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Updated: Aug 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Breaking the script in healthcare to improve care for LGBTQ+ people with serious illness
Carey Candrian1, Jennifer Tjia2, Kristin G Cloyes3
1Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Aurora, CO, 80045, 303-669-7320, United States. careycandrian@gmail.com.
Abstract:
LGBTQ+ people experience bias, stigma, and discrimination during interactions with healthcare providers. Highly-scripted systems limit how people share critical information about themselves, their values, and their goals of care. Practicing person-centered communication and narrative-eliciting skills, instead of imposing scripts, opens safer spaces for patients and caregivers to assert their truths.
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