A narrative approach for a client with irritable bowel syndrome

This article aimed to illustrate a new narrative approach that transformed a client’s story of suffering by differentiating the meaning construction of a particular speech act of other people. The new narrative approach has fundamental roots in coordinated management of meaning theory. The authors reformed this as “modified coordinated management of meaning” (MCMM), and called the refined model the refined MCMM (RMCMM). The client was a 21-year-old woman who was diagnosed with irritable bowel syndrome (IBS) in high school. Her story of suffering concerned odors related to her IBS-diarrhea symptoms, which resulted in her experiencing difficulties in college life. The social worker intervened the client’s meaning construction of the locutionary act of another person’s speech act “something really stinks.” The client acquired the skills for generating new meaning constructions and speech act selections to transform her story of suffering. The RMCMM was an efficacious narrative approach that allowed the client with IBS to transform her story of suffering over a short period.

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Transforming Conflict Narratives

Journal of Transformative Education ◽

10.1177/15413446211045173 ◽

2021 ◽

pp. 154134462110451

Author(s):

Beth Fisher-Yoshida ◽

Joan C. Lopez

Keyword(s):

Narrative Analysis ◽

Personal Narratives ◽

Coordinated Management Of Meaning ◽

Social Worlds ◽

Social Narratives ◽

Personal Stories ◽

The Social ◽

Management Of Meaning ◽

Social Narrative ◽

Conflict Narratives

Narratives, both personal and social, guide how we live and how we are acculturated into our social worlds. As we make changes in our lives, our personal stories change and, in turn, have the potential to influence the social narratives of which we are a part. Likewise, when there are changes in the culture and social worlds around us, that social narrative changes, thereby affecting our personal narratives. In other words, personal and social narratives are strongly linked and mutually influence each other. We may feel and know these transformations take place and understand the ways in which our lives are affected. However, we often struggle to document these shifts. This article suggests using the practical theory, Coordinated Management of Meaning (CMM) (Pearce, 2007), for narrative analysis to identify and surface personal and social narrative transformations.

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Exploring the Coordinated Management of Meaning of Sex: The Social Construction of Male College Student Logical Forces

Creative Education ◽

10.4236/ce.2014.515157 ◽

2014 ◽

Vol 05 (15) ◽

pp. 1383-1395

Author(s):

Nathan M. Swords ◽

Mark P. Orbe ◽

Angela Cooke-Jackson ◽

Amber L. Johnson

Keyword(s):

College Student ◽

Social Construction ◽

Coordinated Management Of Meaning ◽

Male College Student ◽

The Social ◽

Male College ◽

Management Of Meaning

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Examination of anxiety and the evasion action in the social situation with the strain of the tendency to irritable bowel syndrome

The Proceedings of the Annual Convention of the Japanese Psychological Association ◽

10.4992/pacjpa.76.0_3amc22 ◽

2012 ◽

Vol 76 (0) ◽

pp. 3AMC22-3AMC22

Author(s):

Yoichi SEKl ◽

Takuya IIDA ◽

Yuko IKEDA ◽

Keiko OHTSU ◽

Kenichi ASANO

Keyword(s):

Irritable Bowel Syndrome ◽

Social Situation ◽

The Social ◽

Irritable Bowel

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PGI15 COST EFFECTIVENES OF THE PHARMACOLOGIC TREATMENT OF IRRITABLE BOWEL SYNDROME AT THE SOCIAL SECURITY MEXICAN INSTITUTE

Value in Health ◽

10.1016/j.jval.2011.02.1012 ◽

2011 ◽

Vol 14 (3) ◽

pp. A183

Author(s):

J. Ojeda Méndez ◽

I. Contreras ◽

A. Vallejos Parás

Keyword(s):

Irritable Bowel Syndrome ◽

Social Security ◽

Pharmacologic Treatment ◽

The Social ◽

Irritable Bowel

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The Modulation of Oxytocin and Cortisol Levels in Major Depression Disorder and Irritable Bowel Syndrome

Revista de Chimie ◽

10.37358/rc.20.1.7826 ◽

2020 ◽

Vol 71 (1) ◽

pp. 150-154 ◽

Cited By ~ 2

Author(s):

Luminita Hritcu ◽

Ilie Ovidiu Dumitru ◽

Manuela Padurariu ◽

Alin Ciobica ◽

Mihaela Claudia Spataru ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Major Depression ◽

Digestive System ◽

Neuropsychiatric Disorders ◽

Strong Correlations ◽

Major Depression Disorder ◽

Opposite Pattern ◽

The Social ◽

Irritable Bowel ◽

Depression Disorder

There is a progressive trend in the current literature in understanding the central effects of oxytocin, which besides its classical roles in parturition and lactation, seems to exert some facilitatory effects in most of the neuropsychiatric disorders. Thus, it seems that oxytocin is mainly linked to the neuropsychiatric disorders where the social component is more or less affected and it has also strong correlations with the stress-related mechanisms and hypothalamic�pituitary�adrenal (HPA) axis. In addition, the connections between oxytocin and the digestive system were previously suggested, including by some of our preliminary results, in the context of irritable bowel syndrome (IBS) pathology. Also, the relations between depression and stress in the context of cortisol implications are quite well described, although various modifications of cortisol (increased, decreased or non-modified) were described in the major depression pathology. Thus, by using two research cohorts: one with major depression disorder (n = 15) and another one having both diagnosis of major depression disorder and irritable bowel syndrome in the same time (n = 15), we are showing in this report significantly increased levels of cortisol in patients with MDD and IBS, when compared with patients with MDD without IBS, while an opposite pattern was obtained by measuring the plasma level of oxytocin, where the patients with MDD and IBS had a significantly decreased concentration of oxytocin, as compared with those with MDD but without IBS.

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Catastrophizing the Consequences of Gastrointestinal Symptoms in Irritable Bowel Syndrome

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.23.2.160 ◽

2009 ◽

Vol 23 (2) ◽

pp. 160-173 ◽

Cited By ~ 15

Author(s):

Melissa G. Hunt ◽

Marina Milonova ◽

Samantha Moshier

Keyword(s):

Irritable Bowel Syndrome ◽

Cognitive Processes ◽

Anxiety Sensitivity ◽

Symptom Severity ◽

Gastrointestinal Symptoms ◽

Control Group ◽

The Social ◽

Gi Symptoms ◽

Functional Implications ◽

Irritable Bowel

This study investigated whether patients with irritable bowel syndrome (IBS) tend to (a) catastrophize the social and functional implications of gastrointestinal (GI) symptoms, and (b) have heightened visceral anxiety sensitivity. IBS patients, Crohn’s disease patients, panic disorder patients, and a normal control group were assessed on GI symptom severity, visceral anxiety sensitivity, and the tendency to catastrophize the implications of GI symptoms. Visceral anxiety sensitivity was associated with more severe GI symptoms for IBS patients but not for Crohn’s patients. IBS patients catastrophized the implications of GI symptoms significantly more than Crohn’s patients and controls but not significantly more than panic patients. Similar to panic patients, but unlike Crohn’s patients, IBS patients engage in maladaptive cognitive processes related to symptom severity. Results suggest that therapeutic focus on reducing visceral anxiety sensitivity and correcting catastrophic beliefs about the social and functional implications of GI symptoms may enhance the efficacy of cognitive interventions for IBS.

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