1,721,290 research outputs found

    Bringing the doctor inside the care: the use of stories in doctor-patient communication

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    Journal of comparative research in Anthropology and Sociolog

    Narrating positive versus negative memories of illness: Does narrating influence the emotional tone of memories?

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    Psychoncological studies have recognised a reduced autobiographical memory in cancer patients, furthermore cognitive studies have found that narrative is an effective instrument to re-elaborate memories. However, it is still unclear whether narrating positive versus negative events can have a different impact on autobiographical memory. The present study aims to explore the emotional experience of autobiographical memory before and after having narrated negative or positive events related to the illness. Of 63 oncological patients, 35 were selected for the present study. Participants completed a Memory Fluency Task twice, before and after having selected and narrated a positive (PN group) or a negative (NN group) memory of illness. They also had to attribute one or more emotions to each memory and to the narrative. The number of emotions and the percentage of emotional tones in both narrated and non-narrated memories were assessed. Narrated memories were more emotionally re-elaborated than non-narrated ones. Negative group participants, more than positive group ones, decreased negative emotions and increased complex ones. Authors discuss these results claiming that narrating works as a rehearsal of autobiographical memories in oncological patients and narrating negative memories eases the emotional re-elaboration of illnes

    Smorti, A. & Fioretti, C. (2013). La lettura dei racconti come scuola di eccellenza per la vita. In Giusti, S. & Batini, F. (Eds) I quaderni della ricerca: Imparare dalla lettura, pp. 28-41. Torino: Loescher

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    approfondimento sulla lettura come strumento di comprensione della vita e del sé attraverso la narrazione autobiografica e lo sviluppo di competenze mnestiche e narrativ

    Exploring narratives to investigate doctor-patient relationship in the care path for genetic cardiomyopathies

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    Genetic Cardiomyopathies are chronic diseases involving physical and psycho-social issues which imply the need to involve the patient in care relationships with their doctors across all the life-span. For the present study, consultations of 45 adult patients affected by cardiomyopathies (15 at their first consultation, 15 at their 1-year follow up and 15 at 10-year follow-up) were audio-recorded, transcribed and coded considering differences in doctors’ and patients’ roles in terms of word-count, type of questions and answers performed. Results show that doctor narrative is prone to decrease from first consultation to both follow-ups (F(2,42)= 4.631; p=.01), with a lower level of anamnestic dialogue in follow-ups (F(2,42)= 4.055, p=.02). At the same time, patients increase in follow-ups the number of questions to doctors (F(2,42)= 3.339, p=.04). The first consultation acquires the meaning of a diagnostic meeting in which doctors narrate and ask more, preferring an anamnestic script characterized by sequence of new questions. In this scenario, patients don’t find the space to ask their doctors for explanations or clarifications. Follow-up visits, on the other hand, allow the patient the opportunity to narrate their illness experience, acquiring an active role in care relationship
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