Narrative reasoning is a central form of clinical reasoning in occupational therapy. Therapists reason narratively when they are concerned with disability as an illness and experience or how a physiological condition affects a person's life. This paper compares two types of narrative reasoning. 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 to construct 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.
Narrative reasoning is a central form of clinical reasoning in occupational therapy. Therapists reason narratively when they are concerned with disability as an illness and experience or how a physiological condition affects a person's life. This paper compares two types of narrative reasoning. 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 to construct 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.