Researchers and medical educators in the field of doctor-patient communication encourage doctors to elicit patient narratives during medical encounters to facilitate data collection, relationship building and patient satisfaction. However, these scholars provide little information about the nature of narratives, particularly in the context of the medical interview. This paper reviews the multidisciplinary literature on narrative and presents the results of a narrative analysis of 21 doctor-patient interviews. A set of criteria for defining narrative is derived from the literature and applied to these interviews, demonstrating the limitations of previous conceptions of narrative and suggesting an extended definition. This extension emphasises the view that narratives are co-constructed through the interaction of both participants in the interview in which they occur. Applying the extended definition to the same interviews reveals 3 new narrative forms: narratives that emerge from the co-constructed chronology of key events, the co-constructed repetition and elaboration of key events, and the co-constructed interpretation of the meaning of key events.
https://d1wqtxts1xzle7.cloudfront.net/37485988/Kumagai_FrameworkNarratives.pdf?143062
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