scholarly journals ‘Eye of the Beholder’: Psychiatric Medical Reasoning, Narrative Humility, and Graphic Medicine

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sathyaraj Venkatesan ◽  
◽  
Arya Suresh ◽  
Keyword(s):  
Clinical Reasoning ◽  
Somatic Symptoms ◽  
Mental Patient ◽  
Biomedical Knowledge ◽  
Health Humanities ◽  
Doctor Patient Communication ◽  
Graphic Medicine ◽  
Research Article ◽  
New Perspective ◽  
The Voice

Within health humanities, graphic medicine narrates individual stories of patient experience in its interaction with the system of healthcare and its professionals. These autopathographies give a new perspective to the medicalized accounts of diseases and assign subjectivity to the voice which narrates its sufferings. From a medical perspective, clinical reasoning is an important step in the treatment of any disease and a procedure that determines the course of the upcoming treatment. However, in psychiatry, clinical reasoning is a problematic terrain with its lack of external validating criteria and increased reliance on non-somatic symptoms of the disease. In many instances, the authority of biomedical knowledge takes over clinical reasoning and completely denies the individuality of a mental patient and his or her story. This research article attempts to investigate how individual stories and experiences are undermined in psychiatric clinical reasoning discourses and recognizes the importance of empathy and compassion in medical listening through a close reading of select graphic memoirs on bipolar disorder. Citing certain panels from Rachel Lindsay’s Rx (2018) and Ellen Forney’s Marbles: Mania, Depression, Michelangelo and Me (2012), this study analyses the pitfalls of clinical reasoning in psychiatry and the widening gap of doctor-patient communication in such facilities. Interweaving the theory of Sayantani Das Gupta’s Narrative humility with instances taken from the above mentioned texts this article discusses the imperative need to restore empathy in medical listening.

scholarly journals Analyses of Verb Tense and Voice of Research Article Abstracts in Engineering Journals

2015 ◽  
Vol 47 ◽  
pp. 139-152 ◽  
Author(s):  
Mahjoobeh Abarghooeinezhad ◽  
Shahla Simin
Keyword(s):  
Nonnative Speakers ◽  
Native English Speakers ◽  
English Speakers ◽  
General Guideline ◽  
Electronic Engineering ◽  
Research Article ◽  
Nonnative Speakers Of English ◽  
Novice Writers ◽  
The Voice ◽  
Verb Tense

This paper seeks to analyze the research article abstracts among native English speakers and non-native (Iranian) speakers in the field of Electronic engineering. The analysis mainly focuses on the rhetorical structure, i.e. the constituent Moves/Sub-Moves. In addition, Verb choices and the voice and tense of the verbs in Move 2 and Move 4 respectively were examined. To this end, 25 published abstracts from each field (a total of 50 abstracts), all appearing in established, ISI journals, were selected. The model proposed by Santos (1996), composed of 5 moves along AntMover software was employed as a general guideline in order to identify Moves/SubMoves. The results compared and contrasted the dominant move patterns of each field, their unique Move/SubMoves, and the typical voice and tense of verbs employed in Move 4. It was also found that there were some variations between the abstracts written by native English speakers and nonnative speakers of English. It is hoped that with detailed analyses of abstracts, the results of this study may serve as a complement to the guidelines for novice writers to construct a proper research article abstract in electronic engineering.

scholarly journals Increasing Reasoning Awareness: Video Analysis of Students� Two-Party Virtual Patient Interactions (Preprint)

2017 ◽  
Author(s):  
Samuel Edelbring ◽  
Ioannis Parodis ◽  
Ingrid E Lundberg
Keyword(s):  
Clinical Reasoning ◽  
Thematic Analysis ◽  
Virtual Patient ◽  
Clinical Aspects ◽  
Shared Understanding ◽  
Collaborative Reasoning ◽  
Biomedical Knowledge ◽  
Patient Interactions ◽  
Scant Attention ◽  
Reduced Time

BACKGROUND Collaborative reasoning occurs in clinical practice but is rarely developed during education. The computerized virtual patient (VP) cases allow for a stepwise exploration of cases and thus stimulate active learning. Peer settings during VP sessions are believed to have benefits in terms of reasoning but have received scant attention in the literature. OBJECTIVE The objective of this study was to thoroughly investigate interactions during medical students’ clinical reasoning in two-party VP settings. METHODS An in-depth exploration of students’ interactions in dyad settings of VP sessions was performed. For this purpose, two prerecorded VP sessions lasting 1 hour each were observed, transcribed in full, and analyzed. The transcriptions were analyzed using thematic analysis, and short clips from the videos were selected for subsequent analysis in relation to clinical reasoning and clinical aspects. RESULTS Four categories of interactions were identified: (1) task-related dialogue, in which students negotiated a shared understanding of the task and strategies for information gathering; (2) case-related insights and perspectives were gained, and the students consolidated and applied preexisting biomedical knowledge into a clinical setting; (3) clinical reasoning interactions were made explicit. In these, hypotheses were followed up and clinical examples were used. The researchers observed interactions not only between students and the VP but also (4) interactions with other resources, such as textbooks. The interactions are discussed in relation to theories of clinical reasoning and peer learning. CONCLUSIONS The dyad VP setting is conducive to activities that promote analytic clinical reasoning. In this setting, components such as peer interaction, access to different resources, and reduced time constraints provided a productive situation in which the students pursued different lines of reasoning.

Exploring Kapferer's Brand Identity Prism Applicability in Indian Political Marketing Aspect With Special Focus to Youth Voters

2019 ◽  
pp. 288-303
Author(s):  
Subhajit Bhattacharya ◽  
Rohit Vishal Kumar ◽  
Anindya Dutta
Keyword(s):  
Political Parties ◽  
Empirical Data ◽  
Brand Identity ◽  
Political Marketing ◽  
The Political ◽  
Special Focus ◽  
Research Article ◽  
Political Branding ◽  
Brand Perception ◽  
The Voice

India demographic pattern is changing so fast with the growth of youth segment. it is true that today youth generation of Indian are not interested in politics or in casting the votes. There may be a possible reason the political parties are not able to understand the requirements of the Indian youth segment. This research article is a sincere attempt to study the political brand perception and political brand selection behaviour of Indian youth with the empirical data. RIDIT approach is being used to analyse the empirical data. The results of this present study have depicted a deep insights of Indian political branding aspect from the voice of the Indian youth voters'.

scholarly journals Health Humanities: Dealing with Depression and the Power of Books to help sustain the Journey- Reviews & Inferences

2020 ◽  
Vol 9 (S1-i2-Dec) ◽  
pp. 47-51
Author(s):  
M Anandhi
Keyword(s):  
Support Services ◽  
Mental Health Disorder ◽  
Health Humanities ◽  
Middle Income ◽  
Loved One ◽  
Projected Range ◽  
Complex Interactions ◽  
Research Article ◽  
Significant Impairment

Clinically, Depression can be defined as, “A mental health disorder characterised by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life.” The causes may vary from biological, psychological, environmental to lifestyle reasons. The complex interactions between all the above mentioned factors can lead to depression. Life style alterations like loss of a loved one,personal habits etc., can also trigger depression. Psychological and pharmacological remedies exist for different stratas of depression, However, In countries like India there is very less awareness in the view of it. People in the villages still lack the awarenss and blame it on witchcraft or the inhabiting of bad spirits. Inlow- and middle-income families treatment and support services for depression are often inattentive or below advanced. An projected range of 76–85% of people suffer from mental disorders in countries that lack access to the treatment they need. On a clinical angle, there are plenty of perspectives to deal with it depending on the harshness of the finding. It first needs to be understood as a disease that could be cured leading to the aplenty treatment methodologies, though the role of books that deal with depression, and a healthy way out is less comparatively. This research article deals with this particular branch of health humanities and analyses some of the books that could be powerful curatives in dealing with depression. It tries to identify the importance of reading these books and tries to bring an alternative method of dealing with depression on the whole.

scholarly journals Evaluating Evidence-Informed Clinical Reasoning Proficiency in Oral Practical Examinations

2014 ◽  
Vol 9 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Paul R. Geisler ◽  
Chris Hummel ◽  
Sarah Piebes
Keyword(s):  
Athletic Training ◽  
Clinical Reasoning ◽  
Clinical Decision Making ◽  
Clinical Performance ◽  
Clinical Decision ◽  
Athletic Injury ◽  
Evidence Based ◽  
Biomedical Knowledge ◽  
Relevant Evidence ◽  
Key Features

Clinical reasoning is the specific cognitive process used by health care practitioners to formulate accurate diagnoses for complex patient problems and to set up and carry out effective care. Athletic training students and practitioners need to develop and display effective clinical reasoning skills in the assessment of injury and illness as a first step towards evidence-based functional outcomes. In addition to the proper storage of and access to appropriate biomedical knowledge, an equally important component of effective clinical reasoning is the ability to select and interpret various conclusions from the mounting quantity of evidence-based medicine (EBM) sources. In assessing injury and illness, this competency is particularly reliant upon experience, skill execution, and available evidence pertaining to the diagnostic accuracy and utility of various special tests and physical examination procedures. In order to both develop and assess the ability of our students to integrate EBM into their clinical reasoning processes, we have designed exercises and evaluations that pertain to evidence-based clinical decision making during oral practical examinations in our assessment of athletic injury labs. These integrated oral practical examinations are designed to challenge our students' thinking and clinical performance by providing select key features of orthopaedic case pattern presentations and asking students to pick the most fitting diagnostic tests to fit that particular case. Students must not only match the appropriate special/functional tests, etc, to the case's key features, but also choose and explain how useful the chosen tests are for the differential diagnosis process, relative to the best diagnostic evidence. This manuscript will present a brief theoretical framework for our model and will discuss the process we use to evaluate our students' ability to properly select, perform, and explain various orthopaedic examination skills and the relevant evidence available. Specific examples of oral practical exam modules are also provided for elucidation.

Articulating Health Humanities in Graphic Narratives by Medical Illustrators

2020 ◽  
pp. 35-53
Author(s):  
Lisa Detora
Keyword(s):  
Medical Education ◽  
Theoretical Model ◽  
Medical Science ◽  
Medical Illustration ◽  
Health Humanities ◽  
Graphic Narrative ◽  
Graphic Medicine ◽  
Graphic Narratives ◽  
Fertile Ground

Using a theoretical model of “articulation” gleaned from the rhetoric of health and medicine, this chapter situates graphic narratives by medical illustrators against two strains of health humanities: medical education and humanistic inquiry. It might seem that medical illustration, itself a hybrid discipline that bridges art and medical science, would de facto account for both registers of health humanities, yet the reality is more complex. Ultimately, medical illustrators operate within their own rich traditions. Thus, work like Héloise Chochois’ La Fabrique Des Corps: Des Premièrs Prostéhses à l’Humaine Augmenté (2017) or Kriota Willberg’s The Wandering Uterus (Furor Uterensis) and Contemporary Applications of Ancient Medical Wisdom (2016) present a fertile ground for building an understanding of graphic narrative and medicine that extends beyond the experiences of illness that characterize most current understandings of Graphic Medicine.

Exploring Kapferer's Brand Identity Prism Applicability in Indian Political Marketing Aspect With Special Focus to Youth Voters

2018 ◽  
pp. 136-152
Author(s):  
Subhajit Bhattacharya ◽  
Rohit Vishal Kumar ◽  
Anindya Dutta
Keyword(s):  
Political Parties ◽  
Empirical Data ◽  
Brand Identity ◽  
Political Marketing ◽  
The Political ◽  
Special Focus ◽  
Research Article ◽  
Political Branding ◽  
Brand Perception ◽  
The Voice

India demographic pattern is changing so fast with the growth of youth segment. it is true that today youth generation of Indian are not interested in politics or in casting the votes. There may be a possible reason the political parties are not able to understand the requirements of the Indian youth segment. This research article is a sincere attempt to study the political brand perception and political brand selection behaviour of Indian youth with the empirical data. RIDIT approach is being used to analyse the empirical data. The results of this present study have depicted a deep insights of Indian political branding aspect from the voice of the Indian youth voters'.

scholarly journals Voice onset time and global foreign accent in German–French simultaneous bilinguals during adulthood

2016 ◽  
Vol 20 (6) ◽  
pp. 732-749 ◽  
Author(s):  
Tatjana Lein ◽  
Tanja Kupisch ◽  
Joost van de Weijer
Keyword(s):  
Voice Onset Time ◽  
Onset Time ◽  
Foreign Accent ◽  
Childhood Environment ◽  
Voiceless Stop ◽  
New Perspective ◽  
Crosslinguistic Influence ◽  
The Impact ◽  
The Voice

Aims and objectives: In this study, we investigated crosslinguistic influence in the phonetic systems of simultaneous bilinguals (2L1s) during adulthood. Methodology: Specifically, we analyzed the voice onset time (VOT) of the voiceless stop /k/ in the spontaneous speech of 14 German–French bilinguals who grew up in France or Germany. We looked at both languages, first comparing the groups, second comparing their VOT to their global accent. Data and analysis: The material consisted of interviews, lasting for about half an hour. Findings/conclusions: Most 2L1s showed distinct VOT-ranges in their two languages, even if they were perceived to have a foreign accent in the minority language of their childhood environment. We conclude that the phonetic systems of 2L1s remain separate and stable throughout the lifespan. However, the 2L1s from France had significantly shorter VOTs in German than the 2L1s from Germany, and their speech was overall more accented. These findings are discussed with respect to the role of intra- and extra-linguistic factors. Originality: Our study adds a new perspective to existing VOT studies of bilinguals by using naturalistic speech data and by comparing two groups of 2L1s who have the same language combination but grew up in different countries, which allows us to evaluate the impact of their childhood environment on VOT development. Significance/implications: Language exposure during childhood seems to be beneficial for pronunciation during adulthood.

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