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Oncology and narrative time

M J Del Vecchio Good1, T Munakata, Y Kobayashi

  • 1Department of Social Medicine, Harvard Medical School, Boston, MA 02115.

Social Science & Medicine (1982)
|March 1, 1994
PubMed
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American oncologists manage patient uncertainty by focusing on immediate experiences rather than long-term timelines. This narrative approach contrasts with other cultural practices, impacting hope and therapeutic plots in cancer care.

Area of Science:

  • Medical Sociology
  • Clinical Oncology
  • Narrative Medicine

Background:

  • Oncologists face significant uncertainty regarding patient prognoses and time horizons.
  • Cultural expectations in the US mandate instilling hope in patient-physician therapeutic narratives.
  • Uncertainty influences how oncologists communicate time, often emphasizing immediacy.

Purpose of the Study:

  • To analyze how American oncologists manage temporal uncertainty in patient communication.
  • To explore the construction of therapeutic narratives and the experience of time in oncology.
  • To compare American temporal communication patterns with Japanese practices.

Main Methods:

  • Utilized narrative analysis focusing on temporality and therapeutic plot construction.

Related Experiment Videos

  • Examined exemplar cases and therapeutic practices in American and Japanese oncology.
  • Employed qualitative methods to understand physician communication strategies.

    • Main Results:

    • American oncologists often express time without clear horizons or with foreshortened timelines.
    • This communication style prioritizes patient immediacy over chronological progression.
    • Cultural mandates for hope influence these temporal expressions.

    Conclusions:

    • The American approach to temporal communication in oncology is distinct, shaped by cultural factors and the need to manage uncertainty.
    • Narrative strategies focusing on immediacy may impact patient hope and the therapeutic relationship.
    • Cross-cultural comparisons reveal diverse methods for constructing therapeutic plots in cancer care.