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Narrative and identity
Published in Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki A. Entwistle, Catherine Mills, The Routledge Handbook of Feminist Bioethics, 2022
Both the teleological and holistic focuses of narrative theories emphasize individual experience, asking us to consider people’s actions and experiences in light of their reasons for action, their self-understanding. In doing so, narrative theories provide ways to better understand people’s experience from their perspective. Narrative theories have been employed to investigate, for example, experiences of dementia (Batra et al. 2016), disability (Sparkes 2005; Edwards 2006), psychiatric illness (Lumsden 2013), depression (Flynn 2010), asymptomatic disease (Walker and Rogers 2017) and face transplants (Edgar 2009). Narrative identity theories provide some of the most sophisticated frameworks for investigating and articulating the mechanisms involved in personal change, and their relation to a person’s sense of self, in detail. This aligns with the use of narratives in the medical humanities to understand the personal meanings of illness (Kleinman 1988; Frank 1995). Individuals often interpret and experience their medical diagnoses not only in biological terms, but in relation to symbolic meanings derived from their past. Narrative theories can thus be of use in clinical ethics in gathering information of relevance for clinical decisions, including understanding of a patient’s needs and values (Jecker and Ko 2017).
Narrative practice
Published in Trudy Stewart, Stammering Resources for Adults and Teenagers, 2020
McAdams (2013) defines narrative identity as “the internalized and changing story of your life that you begin to work on in the emerging adult years” (p. 62). NP supports a person in the development of his preferred identity. Van Riper (1971) and Sheehan (1970) both considered the impact of stammering on the PWS’s “self-concept”, and both discussed this in relation to communication and stammering in social situations. For a PWS, the experience of being seen to stammer in, for example, school or work impacts profoundly on his sense of social self. O’Dwyer, Walsh and Leahy (2018) studied narratives from six men who stammer and found that their ability to value imperfection rather than seek perfection was key in developing a sense of self, particularly a social self, which allowed them to be who they wanted to be.
Making sense of the stories told
Published in Julie Jomeen, Tina Lavender, Choice, Control and Contemporary Childbirth, 2019
Narrative has been claimed to provide a structure to our sense of selfhood.1 The stories we tell about our lives to both ourselves and others create a narrative identity by which we recognise ourselves.1 It is possible to hold a number of different narrative identities, each of which is connected to different social relationships, an aspect which is particularly relevant in the interpretation of the childbirth stories women told. Narrative identity and its connected social relationships, in turn provide a sense of localised coherence and stability.1 At times of instability, we can make connections to other aspects of our narrative identities. Women in pregnancy and new motherhood are in a process of creating new social relationships defined by both their pregnancy and their baby but also in renegotiating relationships with their partners, family, friends and others. Narrative affords us access to those experiences as described by the women themselves and to how women define themselves at this time in the context of their lives.
The Relations between Narrative Identity and Personality Pathology among Clinical Adolescents: Findings from a Multi-Ethnic Asian Sample
Published in Journal of Personality Assessment, 2023
Amy Y. See, Theo A. Klimstra, Rebecca L. Shiner, Mythily Subramaniam, Say How Ong, Jaap J. A. Denissen
The vast majority of studies on narrative expressions have been on European and North American samples, and the unique features of the Singaporean context may affect narrative features. There are previous comparisons involving a somewhat comparable group, namely ethnically Chinese adolescents from New Zealand, who once were immigrants but eventually acculturated (Reese et al., 2014). The researchers studying this group found that, in comparison with ethnically European New Zealand adolescents, ethnically Chinese adolescents displayed lower levels of causal coherence (operationalized as connections between one’s past and current self) and thematic coherence (operationalized as the presence of an underlying theme in one’s life story). Similarly, the unique Singapore cultural/societal background may impact differently on the development of narrative identity and PD traits among adolescents. To our knowledge, however, no study has explored the relations between narrative identity and PD trait domains in non-Western samples (cf. Lind et al., 2020).
Personal narratives and the pursuit of purpose and possibility in psychosis: directions for developing recovery-oriented treatments
Published in Expert Review of Neurotherapeutics, 2023
Courtney N Wiesepape, John T Lysaker, Sarah E Queller, Paul H Lysaker
It is likely that consideration of narratives and narrative identity will grow, both in terms of a specific treatment target and indirectly as a way to contextualize individual experience during treatment. With this increased focus on personal narratives and narrative identity, we expect that new trends in the treatment of psychosis will emerge, including greater acceptance and promotion of meaningfully personalized treatment that explore narrative and changes in identity that may affect narratives. For example, Conneely et al. [1] recently reported five ways identity changes are understood in psychosis, including as reflections of personal growth, and suggest that this framework of identity change can help inform treatment. Because this framework includes various ways identity may evolve, it allows for personalized therapeutic approaches and individualized discussions of identity change and personal narrative to occur.
Neurotechnologies and Identity Changes: What the Narrative View Can Add to the Story
Published in AJOB Neuroscience, 2023
After receiving a diagnosis, the patient’s perspective tends to shift from a stage of unorganized illness to a new set of meanings regulated by medical expertise (Rier 2010; Schneider and Conrad 1983). Afterward, these new meanings permeate the individual’s life beyond the consultation room. When it comes to chronic illness, the individual is generally faced with novel limitations and forced to make compromises while trying to preserve as much as they can from their already established identity narratives (Rier 2010), to maintain a sense of coherence between the old and the new self. These changes may or may not affect the patient’s personality, but their narrative identity suffers changes brought about by an illness that becomes present in the new stories about themselves. Schneider and Conrad (1983) discuss epilepsy patients’ reaction upon receiving the diagnosis. People generally focus on the limitations they have to accommodate from that moment on. For a patient who, for example, greatly enjoyed wine tasting or who was a professional driver, the fact that they are no longer permitted to drink or to drive will reflect on their identity narrative.