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Life biographies and end-of-life narratives. Dr. Celia Hynes, Director of Adult Nursing, University of Salford Dr. Alun Jones Adult Psychotherapist Betsi Cadwaladr University Health Board Visiting Professor University of Chester. Objectives of the Workshop.

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Life biographies and end of life narratives

Life biographies and end-of-life narratives

Dr. Celia Hynes, Director of Adult Nursing, University of Salford

Dr. Alun Jones

Adult Psychotherapist

Betsi Cadwaladr

University Health Board

Visiting Professor

University of Chester


Objectives of the workshop
Objectives of the Workshop

  • Consider the meaning of narrative and how they differ from stories

  • Review two real-life accounts

  • Identify a framework within which narrative analysis can take place


Structure of the workshop
Structure of the workshop

  • Work together – think over the importance of narrative. Gather thoughts from the group

  • Consider two case studies and ask you what you see within these stories

  • Feedback with wider discussion


Underpinning theory
Underpinning theory

  • Is there a differencebetween a narrative and a story?

  • What do you think?

  • How might either be therapeutic?


Underpinning theory1
Underpinning theory

  • Storytelling is deeply rooted in the core of human beings

  • Patients are key storytellers.

  • Healthcare professionals listening with empathy and compassion, help create a new script

  • Elements of overcoming and transcendence change the course of the story


Definition
Definition

  • Narrative - used interchangeably with story- a sequential order, connecting events in a meaningful way

  • Based on time, stories are recollections of events with an identifiable plot, having a beginning, middle and end


Therapeutic change
Therapeutic change

  • Help the person tell a story concerning his or herlife

  • Listen closely to language and contexts

  • Do not ask for certainty but allow for ambiguity

  • Help to construct new stories


Another definition
Another definition

Narrativeis a flow of events connected to atheme

Storyis the conscious ordering of these events to elicitmeaning


Two case studies
Two case studies

Group work – 20 minutes with feedback

Read the story/narrative and consider:

  • Have you heard similar stories in your practice?

  • Is there anything in this story that would cause you to spend further time with your patient?


Uses in practice
Uses in practice

  • Clinical supervision

  • Carer support

  • Patient comfort