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Scaffolding patient agency

Conceptualising readers' cognitive work in the comic gutter

Bibliographic Data

ID4217872
AuthorsAmanda Roberts (0000-0002-1172-3242, University of Hertfordshire School of Law and Education, UK, corresponding author)
Year2025
Volume29
Issue4
Pages510-528
Publication date2025-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Journal identifiersISSN: 1363-4593 • E-ISSN: 1461-7196
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634593241290184
PMID39417388
OpenAlexW4403509862
LanguageEN
Citations received1
References cited70

A life-limiting illness can erode an individual's positive sense of self. Storytelling can help counteract this, through scaffolding patients' agency and supporting them in acting to change something which matters to them. This article explains how visual stories - comics - are used within the PATCHATT intervention to support the redevelopment of a person's agential self. Through the provision of a conceptual map, this article explores the gutter as a liminal space, arguing for the importance of the deep reader engagement which takes place there. It uses Bob's comic, a story used within PATCHATT, to explore how reflexivity and imagination work together within the liminal space of the gutter to stimulate and enhance palliative care patients' agential change leadership. It concludes by considering the implications of the argument put forward for palliative care practice

Aesthetics · Art · Comics · Liminality · Literature · Narrative · Palliative care · Reflexivity · Social science · Sociology · Storytelling · Visual arts · Comics and Graphic Narratives · Computer Science · Digital Storytelling and Education · Empathy and Medical Education · Medicine · Nursing · Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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