (2001). Semiotics and dis/ability: Interrogating categories of difference. New York: SUNY Press.Google Scholar
  26. Rohe, D. E., & Athelstan, G. T. (1982). Vocational interests of persons with spinal cord injury. Journal of Counseling Psychology, 29(3), 283–291.CrossRefGoogle Scholar
  27. Sandahl, C., & Auslander, P. (2005). Bodies in commotion: Disability and performance. Ann Arbor: University of Michigan Press.Google Scholar
  28. Shakespeare, T. (1996). Disability, identity, and difference. In C. Barnes & G. Mercer (Eds.), Exploring the divide (pp. 94–113). Leeds: The Disability Press.Google Scholar
  29. Smith-Morris, C. (2010). The chronicity of life, the acuteness of diagnosis. In L. Manderson & C. Smith-Morris (Eds.), Chronic conditions, fluid states: Chronicity and the anthropology of illness (pp. 21–37). New Brunswick: Rutgers University Press.Google Scholar
  30. Smith-Morris, C., Lopez, G., Ottomanelli, L., Goetz, L., & Dixon-Lawson, K. (n.d.). Ethnography and fidelity to evidence-based medicine: Supplementing the fidelity process in a clinical trial of supported employment with ethnographic data.Google Scholar
  31. Warren, N., & Manderson, L. (2008). Constructing hope: Dis/continuity and the narrative construction of recovery in the rehabilitation unit. Journal of Contemporary Ethnography, 37(2), 180–201.CrossRefGoogle Scholar
  32. Yoshida, K. K. (1993). Reshaping of self: A pendular reconstruction of self and identity among adults with traumatic spinal cord injury. Sociology of Health & Illness, 15(2), 217–245.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Carolyn Smith-Morris
    • 1
    Email author
  • Gilberto Lopez
    • 2
  • Lisa Ottomanelli
    • 3
  • Lance Goetz
    • 4
  1. 1.AnthropologySouthern Methodist UniversityDallasUSA
  2. 2.Bloomberg School of Public HealthJohns Hopkins UniversityGustineUSA
  3. 3.James A. Haley Veterans’ HospitalTampaUSA
  4. 4.Hunter Holmes McGuire VA Medical CenterRichmondUSA

Personalised recommendations