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Q J Med 2003; 96: 615-616
© 2003 Association of Physicians

Coda

Uniqueness and conformity

The first 10% of the full text of this article appears below.

If you observe medical consultations closely, you will nearly always observe some kind of struggle going on between medical and lay styles of conversation. Patients mostly display a style that is best described as a narrative one, while doctors pursue one that is more normative. (The distinction is my own, but it closely follows the psychologist Jerome Bruner, who talks of ‘narrative’ and ‘paradigmatic’ modes of speech.)

Patients, by and large, have a story to tell. This story-telling has a primeval drive behind it, a drive . . . [Full Text of this Article]

John Launer


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