Metaphors in a Patient's Narrative
Picturing Good Care
Bibliographic Data
| ID | 12901956 |
|---|---|
| Authors | Christina Sinding (0000-0002-6025-7989, Schlumberger (Ireland), corresponding author) |
| Year | 2014 |
| Volume | 8 |
| Issue | 1 |
| Pages | 57-74 |
| Publication date | 2014-01-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Ethics and Social Welfare (JOURNAL) |
| Journal identifiers | ISSN: 1749-6535 • E-ISSN: 1749-6543 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17496535.2013.871316 |
| OpenAlex | W1968950362 |
| Language | EN |
| References cited | 33 |
This paper is premised on the idea that the metaphors patients use in their efforts to articulate 'good care' can deepen our understanding of the limitations of particular patient–professional relations and help us imagine and justify new ones. Its intent is to extend critical scholarship about patient involvement, and professional disengagement, in contemporary healthcare contexts. The paper draws from a study that highlighted the range of ways women with cancer responded to the call to 'take charge' of treatment decision making and care co-ordination. The metaphors that are the focus of the paper—'voting' and 'walking me there'—emerged from a patient's felt discomfort with specific care interactions. I show how these metaphors can be used to raise critical questions about the discourses of patient autonomy and choice that dominate Western cancer care contexts; sharpen our attention to practices of care that are obscured by prevailing discourses; and suggest alternative value frameworks for the knowledge, identities and practices enacted between health professionals and patients.Keywords: Patient InvolvementProfessional-service User RelationsRelational AutonomyTreatment Decision-makingCare CoordinationFeminist Ethics AcknowledgementsWith deep appreciation to the women who have spoken about their experiences of cancer care, and to the healthcare professionals participating in this study. I'am grateful to Pamela Hudak, Lisa Schwartz, Lisa Watt and two anonymous reviewers for thoughtful and useful comments on this paper. The Canadian Institutes of Health Research funds the study, Negotiating Equity: Toward the elimination of disparities in cancer care [grant number 167190] and provides the salary award that enabled this research
Autonomy · Disengagement theory · Health care · Narrative · Political science · Public relations · Scholarship · Sociology · Value (mathematics · Empathy and Medical Education · Law · Medicine · Mental Health and Patient Involvement · Nursing · Patient-Provider Communication in Healthcare · Psychology
Creating Citizen-Consumers
The Logic of Care
Challenging Social Work
Metaphors We Live By
Socio-economic status of the patient and doctor–patient communication
Institutional ethnography as practice
Relational autonomy as an essential component of patient-centered care
“I like to be an informed person but…” negotiating responsibility for treatment decisions in cancer care
Abandoning Care? A Critical Perspective on Personalisation from an Ethic of Care
Care Ethics
Exploring patient involvement in healthcare decision making across different education and functional health literacy groups
The 'expert patient
Informing health? Negotiating the logics of choice and care in everyday practices of 'healthy living
Consumerism, reflexivity and the medical encounter
Involuntary autonomy
Of time and troubles
Bridging gaps in risk discourse
Time, self and the medication day
Ignorance is bliss sometimes
| Citation velocity | historical |
|---|---|
| Highly cited | No |