Communicating Health and Illness
Publication Year: 2001
In this book Richard Gwyn demonstrates the centrality of discourse analysis to an understanding of health and communication. Focusing on language and communication issues he demonstrates that it is possible to observe and analyze patterns in the ways in which health and illness are represented and articulated by both health professionals and lay people. Communicating Health and Illness: · Explores culturally validated notions of health and sickness and the medicalization of illness · Surveys media representations of health and illness · Considers the metaphoric nature of talk about illness · Contributes to the ongoing debate in relation to narrative based medicine
- Front Matter
- Back Matter
- Subject Index
- Chapter 8: Introduction
- Chapter 1: The Body, Disease and Discourse
- Chapter 2: ‘Lay’ Talk about Health and Illness
- Chapter 3: Power, Asymmetry and Decision Making in Medical Encounters
- Chapter 4: The Media, Expert Opinion and Health Scares
- Chapter 5: Metaphors of Sickness and Recovery
- Chapter 6: Narrative and the Voicing of Illness
- Chapter 7: Conclusion
© Richard Gwyn 2002
First published 2002
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored or transmitted in any form, or by any means, only with the prior permission in writing of the publishers, or in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency. Inquiries concerning reproduction outside those terms should be sent to the publishers.
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ISBN 0 7619 6474 6
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Typeset by SIVA Math Setters, Chennai, India
Printed and bound in Great Britain by Athenaeum Press, Gateshead
For my parents[Page vi]
This book has evolved through the first three years of teaching a module in Health Communication to final year undergraduates at Cardiff University. The responses and positive feedback from students has been a source of encouragement, while any difficulties they might have had with some of the material has likewise been of benefit in the development of this book. They have, by and large, been a pleasure to teach.
Several sections of the book have been previously published elsewhere and I would like to acknowledge the publishers of Social Science and Medicine, Health, and Narrative Inquiry and two edited books: Researching and Applying Metaphor (Cambridge University Press) and Narrative Based Medicine (BMJ Books) for material reproduced in chapters 3, 4, 5 and 6.
Grateful acknowledgement is also made to copyright holders for the reproduction of material from The Western Mail, The Daily Mirror, The Daily Mail, George magazine and the BBC. Every effort has been made to obtain permission from copyright holders: if there are any errors or omissions please inform the publisher, so that subsequent editions can be adjusted accordingly.
Thanks are also due to Julia Hall, who first asked me to write the book, and to Seth Edwards and Rosie Maynard at Sage for their advice, encouragement, and professionalism.
The many people, either themselves ill or else who speak of the illness or loss of loved ones within these pages deserve special particular acknowledgement. I hope that I have not done a disservice to their words and emotions, and thank them for taking part in the work that has made this book possible.
I am particularly grateful to colleagues and friends at Cardiff University for reading early versions, or parts of, the book, notably Justine Coupland, Adam Jaworski, Srikant Sarangi, Nik Coupland and Joanna Thornborrow. I also offer thanks to Derek Edwards, Deborah Lupton and unknown readers for helpful comments about my work. Especial acknowledgement and thanks are due to Glyn Elwyn, medical colleague and co-author on two of the papers from which I have drawn in this book.
Finally, as ever, my thanks to Rose, Sioned and Rhiannon, for putting up with it all.
Key to Transcription Symbols
[ simultaneous or overlapping utterances = contiguous utterances [ ] 1) unclear utterances (estimation of utterance given inside brackets): if no words can be discerned, estimated number of syllables is given; if number of syllables cannot be discerned, the word ‘unclear’ is written inside the brackets 2) descriptions of non-verbal activity or noise e.g. [laughing] (.) pause of less than one second (3.0) length of longer pauses (in seconds) ? functional question ! animated utterance italics emphasis ‘ ’ in longer narrative passages involving reported speech inverted commas are occasionally used to establish provenance of an utterance
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