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The spiritual strength story in end-of-life care: Two case studies

Published online by Cambridge University Press:  22 November 2011

Robert G. Mundle
Robert G. Mundle*
Affiliation:
St. Mary's of the Lake Hospital site, Providence Care, Kingston, Ontario, Canada
*
Address correspondence and reprint requests to: Robert G. Mundle, St. Mary's of the Lake Hospital site, Providence Care, 340 Union Street, Kingston, ON K7L 5A2 Canada. E-mail: robert.mundle@utoronto.ca
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Abstract

In this article I analyze two brief case studies to propose that a “spiritual strength story” has five defining characteristics: (1) it is brief; (2) it is ontological; (3) it uses symbols and metaphors; (4) it is a “big story” or meta-narrative with a positive spiritual and/or religious focus that informs other narrative data; and (5) most conspicuously of all, it repeats. Cultivating awareness of the “spiritual strength” narrative type can help to improve the quality of inter-professional patient-centered care teamwork and understanding, especially in regard to the reflexive, embodied, and relational aspects of palliative and end-of-life care.

Keywords

Health care professionalsInterpellationListeningMetaphor/symbolismNarrative inquiryReligion/spirituality
Type
Case Report
Information
Palliative & Supportive Care , Volume 9 , Issue 4 , December 2011 , pp. 419 - 424
Copyright
Copyright © Cambridge University Press 2011

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References

REFERENCES

Bakhtin, M. (1984). Problems of Dostoevsky's Poetics. Emerson, C. (ed., trans.) Minneapolis: University of Minneapolis Press.CrossRefGoogle Scholar
Blickem, C. & Priyadharshini, E. (2007). Patient narratives: The potential for “patient-centred” interprofessional learning? Journal of Interprofessional Care, 21, 619–632.CrossRefGoogle ScholarPubMed
Browning, S. & Waite, R. (2010). The gift of listening: JUST listening strategies. Nursing Forum, 45, 150–158.CrossRefGoogle ScholarPubMed
Coaten, R.B. (2009). Building bridges of understanding: The use of embodied practices with older people with dementia and their care staff as mediated by dance movement psychotherapy. http://roehampton.openrepository.com/roehampton/handle/10142/90376Google Scholar
Cooper-White, P. (2004). Shared Wisdom: Use of the Self in Pastoral Care and Counseling. Minneapolis: Fortress Press.Google Scholar
Cooper-White, P. (2007). Many Voices: Pastoral Psychotherapy in Relational and Theological Perspective. Minneapolis: Fortress Press.Google Scholar
Frank, A.W. (1995). The Wounded Storyteller: Body, Illness, and Ethics. Chicago: University of Chicago Press.CrossRefGoogle Scholar
Frank, A.W. (2004). The Renewal of Generosity: Illness, Medicine and How to Live. Chicago: University of Chicago Press.CrossRefGoogle Scholar
Frank, A.W. (2005). Generosity, care, and a narrative interest in pain. In Narrative, Pain, and Suffering, Vol. 34. Carr, D. Loeser, J. & Morris, D. (eds), pp. 289–300. Seattle: IASP Press.Google Scholar
Frank, A.W. (2010). Letting Stories Breathe: A Socio-Narratology. Chicago: University of Chicago Press.CrossRefGoogle Scholar
Gubrium, J. & Holstein, J. (2008). Analysing Narrative Reality. London: Sage.Google Scholar
Halpern, J. (1996). Empathy: Using resonance emotions in the service of curiosity. In Empathy and the Practice of Medicine: Beyond Pills and the Scalpel. Spiro, H. M., Curnen, M. G. McCrea, Peschel, E. et al. (eds), pp. 160–173. New Haven: Yale University Press.Google Scholar
Hodge, D.R. (2001). Spiritual assessment: A review of major qualitative methods and a new framework for assessing spirituality. Social Work, 46, 203–214.CrossRefGoogle Scholar
Kellehear, A., Pugh, E. & Atter, L. (2009). A home away from home? A case study of bedside objects in a hospice. International Journal of Palliative Nursing, 15, 148–152.CrossRefGoogle Scholar
Mackenzie, C. (2006). Imagining other lives. Philosophical Papers, 35, 293–325.CrossRefGoogle Scholar
Meier, D.E. & Beresford, L. (2008). The palliative care team. Journal of Palliative Medicine, 11, 677–681.CrossRefGoogle ScholarPubMed
Phoenix, C. & Sparkes, A.C. (2009). Being Fred: Big stories, small stories and the accomplishment of a positive ageing identity. Qualitative Research, 9, 219–236.CrossRefGoogle Scholar
Propp, K.M., Apker, J., Sabava Ford, W.S., et al. (2010). Meeting the complex needs of the health care team: Identification of nurse-team communication practices perceived to enhance patient outcomes. Qualitative Health Research, 20, 15–28.CrossRefGoogle ScholarPubMed
Quill, T., Norton, S., Shah, M., et al. (2006). What is most important for you to achieve? An analysis of patient responses when receiving palliative care consultation. Journal of Palliative Medicine, 9, 382–388.CrossRefGoogle ScholarPubMed
Savage, J. (1996). Listening and Caring Skills: A Guide for Groups and Leaders. Nashville: Abingdon Press.Google Scholar
Shah, M., Quill, T., Norton, S., et al. (2008). “What bothers you the most?” Initial responses from patients receiving palliative care consultation. American Journal of Hospice and Palliative Medicine, 25, 88–92.CrossRefGoogle ScholarPubMed
Stanworth, R. (2004). Recognizing Spiritual Needs in People Who Are Dying. Oxford: Oxford University Press.Google Scholar
Thomas, C., Reeve, J., Bingley, A., et al. (2009). Narrative research methods in palliative care contexts: Two case studies. Journal of Pain and Symptom Management, 37, 788–796.CrossRefGoogle ScholarPubMed