Showing 371 - 380 of 388 annotations tagged with the keyword "Narrative as Method"

The Culture of Pain

Morris, David

Last Updated: Jan-31-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

On the first page, Morris summarizes his project in this book: to "describe how the experience of pain is decisively shaped or modified by individual human minds and by specific human cultures. It explores what we might call the historical, cultural, and psychosocial construction of pain." Contemporary Western culture tries to convince us that pain is nothing but an aspect of disease and, therefore, a medical problem. But pain only exists in human experience; nerve impulses are not pain.

In calling our attention to the social and cultural meanings of pain, Morris begins with Tolstoy's short novel, The Death of Ivan Ilyich (see this database). He then presents various images of human suffering: gender-based pain, as in Charlotte Perkins Gilman's, The Yellow Wallpaper (see this database: annotated by Felice Aull, also annotated by Jack Coulehan); religious views, as in the stories of Job and the Christian martyrs; the aesthetic ideal, as manifested in the romantic idea of the sublime as painful; social uses, as in satire and torture (see Kafka's In the Penal Colony, annotated in this database); the relationship between pain and sex, as in the work of Marquis de Sade; and tragic pain, as evidenced in Sophocles' Philoctetes.

Throughout the book, Morris refers to the "invisible epidemic" of chronic pain that exists in the United States today. This epidemic of chronic pain can be adequately understood and treated only by approaching it with a cultural model, rather than a disease model.

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The Stone Diaries

Shields, Carol

Last Updated: Jan-30-1997
Annotated by:
Marta, Jan

Primary Category: Literature / Fiction — Secondary Category: Literature / Fiction

Genre: Novel

Summary:

The Stone Diaries recount the life of Daisy Goodwill (1905-199? [sic]). "[W]ife, mother, citizen of our century," her son closes the benediction of her memorial service. Yet Daisy is also the orphaned daughter of an orphan--her dramatic birth a turning point for her father, the neighbours--and a social outcast. Daisy becomes a happy child, a lifelong friend, a college graduate, a consummate gardener, a cultivator of stories, a pragmatist, a romantic, a widow twice (once scandalously, once more ordinarily) . . . . In short, the diaries of "Day's Eye" bear witness to the extraordinary lives of seemingly ordinary "citizens."

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Summary:

This book offers an insightful, well-reasoned interpretation of the nature of medicine. Hunter, an English professor who teaches and coordinates humanities programs at a medical school, observed first-hand how an academic medical center functions--she joined various teams during their multiple rounds and conferences for two years. In sum, she "behaved rather like an ethnographer among a white-coated tribe." The resultant book details the profound importance of narrative in medicine.

Narrative is integral to the medical encounter, to communications by and about the patient, and to the structure and transmission of medical knowledge. For example, the patient's story is told to and interpreted by the physician, who then tells another story of the patient, in case format to other physicians, and records that story in a formulaic chart entry. Hunter observes that most of the rituals and traditions of medicine and medical training are narrative in structure, and explains why narratives such as cautionary tales, anecdotes, case reports and clinical-pathological conferences are central, not peripheral, to medicine. The thesis is further developed to maintain that, if the narrative structure of medicine is fully recognized by physicians, they will attend to their patients better and acknowledge the details and importance of their patients' individual life stories.

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The Shipping News

Proulx, E. Annie

Last Updated: Jan-29-1997
Annotated by:
Marta, Jan

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Here is an account of a few years in the life of Quoyle, born in Brooklyn and raised in a shuffle of dreary upstate towns, where the novel begins. In these few years Quoyle metamorphoses from the human equivalent of a Flemish flake--a one layer spiral coil of rope that may be walked on if necessary--to a multi-layered presence with the capacity for constantly renewed purpose and connection. Grief, love, work, friendship, family, necessity, and community effect this transformation, as does Quoyle’s ancestral home of Newfoundland, a place of beauty and hardship, of memory and reverie.

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When

Williams, C. K. (Charles Kenneth)

Last Updated: Jan-28-1997

Primary Category: Literature / Poetry

Genre: Poem

Summary:

A wonderful poem about an old, dying man recognizing he is dying before any one else in the family will admit it. He wants them to help him die--a kind of family consensus on euthanasia, which he seems to control. After much family discussion, they agree to help him by giving him enough pills to "put him to sleep." He jokes with his family as they assist his dying: "On the day it would happen, the old man would be funny again: wolfing down handfuls of pills, 'I know this'll upset my stomach,' he'd say."

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The South

Garcia Morales, Adelaida

Last Updated: Jan-22-1997
Annotated by:
Marta, Jan

Primary Category: Literature / Fiction

Genre: Novella

Summary:

Tomorrow, as soon as it dawns, I will go to visit your grave, Papa, Adriana, in the long abandoned family home, reflects on her life before her father’s death when she was fifteen. She remembers their closeness and similarities, but also their distance and differences. Wedded by their physical resemblance, temperament and interests, they are also separated--by silence and sorrow, desires and disillusionments.

One night the adolescent tries to discuss her father’s torment, but both become angry. It is their last conversation. In the hours that follow, her beloved father takes his life with a single bullet.

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Primary Category: Literature / Fiction

Genre: Novel

Summary:

A man called "The Counselor" is wandering the deserts, plains, and villages. He teaches scripture and rebuilds churches, like a monk, eating and sleeping very little. He attracts an odd group of followers--cripples, murderers, fanatical boys--and leads them to Canudos where they build a town and a glorious cathedral. The town is designed in imitation of Jerusalem. Many people flock to the site to see The Counselor; he heals them with a touch and washes them clean of sin.

The newly-installed conservative government is suspicious of Canudos, seeing it as a bastion of progressive sentiment. They resolve to attack the town and wipe it out. The Counselor, however, has long warned his followers that the Dog and his forces of evil will try to ruin their sanctuary.

When the small branch of the army sent to destroy what they think is a band of cripples and madmen arrives, they are slaughtered with all the vengeance of a holy war. The angered government sends a larger force and the town is eventually destroyed, but the few survivors insist that they saw The Counselor ascend to heaven, and so his reign lives on.

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The Stone Diaries

Shields, Carol

Last Updated: Dec-19-1996
Annotated by:
Wear, Delese

Primary Category: Literature / Fiction — Secondary Category: Literature / Fiction

Genre: Novel

Summary:

The Stone Diaries is the story of Daisy Stone Goodwill, an ordinary woman born in 1905 in Manitoba, who arrives in this world at the same time her mother leaves it, and who moves through the world as child, daughter, young wife, widow, mother, friend, grandmother, and old woman. What makes The Stone Diaries extraordinary, in addition to the quiet lyrical quality of Shields's writing, is the book's autobiographical form: Daisy tries to tell the story of her life by becoming a witness to her life in ways quite impossible in a traditional autobiographical format (e.g. she witnesses her own birth).

Woven throughout the book is Daisy's sense of never quite being in control, of never being the subject of her own life but rather being pulled along by forces beyond her control. Only during the last dreaming weeks as she lies dying, contemplating her own life and death, does she realize that she's never constructed the story of her life, which she is finally able to do as she "returns to currency all that's been sampled and stored and dreamed into being."

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Round the Red Lamp

Doyle, Sir Arthur Conan

Last Updated: Dec-10-1996

Primary Category: Literature / Fiction

Genre: Collection (Short Stories)

Summary:

The book is a collection of 17 short stories, all of which center on physicians. "His First Operation" is about a student’s first view of surgery. He promptly faints. "A False Start" is about a doctor trying to establish a practice. He only succeeds by giving up the opportunity to treat the richest man in town, as he is the patient of another doctor. He and the doctor he thus honors become partners.

"The Doctors of Hoyland" deals with the issue of female doctors. Dr. Ripley has an established practice in Hoyland and when a famous doctor moves into the neighborhood he is secure enough to go visit him and offer him welcome. "He" turns out to be a woman, Dr. Smith.

Dr. Ripley is outraged; he thinks female doctors are a biological impossibility. Any woman who becomes a doctor must be unwomanly, otherwise how could she stand the sight of blood or inflict necessary pain? The woman doctor is courteous, but shows him the flaws in his thinking. The two are only reconciled when she is forced to treat his broken leg. He discovers how graceful, womanly, and skilled she is and asks for her hand, but she turns him down.

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As I Lay Dying

Faulkner, William

Last Updated: Oct-29-1996
Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Addie Bundren is dying in Yoknapatawpha County, Mississippi. As she dwindles, her five children, husband, a scattering of neighbors and the country doctor move about her. Each is given a chapter named for him or her, to provide evolving and unique viewpoints on Addie's life and death.

When Addie has finally breathed her last, the action begins: Anse, Addie's husband, has promised her that she would be buried in Jefferson with her own family. The nuclear family sets out in their old wagon. Floods, injuries, irrational decisions, disagreements, fire, and the full mental collapse of one of the children plague the journey. Addie is eventually buried in Jefferson, but in the process of getting her there, the reader learns the sweet and the sordid about this poverty-stricken and profoundly dysfunctional family.

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