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Preface xi
Acknowledgments xv
Introduction to Section I 1
Chapter 1 Clinical Practices and the Narrative Self 3
What Is Narrative Self? 3
Theoretical Foundations 5
Perspectives on Self and Narrative 5
Evolving Clinical Perspectives on Person and Function 7
Establishing Our Framework for Narrative Self 9
The Concept of Self 9
Human Narrative and Narrative Self 10
Communicative Processes and Narrative Self 12
Narrative Self and Neurogenic Communication Disorders 13
Summary and Caveats 14
Chapter 2 Neurogenic Communication Disorders 17
The Illnesses and Associated Communication Impairment 19
Amyotrophic Lateral Sclerosis (ALS) 19
Parkinson's Disease (PD) 19
Stroke (Brain Attack) 20
Alzheimer's Disease (AD) and Other Dementias 20
Similarities and Differences: What Dimensions Matter 21
Onset and Course of Disorder 21
Communication Aspect Most Affected and Its Impact 23
Communication Effects on Self Presentation 24
Issues of Self as Externally Perceived 26
Illness Narrative 29
Moving Forward 29
Introduction to Section II 31
Chapter 3 The Self 33
The Dimensions of the Self 34
The Self and Culture 34
The Self and Roles 36
The Self and Situational Interactions 37
The Self and Biography 38
An Example 38
Agency 39
Power 40
Cultural Power 40
Power from Roles 40
Power in Interactions 41
Power from Biography 41
Agency, Power, and the Self 41
The Social Construction of the Self 42
An Illustrative Clinical Scenario 43
Conclusion 45
Chapter 4 Narrative Processes Exploring Narrative 47
Narrative and the Self 47
Narrative as a Backdrop to Illness 51
The Illness Narrative 52
Community Narrative 53
Health Narrative 55
The Role of Life Stage in Illness Narrative 57
Communication Impairment and Illness Narratives 58
Caregiver Perspectives 59
In Search of Biographical Accommodation 60
Tools Supporting Narrative Communication 61
Narrative in the Clinical Context 61
Chapter 5 Life Stories across the Life Span: Considering Time 63
Aging as Temporality 63
Life Span Considerations 64
Life Storying in Aging 66
Self, Stereotype, and the Narrative of Decline 68
Social Grounding of Self in Aging 72
The Boundaries of Normal Aging 72
A Lesson Learned Through Reggie's Story 73
Introduction to Section III 75
Chapter 6 Life Stories in ALS 79
Communication in ALS 82
Self and Life Stories 84
Self and Culture 84
Self and Roles 88
Self and Interaction 90
Self and Biography 95
Illness Narratives 96
The Illness Narrative: Diagnosis and Change 96
The Illness Narrative: Time 97
Views of Time 98
Life Span Issues 100
Time for Reframing the Life Story 101
The Illness Narrative: What Do Persons with ALS Seek? 102
The Illness Narrative: Social Situatedness and Social Others 104
Family and Friends 104
Caregivers 106
Support Groups and Communities 109
Communication Tools and Technology 111
In Closing 116
Postscript 117
Chapter 7 Life Stories in Parkinson's Disease 119
Parkinson's Disease and the Self 121
Self and Culture 122
Self and Roles 123
Self and Interactions 124
Self and Biography 126
Parkinson's Disease and the New Life Narrative 126
The New Narrative: Culture and the Self 129
The New Narrative: Roles and the Self 129
The New Narrative: Social Interactions 129
The New Narrative: Biography 130
Elements of the Narrative 130
Temporality 130
Social Situatedness and Social Others 131
Agency and Control 132
Dignity, Respect, Acceptance, and Understanding 133
Tools and Technology 134
Conclusion 135
Chapter 8 Life Stories in Aphasia 137
Aphasia and Life Impact 140
Language Loss 140
Quality of Life 144
Self and Life Stories 145
Self and Culture 147
Self and Roles 149
Self and Interactions 150
Self and Biography 151
Constructing a New Narrative Self: The Story of Mike 151
Cultural Tools and Resources 152
Roles 152
Interactions 153
Biographical Tools 153
Life Story and the Illness Narrative 154
Temporality: Past, Present, and Future 158
Life Span 160
Themes in Illness Narratives 161
Control, Agency, and Related Constructs 161
Spirituality and Religion 162
Recognition and Respect 163
Acceptance and Understanding 164
The Importance of Others in the Illness Narrative 165
Perspectives from Caregivers and Significant Others 166
Groups and Communities 167
Communication Treatment and Tools 168
Moving Forward 172
Chapter 9 life Stories in Dementia 175
The Present Clinical Context for the Dementias 175
Communication Impairment Associated with Dementia 176
Self for Self and for Others in Progressive Dementia 178
The Story of Flo Watkins 179
Prior to Alzheimer's Disease 179
Flo's Children 179
Flo's Life 180
First Years of the Slow Descent 181
The Middle Years 182
Ending 184
Dementia and Self Construction 185
Cultural Tools and the Person with Dementia 185
Roles and the Person with Dementia 186
Interactions and the Person with Dementia 187
Biography and the Self 188
Storying and the Illness Narrative in Dementia 188
Dimensions of the Self 189
Narratives of Age and Illness 189
Social Living 189
Life's Pleasures-Keeping the Mind Alive 192
Self-Care 194
Narrative Self in Progressive Dementia: Who Writes the Story? 195
Introduction to Section IV 199
Chapter 10 Postmodernism and the Story of the Self: A Call to Action 201
When an Illness Narrative Becomes a Life Story 202
Modernism and Postmodernism: The Creation of the Self 203
Modernism and Postmodernism: The Self and Illness Narratives 204
Chapter 11 A Sociocultural Approach to Clinical Action 207
A Sociocultural Approach 207
Theory about Self, Identities, and Personhood 208
From Theory to Therapy 209
Cultural Tool Kit 209
Cultural Tools 209
Socially Shared Cultural Tools 209
Tools for the Person 209
Storying: Cultural Tools and Agentive Action 210
Putting Tools to Use 211
Self Construction and Sense of Self as Part of Clinical Action 211
Clinical Action in the Moment 212
Synthesis 212
The Sense of Self 212
Clinical Action 213
People and Communities of People as Tools 213
Clinical Action for Narrative Self Work 214
To Be a Clinician 214
Writing Goals and Objectives for Narrative Self 215
Person-Centered Goals and Objectives 216
Final Thoughts 217
Chapter 12 Supporting the Narrative Self 219
Key Themes Revisited 221
Life as Storied 221
Self as Socially Constructed 222
Communication at the Core of Life Storying 222
Discrediting the Narrator 223
Loss of Mechanism for Filtering Life Experiences 223
Narrative Self and Clinical Practice: Clinicians as Facilitators of Narrative Self Reconstruction 224
Targeting Dimensions of Self 225
Biographical Self 225
Interactions and Relationships 226
Roles and Situations 227
Self in Culture 228
Using Intervention Tools and Processes More Effectively 228
Goal Setting 228
Working Directly with Life Stories and Illness Narrative 229
Optimal Treatment Contexts 230
Time Lines for Intervention 231
Tools for Supporting Narrative Self 232
Narrative Self and Clinical Practice: Clinician as Coconstructor and Character in Restorying of Self 233
In Closing 235
References 237
Index 253
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Add Neurogenic Communication Disorders: Life Stories and the Narrative Self, Although there is currently considerable focus on psychosocial issues for person with aphasia and their significant others, there has been little unifying work that attempts to bring diverse interdisciplinary perspectives together to understand the impact, Neurogenic Communication Disorders: Life Stories and the Narrative Self to the inventory that you are selling on WonderClubX
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Add Neurogenic Communication Disorders: Life Stories and the Narrative Self, Although there is currently considerable focus on psychosocial issues for person with aphasia and their significant others, there has been little unifying work that attempts to bring diverse interdisciplinary perspectives together to understand the impact, Neurogenic Communication Disorders: Life Stories and the Narrative Self to your collection on WonderClub |