Chronotope Disruption as a Sensitizing Concept for Understanding Chronic Illness Narratives

Timothy Gomersall, Anna Madill

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives:
This article aims to elaborate chronotope disruption - a changed relation to time and space - as a sensitizing concept for understanding chronic illness narratives.

Methods:
Sixteen men and 16 women with Type 2 diabetes were purposefully sampled. Each was interviewed about his or her experience of diabetes self-management using the biographical-narrative interview method. Transcripts were inspected for key moments defined as emotionally laden stories relevant to the purpose of the research. We present dialogically infected discursive analysis of exemplar extracts.

Results: The analysis demonstrates how the concept of chronotope disruption helps identify, and understand, important aspects of patients' chronic illness narratives. First, we investigate how medical advice can conflict with embodied experience and how progressive bodily deterioration can provoke a reevaluation of past illness (self-mis)management. Second, the increasing temporal and spatial intrusion of chronic illness into participants' lives is examined. Finally, we focus on the masquerade of health as an attempt to manage, hide, or deny that one is physically challenged.

Conclusions:
Chronotope disruption offers a useful sensitizing concept for approaching chronic illness narratives and around which to organize analytical insights and to develop practice. Chronotope analysis fills an important gap in the science through compensating current health sciences' focus on rationality, cognition, and prospective time (prediction) with a patient-oriented focus on emotionality, embodiment, and retrospective time (nostalgia). Chronotope disruption could be used to develop practice by gaining empathic understanding of patients' life-worlds and provides a tool to examine how new technologies change the way in which the chronically ill have 'being' in the world.
Original languageEnglish
Pages (from-to)407-416
Number of pages10
JournalHealth Psychology
Volume34
Issue number4
Early online date8 Sep 2014
DOIs
Publication statusPublished - Apr 2015
Externally publishedYes

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Chronic Disease
Self Care
Health
Disabled Persons
Type 2 Diabetes Mellitus
Cognition
Interviews
Technology
Research

Cite this

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abstract = "Objectives:This article aims to elaborate chronotope disruption - a changed relation to time and space - as a sensitizing concept for understanding chronic illness narratives.Methods:Sixteen men and 16 women with Type 2 diabetes were purposefully sampled. Each was interviewed about his or her experience of diabetes self-management using the biographical-narrative interview method. Transcripts were inspected for key moments defined as emotionally laden stories relevant to the purpose of the research. We present dialogically infected discursive analysis of exemplar extracts.Results: The analysis demonstrates how the concept of chronotope disruption helps identify, and understand, important aspects of patients' chronic illness narratives. First, we investigate how medical advice can conflict with embodied experience and how progressive bodily deterioration can provoke a reevaluation of past illness (self-mis)management. Second, the increasing temporal and spatial intrusion of chronic illness into participants' lives is examined. Finally, we focus on the masquerade of health as an attempt to manage, hide, or deny that one is physically challenged.Conclusions:Chronotope disruption offers a useful sensitizing concept for approaching chronic illness narratives and around which to organize analytical insights and to develop practice. Chronotope analysis fills an important gap in the science through compensating current health sciences' focus on rationality, cognition, and prospective time (prediction) with a patient-oriented focus on emotionality, embodiment, and retrospective time (nostalgia). Chronotope disruption could be used to develop practice by gaining empathic understanding of patients' life-worlds and provides a tool to examine how new technologies change the way in which the chronically ill have 'being' in the world.",
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Chronotope Disruption as a Sensitizing Concept for Understanding Chronic Illness Narratives. / Gomersall, Timothy; Madill, Anna.

In: Health Psychology, Vol. 34, No. 4, 04.2015, p. 407-416.

Research output: Contribution to journalArticle

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