Narrative constructs in modern clinical case reporting
Bibliographic Data
| ID | 10799481 |
|---|---|
| Authors | Brian Hurwitz (0000-0002-6951-2544) |
| Year | 2017 |
| Volume | 62 |
| Pages | 65-73 |
| Publication date | 2017-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Studies in History and Philosophy of Science (JOURNAL) |
| Journal identifiers | ISSN: 0039-3681 • E-ISSN: 1879-2510 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.shpsa.2017.03.004 |
| PMID | 28583361 |
| OpenAlex | W2604717844 |
| Language | EN |
| Citations received | 13 |
| References cited | 3 |
Modern clinical case reporting takes the form of problem-solution narratives that redescribe symptoms in terms of disease categories. Authored almost always by those who have played a part in the medical assessment of the patient, reports historicise the salient details of an individual's illness as a complex effect of identifiable antecedent causes. Candidate hypotheses linking illness to pathological mechanisms are suggested by the patient's experience, and by data that emerge from clinical examination and investigation. Observational and interpretive statements from these considerations are fitted into a temporally inflected account of the patient's medical condition, configured from the vantage point of hindsight. Drawing on established forms of deferred telling, readers are invited to follow a story that drip-feeds a mixture of contingent and non-incidental information into the account, which engenders and frustrates curiosity, creates expectations, and challenges powers of reasoning and pattern recognition. Whereas case reporting once favoured memoir, the sentimental tale and eccentric biography as the means by which its historical narrative was cast, the preferred genres of contemporary case reporting include detective fiction, and puzzle and riddle narratives, formats that conceptualise the medical consultation in narrow problem-solution terms
Antecedent (behavioral psychology · Argument (complex analysis · Art · Curiosity · Epistemology · Hindsight bias · Literature · Memoir · Narrative · Psychoanalysis · Salient · Clinical Reasoning and Diagnostic Skills · Empathy and Medical Education · History · Medicine · Philosophy · Psychology · Social Psychology
The Ontology of Oncology
Revisiting Accounts of Narrative Explanation in the Sciences
A Psychological Report is Literally a Mind on Paper
Twelve tips for small group teaching 2.0 – Rebooted for remote and HyFlex learning
A Place to Meet
Scientific experimental articles are modernist stories
Nobody Dies Alone in the Electronic Patient Record—A Qualitative Analysis of the Textual Practices of Documenting Dying and Death
The case as a travelling genre
If p ? Then What?’ Thinking within, with, and from cases
Periodical amnesia and dédoublement in case-reasoning
Configuring Narrative in the Discourse of Health and Medicine
Narrative ordering and explanation
(In) visibility of health and illness
| Citations per year | 1.44 |
|---|---|
| Citation span | 2017 - 2025 (9) |
| Highly cited | No |