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The rhetoric of recovery and change

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Abstract

How can we know whether people who have been treated for an illness or been helped with a problem have indeed regained their health or solved their problem? Is “health” an objective condition-something that is observable, visible, perhaps even measurable? This article discusses these questions with the help of an analysis of the account given by a patient in psychotherapy regarding her recovery from a problematic life situation. The point of departure here is that recovery from illness or from a condition of ill-health should be understood as a reorganization of cultural, social and psychological elements which together are able to convey the picture that treatment has been successful and full recovery has been achieved. What the patient presents is not a “report” on an “actual” transformation process, nor is it an accumulated description. Rather, the patient presents a narrative, shaped by and created out of her own life situation and the interview situation in which she is engaged. It is a narrative that highlights certain aspects of a course of events and which arranges the pieces of the puzzle in such a way as to convey a picture of transformation and recovery.

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References

  • Baruch, G. 1981 Moral Tales: Paretns' Stories of Encounters With the Health Professions. Sociology of Health and Illness 3: 275–295.

    Google Scholar 

  • Bellah R. N., R. Madsen, W. M. Sullivan, A. Swidler, and S. M. Tipton 1986 Habits of the Heart. Individualism and Commitment in American Life. New York: Harper & Row Publishers.

    Google Scholar 

  • Chesebro, J. W. 1982 Illness as a Rhetorical Act: A Cross-Cultural Perspective. Communication Quarterly 30: 321–331.

    Google Scholar 

  • Csordas, T. 1983 The Rhetoric of Transformation in Ritual Healing. Culture, Medicine, and Psychiatry 7: 333–375.

    Google Scholar 

  • Dingwall, R. 1977 “Atrocity Stories” and Professional Relationships. Sociology of Work and Occupations 4: 371–396.

    Google Scholar 

  • Frankenberg, R. 1986 Sickness as Cultural Performance: Drama, Trajectory, and Pilgrimage Root Metaphors and the Making Social of Disease. Intermational Journal of Health Services 16: 603–626.

    Google Scholar 

  • Freccero, J. 1986 Autobiography and Narrative.In Reconstructing Individualism, Autonomy, Individuality, and the Self in Western Thought T. C. Heller, M. Sosna and D. E. Wellbery, eds. Stanford: Stanford University Press.

    Google Scholar 

  • Freud, S. 1962 Screen Memories. Standard Edition, vol. 3. London: The Hogarth Press.

    Google Scholar 

  • Gee, J. P. 1991 A Linguistic Approach to Narrative. Journal, of Narrative and Life History 1: 15–39.

    Google Scholar 

  • Gergen, K. J. 1973 Social Psychology as History. Journal of Personality and Social Psychology 26: 309–320.

    Google Scholar 

  • Good, B. J. 1994 Medicine, Rationality, and Experience. An Anthropological Perspective. Cambridge: Cambridge University Press.

    Google Scholar 

  • Hawkins, A. H. 1990 A Change of Heart: The Paradigm of Regeneration in Medical and Religious Narrative. Perspectives in Biology and Medicine 33: 547–559.

    Google Scholar 

  • 1993 Reconstructing Illness. Studies in Pathography. West Lafayette: Purdue University Press.

    Google Scholar 

  • Kapferer, B. 1979 Mind, Self, and Other in Demonic Illness: The Negation and Reconstruction of Self. American Ethnologist 6: 110–133.

    Google Scholar 

  • Kohut, H. 1977 The Restoration of the Self. New York: International Universities Press.

    Google Scholar 

  • Labov, W. 1972 The Transformation of Experience in Narrative Syntax.In Language in the Inner City. W. Labov. Philadelphia: University of Pennsylvania Press.

    Google Scholar 

  • 1982 Speech Actions and Reactions in Personal Narrative.In Analyzing Discourse: Text and Talk. D. Tannen ed. Washington, D.C.: Georgetown University Press.

    Google Scholar 

  • Levi-Strauss, C. 1962 Le pensée sauvage. Paris: Librairie Plon.

    Google Scholar 

  • Linde, C. 1986 Explanatory Systems in Oral Life Stories.In Cultural Models in Language and Thought D. Holland and N. Quinn, eds. Cambridge: Cambridge University Press.

    Google Scholar 

  • Maslow, A. H. 1976 The Farther Reaches of Human Nature. Harmondsworth: Penguin.

    Google Scholar 

  • Mishlen, E. G. 1986 Research Interviewing: Context and Narrative. Cambridge: Harvard University Press.

    Google Scholar 

  • 1992 Work, Identity, and Narrative: An Artist-Craftsman's Story.In Storied Lives. The Cultural Politics of Self-Understanding. G. C. Rosenwald, and R. L. Ochberg, eds. New Haven: Yale University Press.

    Google Scholar 

  • 1995 Narrative Account in Clinical and Research Interviews.In The Construction of Professional Discourse B. L. Gunnarsson, P. Linell, and B. Nordberg, eds. London: Longman.

    Google Scholar 

  • Nichter, M. 1981 Idioms of Distress: Alternatives in the Expression of Distress: A Case Study from South India. Culture, Medicine, and Psychiatry 5:379–408.

    Google Scholar 

  • Osherson, S., and L. AmaraSingham 1981 The Machine Metaphor in Medicine.In Social Contexts of Health, Illness, and Patient Care. E. Mishleret al. Cambridge: Cambridge University Press.

    Google Scholar 

  • Rhodes, L. 1984 “This Will Clear Your Mind”: The Use of Metaphors for Medication in Psychiatric Settings. Culture, Medicine, and Psychiatry 8: 49–70.

    Google Scholar 

  • Schafer, R. 1983 The Analytic Attitude. New York: Basic Books.

    Google Scholar 

  • 1992 Retelling A Life. Narration and Dialogue in Psychoanalysis. New York: Basic Books.

    Google Scholar 

  • Stiles, W. B., and D. A. Shapiro 1989 Abuse of the Drug Metaphor in Psychotherapy Research Process-Outcome Research. Clinical Psychology Review 9:521–543.

    Google Scholar 

  • Tambiah, S. 1977 The Cosmological and Performative Significance of a Thai Cult of Healing through Meditation. Culture, Medicine, and Psychiatry 1:97–132.

    Google Scholar 

  • Williams, G. 1984 The Genesis of Chronic Illness: Narrative Re-Construction. Sociology of Health and Illness 6:175–200.

    Google Scholar 

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Hydén, LC. The rhetoric of recovery and change. Cult Med Psych 19, 73–90 (1995). https://doi.org/10.1007/BF01388249

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  • DOI: https://doi.org/10.1007/BF01388249

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