Narrative Aversion: Challenges for the Illness Narrative Advocate

J Med Philos. 2017 Feb;42(1):50-69. doi: 10.1093/jmp/jhw031. Epub 2016 Dec 7.

Abstract

Engaging in self-narrative is often touted as a powerful antidote to the bad effects of illness. However, there are various examples of what may broadly be termed "aversion" to illness narrative. I group these into three kinds: aversion to certain types of illness narrative; aversion to illness narrative as a whole; and aversion to illness narrative as an essentially therapeutic endeavor. These aversions can throw into doubt the advantages claimed for the illness narrator, including the key benefits of repair to the damage illness does to identity and life-trajectory. Underlying these alleged benefits are two key presuppositions: that it is the whole of one's life that is narratively unified, and that one's identity is inextricably bound up with narrative. By letting go of these assumptions, illness narrative advocates can respond to the challenges of narrative aversions.

Keywords: identity; illness; narrative; the self.

MeSH terms

  • Behavior
  • Health Status*
  • Humans
  • Narration*
  • Self Concept*
  • Social Identification