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Act Like It Hurts: Questions of Role and Authenticity in the Communication of Chronic Pain

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Painscapes

Abstract

The processes that make successful human-to-human interactions in healthcare consultations are poorly understood. Using the lenses of performance and culture, this chapter explores the significance of role and authenticity in the communication of chronic pain. It sets out to better understand some challenges created by cultural archetypes and their associated tropes. It examines the culturally naturalised roles of Doctor and Patient. It concludes that we need to find new ways of telling stories about chronic conditions and in order to enable the feeling of safety that facilitates healing and flourishing.

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Notes

  1. 1.

    As philosopher Roland Barthes suggested, any story or idea that sustains a dominant ideology is naturalised. Barthes, R. Mythologies (Paris: Editions du Seuil, 1957).

  2. 2.

    See, for example, Ong, L. M., J. C. De Haes, A. M. Hoos, and F. B. Lammes. “Doctor-Patient Communication: A Review of the Literature.” Social Science & Medicine 40, no. 7 (1995): 903–918; Kearley, K. E., G. K. Freeman, and A. Heath. “An Exploration of the Value of the Personal Doctor-Patient Relationship in General Practice.” British Journal of General Practice 51, no. 470 (2001): 712–718.

  3. 3.

    Wearne, B. The Theory and Scholarship of Talcott Parsons to 1951: A Critical Commentary (Cambridge: Cambridge University Press, 1989).

  4. 4.

    Bennett, Susan. Theatre Audiences: A Theory of Production and Reception (Abingdon; New York: Routledge, 1997).

  5. 5.

    Beach, M. C., and T. Inui. “Relationship-Centred Care.” Journal of General Internal Medicine 21, no. S1 (2006).

  6. 6.

    May, H. Aristotle’s Ethics: Moral Development and Human Nature (London; New York: Continuum, 2010).

  7. 7.

    Ranheim, A., and H. Dahlberg. “Ecological Caring—Revisiting the Original Ideas of Caring Science.” International Journal of Qualitative Studies on Health and Well-being 11, no.1 (2016): 33344.

  8. 8.

    www.paintoolkit.org

  9. 9.

    Moore, Pete (1 February 2017) Conversation with Sarah Goldingay, Royal College of Chiropractors, Kent Terrace, London.

  10. 10.

    Goldingay, Sarah, P. Dieppe, M. Mangan, and D. Marsden. “(Re)Acting Medicine: Applying Theatre in Order to Develop a Whole-Systems Approach to Understanding the Healing Response.” RiDE Research in Drama Education 19, no. 3 (2014): 277.

  11. 11.

    Ibid.

  12. 12.

    May, Hope. Aristotle’s Ethics: Moral Development and Human Nature (London; New York: Continuum, 2010).

  13. 13.

    See www.kingsfund.org.uk “Long-term conditions and multi-morbidity” [Accessed 19/3/17].

  14. 14.

    Le Fanu, J. The Rise and Fall of Modern Medicine (New York: Avalon Publishing, 2002); Illich, I. Medical Nemesis (London, UK: Calder and Boyars, 1974).

  15. 15.

    Carlson, M. Performance: A Critical Introduction (Abingdon, UK: Routledge, 2004); Schechner, R. Performance Studies: An Introduction. 3rd ed. (Abingdon, UK: Routledge, 2013); Pitches, J., and S. Popat. Performance Perspectives: A Critical Introduction (New York, USA: Palgrave Macmillan, 2011).

  16. 16.

    Goldingay, Sarah. “Contra Mortem, Petimus Scientiam: Pain, Tragedy, Death and Medicine in BLOK/EKO.” Studies in Theatre and Performance 32, no. 3 (2012): 347–358.

  17. 17.

    Mangan, M. Staging Ageing: Theatre, Performance and the Narrative of Decline (Bristol: Intellect, 2013).

  18. 18.

    Schechner, R. Performance Studies: An Introduction. 3rd ed. (Abingdon, UK: Routledge, 2013).

  19. 19.

    Schechner, R. Performance Theory. Revised ed. (New York, USA; London, UK: Routledge, 1988); Turner, V. Dramas, Fields and Metaphors (Ithaca, USA; London, UK: Cornell University Press, 1974).

  20. 20.

    Pavis, P. Languages of the Stage. Translated by Susan Melrose, et al. (New York, USA: PAJ Publications, 1982); Alter, J. A. Sociosemiotic Theory of Theatre (Philadelphia: University of Pennsylvania Press, 1990).

  21. 21.

    Schechner, R. Performance Studies: An Introduction. 3rd ed. (Abingdon, UK: Routledge, 2013).

  22. 22.

    Goldingay, S. “Contra Mortem, Petimus Scientiam: Pain, Tragedy, Death and Medicine in BLOK/EKO.” Studies in Theatre and Performance 32, no. 3 (2012): 347–358.

  23. 23.

    Franks, A. W. The Wounded Storyteller: Body, Illness and Ethics (University of Chicago Press, 2013); Kleinman, A. The Illness Narratives: Suffering, Healing, and the Human Condition (Basic Books, 1988); Morris, D. B. The Culture of Pain (University of California Press, 1991); wounded storyteller Scarry, E. The Body in Pain: The Making and Unmaking of the World (Oxford: Oxford University Press, 1985).

  24. 24.

    Goldingay, S. “Howard Barker.” In Modern British Playwriting: The 80s: Voices, Documents, New Interpretations, edited by J. Milling (London: Methuen, 2012).

  25. 25.

    Case, G. A. “Performance and the Hidden Curriculum in Medicine.” Performance Research 19, no. 4 (2014): 6–13.

  26. 26.

    Mangan, M. The Drama, Theatre and Performance Companion (Basingstoke: Palgrave, 2013), 125–126.

  27. 27.

    Boal, A. Theatre of the Oppressed. Translated by C. and M.-O. Leal McBride (London, UK: Pluto Press, 1979); Freire, P. Pedagogy of the Oppressed (London, UK; New York, USA: Continuum, 1970).

  28. 28.

    Becker, H. S., B. Geer, E. C. Hughes, et al. The Boys in White (New Brunswick, USA: Transaction Books, 1984).

  29. 29.

    Goldingay, S. (2012–2014). Interviews/Focus Group with First Year Medical Students. Exeter, UK: Unpublished.

  30. 30.

    Mercer, N. The Guided Construction of Knowledge: Talk Among Teachers and Learners (Clevedon: Multilingual Matters, 1995).

  31. 31.

    Goldingay, S. (2012–2014). Interviews/Focus Group with First Year Medical Students. Exeter, UK: Unpublished.

  32. 32.

    Goetz, J. L., D. Keltner, E. Simon-Thomas. “Compassion: An Evolutionary Analysis and Empirical Review.” Psychology Bulletin 136 (2010): 351–374.; Neumann, M., C. Scheffer, D. Tauschel, et al. “Physician Empathy: Definition, Outcome-Relevance and Its Measurement in Patient Care and Medical Education.” GMS Zeitschrift für MedizinischeAusbildung 29 (2012): Doc11.

  33. 33.

    Jankowiak-Siuda, K., K. Rymarczyk, and A. Grabowska. “How We Empathize with Others: A Neurobiological Perspective.” Medical Science Monitor 17 (2011): RA18–RA24.

  34. 34.

    Neumann, M., C. Scheffer, D. Tauschel, et al. “Physician Empathy: Definition, Outcome-Relevance and Its Measurement in Patient Care and Medical Education.” GMS Zeitschrift für MedizinischeAusbildung 29 (2012): Doc11.

  35. 35.

    Goldingay, S., P. Dieppe, M. Farias. “‘And the Pain Just Disappeared into Insignificance’: The Healing Response in Lourdes—Performance, Psychology and Caring.” The International Review of Psychiatry 26, no. 3 (2014): 315–323.

  36. 36.

    Rogers, C. R. “The Necessary and Sufficient Conditions of Therapeutic Personality Change.” Journal of Consulting and Clinical Psychology 60, no. 6 (1992): 827.; Rogers, C. R. On Becoming a Person (Boston: Houghton Miffin, 1961); Watson, J. Nursing. The Philosophy and Science of Caring (Boulder: University Press of Colorado, 2008).

  37. 37.

    Osterman, P., and D. Schwartz-Barcott. “Presence: Four Ways of Being There.” Nursing Forum 31 (1996): 23–30.

  38. 38.

    Goldingay, S. (2016). Interviews/Fieldnotes, Blackthorn, Maidstone, Kent. Unpublished.

  39. 39.

    Vangronsveld, D. L., S. J. Linton. “The Effect of Validating and Invalidating Communication on Satisfaction, Pain and Affect in Nurses Suffering from Low Back Pain During a Semi-Structured Interview.” European Journal of Pain 16 (2012): 239–246.

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Goldingay, S. (2018). Act Like It Hurts: Questions of Role and Authenticity in the Communication of Chronic Pain. In: Gonzalez-Polledo, E., Tarr, J. (eds) Painscapes. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-349-95272-4_4

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  • DOI: https://doi.org/10.1057/978-1-349-95272-4_4

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