This is a chapter excerpt from a book but looking at the references throughout the chapter, it is clear that an extensive amount of work and detailed research was performed for this book.
This article mainly notes on the influences of culture on patients and their depiction of their medical history. The way a patient describes a narrative of their illness depends on their beliefs, set of morals, culture and customs in which they are used to and identify with. There is a correlation with the physicality of an illness and how it is perceived by their culture along with the way they depict it to professionals and pursue alleviating the issue. The importance of doctors recognizing this cultural influence and perhaps raising of stigmas is also reported since it can deeply impact the way a patient is taken care of and treated.
This was an excerpt from a book entitled "Medicine, rationality, and experience" by Byron J. Good. This book has been cited in 16 different papers and works. Many of the works it has been cited in include anthropology of the Middle East, global health, Nurse and lay community members and other topics associated with anthropology and cultural communication.
Byron Good is a PhD, BD and professor of Medical anthropology. He is a professor in the department of global health and social medicine at Harvard University. He studies psychotic illness, mental health service development and need in post conflict and post tsunami areas. He also analyzes the cultural meaning behind mental illness across the world. He is highly regarded in his field.
There was no emergency response addressed in this article directly. Yet, I believe patient narrative and the understanding of the connection between cultural stigmas or background and patient narrative is so imperative for EMS and other healthcare providers. It is crucial for emergency responders to understand possible cultural influences on patients and how that might effect their perception of their illness or how they reflect what they are experiencing to you as the their health care provider.
Most of the methods used include personal interviews with patients in the Middle East, done by Dr. Good. There is also an incorporation of stories, experiences and data provided by other professionals as well as other patients in the Middle East as well. Quotes, first person interviews, expert testimony and data and case studies were all used to support the claims of this argument.
"Data from this study provide the opportunity for addressing not only problems of medical care and public health, but for reflecting on theoretical and methodological questions central to this book as well."
"As the interviews went on, it became evident that "fainting" is a cultural category often used to describe classical tonic--clonic seizures. However, the term is associated with a more general semantic domain that includes fainting occurring in times of acute distress or in the context of a life of suffering, and is less stigmatizing than the term "epilepsy."
"Narrative theory describes two aspects of plot: plot as the underlying structure of a story, and "emplotment'' as the activity of a reader or hearer of a story who engages imaginatively in making sense of the story. Both are relevant to the analysis of illness narratives."
I further researched narrative medicine and to see how widely it is applied to medical fields today. I also researched the areas in the Middle East that were discussed int eh chapter and read about their customs and traditions to further my understanding of how it may influence their actions medically. I also read other parts of the book in order to gain more information on the topic in general.
The argument is supported through the use of other work by professionals in this field and on this topic, which corroborate the author's own findings and provide material support for his arguments. Secondly, case studies along with statistics and data are provided along with stories of patients and their experiences in Ankara. Along with interviews and statistics, an in depth background is also provided by the author in which he analyzes the meaning of narrative and explains its connection with culture.