Bio-Psycho-Social Reasoning in GPs' Case Narratives
The Discursive Construction of ME Patients' Identities
Bibliographic Data
| ID | 4218437 |
|---|---|
| Authors | Mary Horton-Salway (The Open University), Mary Horton‐salway (The Open University, corresponding author) |
| Year | 2002 |
| Volume | 6 |
| Issue | 4 |
| Pages | 401-421 |
| Publication date | 2002-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/136345930200600401 |
| OpenAlex | W2090059688 |
| Language | EN |
| Citations received | 25 |
| References cited | 40 |
This article takes a discursive psychology approach to the analysis of medical case narratives. An analysis of interview extracts on the topic of ME (CFS) shows how GPs use bio-psycho-social reasoning to construct the patient's identity and to define their illness as mental or physical. Patients' identities are 'talked up' using bio-psycho-social 'evidence'; they are constructed in the process of explaining the origins of an illness as mental or physical. This has much in common with identity construction in the illness narratives of ME patients. The analysis also shows how identity construction can function as a justification for defining an illness as psychosomatic and effectively 'shifting the blame' for what might otherwise be treated as medical failure or uncertainty. These processes show how a discursive analysis can shed more light on how bio-psycho-social reasoning functions in doctors' case constructions
Aesthetics · Blame · Discourse analysis · Discursive psychology · Epistemology · Linguistics · Mental health · Mental illness · Narrative · Narrative inquiry · Psychotherapist · Social constructionism · Social group · Social identity approach · Social identity theory · Social science · Sociology · Computer Science · Empathy and Medical Education · Language, Discourse, Communication Strategies · Language, Metaphor, and Cognition · Psychology · Social Psychology
Examining the psychology of practitioners, institutions and structures
Dismissing chronic illness
The interactional history of examples and parentheses
Stories’ of chronic fatigue syndrome
Making space for disability studies within a structurally competent medical curriculum
Holistic or harmful? Examining socio-structural factors in the biopsychosocial model of chronic illness, ‘medically unexplained symptoms’ and disability
A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”
Making and managing medical anomalies
The biopsychosocial model
Betwixt and between’; liminality in recovery stories from people with myalgic encephalomyelitis ( ME ) or chronic fatigue syndrome ( CFS)
Balancing medical accuracy and diagnostic consequences
Compliance” to “Concordance”
A Bitter Pill
Patient School as a Way of Creating Meaning in a Contested Illness
Medical residents' use of narrative templates in storytelling and diagnosis
The classification and nomenclature of 'medically unexplained symptoms
Professional accounts of electroconvulsive therapy
L'exhibition et la négociation du savoir dans les pratiques définitoires
Factors facilitating patient satisfaction among women with medically unexplained long-term fatigue
Contesting facts about wind farms in Australia and the legitimacy of adverse health effects
LIlness as argumentation
The Local Production of Knowledge
Physicians' Constructions of Depression
Quitting is not an option
What is it like to have ME
The Relevance of Social Science for Medicine
Representing Reality
Discourse and Cognition
Doctors' Stories
Order in Court
The Meaning of Illness
Mind and Body as Metaphors
Logic and Conversation
The Need for a New Medical Model
Studies in ethnomethodology
How To Do Things With Words
Reconciling Discursive and Materialist Perspectives on Health and Illness
Garfinkel and Ethnomethodology
Attributions
Mundane Reason
Clinical writing and the documentary construction of schizophrenia
Whose Text? Whose Context
Medical ethnomethodology
Joint remembering
Health psychology—a textbook
Old Wine in New Bottles
Doctors' narratives in Balint groups
Narrative Identities and the Management of Personal Accountability in Talk about ME
Opening Pandora's box
Reification and the consciousness of the patient
Patients' and professionals' understandings of the causes of chronic pain
Making Sense of illness
Personal narratives, social careers and medical courses
Illness as moral occasion
General Practitioners, 'Trouble' and Types of Patients
K is Mentally Ill' the Anatomy of a Factual Account
Accounts of health and illness
Loss of self
Speech Acts
| Unique citing works | 25 |
|---|---|
| Citations per year | 1,09 |
| Citation span | 2003 - 2022 (20) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 24 |