Clinical Reasoning - 0 views

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  #1 kolodziejs on 14 Nov 15

   

  Narrative reasoning is a central mode of clinical reasoning in OT. Therapists reason narratively when they are concerned with disability as an illness experience, that is, with how a physiological condition is affecting a person's life. The first is the use of narrative as a mode of speech that can be contrasted with biomedical discourse, in which disability is framed as physical pathology. The second involves the creation rather than the telling of stories. Therapists try therapeutic encounters with patients, that is, to help create a therapeutic story that becomes a meaningful short story in the larger life story of the patient. It became clear in the course of the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study that therapists not only listen to the stories that their patients tell them, but also tell stories about their patients. Furthermore, an important part of this storytelling involves the therapist's understanding of the patient's way of dealing with disability and with puzzling about how to approach a problematic patient. Narrative thinking is central in providing therapists with a way to consider disability in the phenomenological terms of injured lives.

   

  <div class="cArrow"> </div><div class="cContentInner">Narrative reasoning is a central mode of clinical reasoning in OT. Therapists reason narratively when they are concerned with disability as an illness experience, that is, with how a physiological condition is affecting a person's life. The first is the use of narrative as a mode of speech that can be contrasted with biomedical discourse, in which disability is framed as physical pathology. The second involves the creation rather than the telling of stories. Therapists try therapeutic encounters with patients, that is, to help create a therapeutic story that becomes a meaningful short story in the larger life story of the patient. It became clear in the course of the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study that therapists not only listen to the stories that their patients tell them, but also tell stories about their patients. Furthermore, an important part of this storytelling involves the therapist's understanding of the patient's way of dealing with disability and with puzzling about how to approach a problematic patient. Narrative thinking is central in providing therapists with a way to consider disability in the phenomenological terms of injured lives.</div>

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