Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Redefining health communication through narrative intersection

Opening closed narratives and co-creating meaning

Bibliographic Data

ID22093294
AuthorsTsuyoshi Okuhara (0000-0002-6251-3587, University of Tokyo Health Sciences, corresponding author), Hiroko Okada (0000-0001-7877-9753, University of Tokyo Health Sciences), Rie Yokota (0000-0002-1973-2493, Hoshi University), Yumi Kagawa (Iwate Medical University)
Year2025
Volume10
Publication date2025-11-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Communication (JOURNAL)
Journal identifiersISSN: 2297-900X • E-ISSN: 2297-900X
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fcomm.2025.1672808
OpenAlexW4416096101
LanguageEN
References cited54

We aimed to propose a new conceptualization of health communication that mitigates the limitations of traditional one-way models by introducing a relational, narrative-based approach that emphasizes mutual understanding. This paper critiques existing definitions and proposes an alternative framework by reviewing interdisciplinary literature on Narrative Medicine, narrative identity theory, and health communication research. The paper introduces “narrative intersection” as a concept that describes how divergent narratives engage in dialogic meaning-making. Health communication is redefined as the study and practice of opening closed narratives and co-creating shared meanings through narrative intersections to improve health. This redefinition shifts focus from merely delivering information to fostering dialog and co-constructing meaning. It provides a unifying framework for diverse domains, such as clinical communication and public health messaging, while addressing issues such as resistance to evidence-based recommendations and the spread of misinformation. Narrative intersections offer a grounded, ethically responsive, and practically relevant framework for advancing health communication by emphasizing the importance of dialog, narrative contexts, and the structural conditions that shape the voices that are heard

Conceptualization · Dialogic · Health communication · Narrative · Narrative criticism · Narrative inquiry · Narrative network · Empathy and Medical Education · Media Influence and Health · Patient-Provider Communication in Healthcare

  • Evidence based medicine

    Open Access•Trisha Greenhalgh, Jeremy Howick et al.•BMJ•2014

  • Why study narrative?

    Open Access•Trisha Greenhalgh, Brian Hurwitz•BMJ•1999

  • Epistemic injustice in healthcare encounters

    Charlotte Blease, Havi Carel et al.•Journal of Medical Ethics•2017

  • The Incremental Validity of Narrative Identity in Predicting Well-Being

    Open Access•Jonathan M Adler, Jennifer Lodi-Smith et al.•Personality and Social Psychology…•2016

  • Narrative Medicine

    Rita Charon•JAMA•2001

  • The Psychology of Life Stories

    Open Access•Dan P Mcadams•Review of General Psychology•2001

  • A critical and systematic literature review of epistemic justice applied to healthcare

    Open Access•Catherine Côté•Medicine Health Care and Philosophy•2024

  • Fostering dialogue

    Open Access•Junguo Zhang•Medicine Health Care and Philosophy•2024

  • The Role of Narratives in Countering Health Misinformation

    Zexin Ma, Rong Ma•Health Communication•2025

  • Development and Validation of the Narrative Identity Self-Evaluation Scale (Nise)

    Open Access•Majse Lind, Henry R Cowan et al.•Journal of Personality Assessment•2025

  • The illusory truth effect leads to the spread of misinformation

    Open Access•Valentina Vellani, Sarah Zheng et al.•Cognition•2023

  • In science communication, why does the idea of a public deficit always return? How do the shifting information flows in healthcare affect the deficit model of science communication

    Open Access•Henry Ko•Public Understanding of Science•2016

  • Epistemic Injustice and Illness

    Open Access•Ian James Kidd, Havi Carel•Journal of Applied Philosophy•2016

  • Under the umbrella of epistemic injustice communication and epistemic injustice in clinical encounters

    Open Access•Liz Jonas, Samuel Bacharach et al.•Ethics Medicine and Public Health•2025

  • Variation in narrative identity is associated with trajectories of mental health over several years

    Open Access•Jonathan M Adler, Ariana F Turner et al.•Journal of Personality and Social…•2015

  • Narration as a human communication paradigm

    Walter R Fisher•Communication Monographs•1984

  • Life as Narrative

    Jerome Bruner, Jerome S Bruner•Social research•2004

  • Moving from information transfer to information exchange in health and health care

    Open Access•Renée Gravois Lee, Tom Garvin et al.•Social Science & Medicine•2003

  • Epistemic injustices in clinical communication

    Open Access•Öncel Naldemirci, Nicky Britten et al.•Sociology of Health & Illness•2021

Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae