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.
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.
Chesebro, J. W. 1982 Illness as a Rhetorical Act: A Cross-Cultural Perspective. Communication Quarterly 30: 321–331.
Csordas, T. 1983 The Rhetoric of Transformation in Ritual Healing. Culture, Medicine, and Psychiatry 7: 333–375.
Dingwall, R. 1977 “Atrocity Stories” and Professional Relationships. Sociology of Work and Occupations 4: 371–396.
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.
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.
Freud, S. 1962 Screen Memories. Standard Edition, vol. 3. London: The Hogarth Press.
Gee, J. P. 1991 A Linguistic Approach to Narrative. Journal, of Narrative and Life History 1: 15–39.
Gergen, K. J. 1973 Social Psychology as History. Journal of Personality and Social Psychology 26: 309–320.
Good, B. J. 1994 Medicine, Rationality, and Experience. An Anthropological Perspective. Cambridge: Cambridge University Press.
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.
1993 Reconstructing Illness. Studies in Pathography. West Lafayette: Purdue University Press.
Kapferer, B. 1979 Mind, Self, and Other in Demonic Illness: The Negation and Reconstruction of Self. American Ethnologist 6: 110–133.
Kohut, H. 1977 The Restoration of the Self. New York: International Universities Press.
Labov, W. 1972 The Transformation of Experience in Narrative Syntax.In Language in the Inner City. W. Labov. Philadelphia: University of Pennsylvania Press.
1982 Speech Actions and Reactions in Personal Narrative.In Analyzing Discourse: Text and Talk. D. Tannen ed. Washington, D.C.: Georgetown University Press.
Levi-Strauss, C. 1962 Le pensée sauvage. Paris: Librairie Plon.
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.
Maslow, A. H. 1976 The Farther Reaches of Human Nature. Harmondsworth: Penguin.
Mishlen, E. G. 1986 Research Interviewing: Context and Narrative. Cambridge: Harvard University Press.
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.
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.
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.
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.
Rhodes, L. 1984 “This Will Clear Your Mind”: The Use of Metaphors for Medication in Psychiatric Settings. Culture, Medicine, and Psychiatry 8: 49–70.
Schafer, R. 1983 The Analytic Attitude. New York: Basic Books.
1992 Retelling A Life. Narration and Dialogue in Psychoanalysis. New York: Basic Books.
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.
Tambiah, S. 1977 The Cosmological and Performative Significance of a Thai Cult of Healing through Meditation. Culture, Medicine, and Psychiatry 1:97–132.
Williams, G. 1984 The Genesis of Chronic Illness: Narrative Re-Construction. Sociology of Health and Illness 6:175–200.
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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