Ailing Hearts and Troubled Minds: An Historical and Narratological Study on Illness Narratives by Physicians with Cardiac Disease.

Jonatan Wistrand
Author Information
  1. Jonatan Wistrand: Faculty of Medicine, Department of Medical History, Lund University, Jan Waldenströms gata 15, 205 02, Malmö, Sweden. jonatan.wistrand@med.lu.se. ORCID

Abstract

A number of studies show that when doctors become ill, there is often ambiguity in the division of roles and responsibilities in the medical encounter. Yet little is known about how the dilemma of the sick doctor has changed over time. This article explores the experience of illness among physicians by applying an historical, narratological approach to three doctor's narratives about personal cases of Cardiac Disease: Max Pinner's from the 1940s, Robert Seaver's from the 1980s, and John Mulligan's from 2015. Drawing on Erving Goffman's principles of social interaction, I argue that part of the challenge in the analysed narratives is because when doctors seek medical attention for themselves, the ensuing medical 'drama' suffers. I compare the three narratives to argue that the experience of becoming a patient while simultaneously remaining a doctor is a challenge that has changed over time. In Pinner's narrative, the patient identity is both undesirable and inaccessible; in Seaver's, role ambivalence between doctor and patient is the most salient feature; for Mulligan, his personal rather than professional experience of illness is the overarching theme of the narrative. Finally, I suggest that an awareness of how the medical drama often changes when doctors are patients might prove beneficial both for the doctor-patients and providers of medical care.

Keywords

References

  1. J Med Humanit. 2015 Dec;36(4):359-68 [PMID: 24221860]
  2. Med Humanit. 2013 Dec 1;39(2):105-14 [PMID: 23515010]
  3. Milbank Mem Fund Q Health Soc. 1975 Summer;53(3):257-78 [PMID: 1041510]
  4. Perspect Biol Med. 2014 Summer;57(3):424-42 [PMID: 25959354]
  5. Med Humanit. 2017 Mar;43(1):19-23 [PMID: 27587488]
  6. J Eval Clin Pract. 2011 Oct;17(5):927-32 [PMID: 21851510]
  7. Lancet. 2019 Mar 2;393(10174):868-869 [PMID: 30837137]
  8. N Engl J Med. 1945 Nov 29;233:657-9 [PMID: 21003935]
  9. Br J Gen Pract. 2008 Jul;58(552):501-8 [PMID: 18611318]
  10. Can Fam Physician. 2003 Sep;49:1121-7 [PMID: 14526864]
  11. J Community Health. 2016 Oct;41(5):924-31 [PMID: 26894999]
  12. Perspect Biol Med. 2007 Summer;50(3):379-94 [PMID: 17660632]

MeSH Term

Drama
Heart Diseases
Humans
Narration
Physician-Patient Relations
Physicians

Word Cloud

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