1887
  1. Home
  2. e-Journals
  3. Narrative Inquiry
  4. Volume 33, Issue 1
  5. Article
Volume 33, Issue 1
  • ISSN 1387-6740
  • E-ISSN: 1569-9935
USD
Buy:$35.00 + Taxes

Abstract

Abstract

Narratives of personal and vicarious experience are part and parcel of being a doctor, as doctors routinely (re)interpret and (re)tell patients’ narratives when reflecting on clinical cases. Taking an interest in migrant doctors’ self-initiated narratives about patients in doctor-researcher interviews about cultural transitions, this study examines over thirty hours of audio-recordings of forty semi-structured interviews conducted as part of a collaborative project in Chile and Hong Kong. The study explores how migrant doctors construct their professional ‘self’ through narratives about patients, and how these narratives help migrant doctors legitimise their arguments and professional stance in criticizing cultural and societal attitudes towards health and illness, and the professional practices of local doctors. Finally, the paper reflects on the ways in which migrant doctors’ identity positionings provide space for the creation of a “symbolic territory” in which the practices of migrant doctors co-exist within the boundaries of the practices of local doctors in the host culture.

© John Benjamins Publishing Company
Loading

Article metrics loading...

/content/journals/10.1075/ni.21038.laz
2021-12-23
2024-12-10

  • From This Site

    /content/journals/10.1075/ni.21038.laz
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Journal -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

References

  1. Bhabha, H.
    (1995) Unpacking my library again. The Journal of the Midwest Modern Language Association, 28(1), 5–18.   10.2307/1315240
     https://doi.org/10.2307/1315240 [Google Scholar]
  2. Bamberg, M., & Georgakopoulou, A.
    (2008) Small stories as a new perspective in narrative and identity analysis. Text & Talk, 28(3), 377–396.   10.1515/TEXT.2008.018
     https://doi.org/10.1515/TEXT.2008.018 [Google Scholar]
  3. Baran, D.
    (2018) Narratives of migration on Facebook: Belonging and identity among former fellow refugees. Language in Society, 47(2), 245–268.   10.1017/S0047404518000027
     https://doi.org/10.1017/S0047404518000027 [Google Scholar]
  4. Barone, S., & Lazzaro-Salazar, M.
    (2016) Walking the fine line between criticism and constructive feedback: A discursive analytic perspective of doctors’ peer assessment. Presented inSociolinguistics Symposium, Universidad de Murcia, Spain, 15–18 June.
  5. Barone, S. and Lazzaro-Salazar, M.
    (2015) ‘Forty bucks is forty bucks’: An analysis of a medical doctor’s professional identity. Journal of Language and Communication, 431, 27–34. 41.   10.1016/j.langcom.2015.04.002
     https://doi.org/10.1016/j.langcom.2015.04.002 [Google Scholar]
  6. Bell, J.
    (1999) Redefining national identity in Uzbekistan: symbolic tensions in Tashkent’s official public landscape. Ecumene, 6(2), 183–213.   10.1177/096746089900600204
     https://doi.org/10.1177/096746089900600204 [Google Scholar]
  7. Bourdieu, P.
    (1979) La distinction. Critique sociale du jugement. Editions de Minuit.
     [Google Scholar]
  8. (1998) La domination masculine. Editions du Seuil.
     [Google Scholar]
  9. Bucholtz, M., & Hall, K.
    (2010) Locating Identity in Language. InCarmen Llamas and Dominic Watt (Eds.), Language and identities (pp.18–28). Edinburgh University Press. 10.1515/9780748635788‑006
     https://doi.org/10.1515/9780748635788-006 [Google Scholar]
  10. Charon, R.
    (2001) Narrative medicine: A model for empathy, reflection, profession, and trust. The Journal of the American Medical Association, 286(15): 1897–1902.   10.1001/jama.286.15.1897
     https://doi.org/10.1001/jama.286.15.1897 [Google Scholar]
  11. Clynes, M., & Raftery, S.
    (2008) Feedback: an essential element of student learning in clinical practice. Nurse Education in Practice, 8(6), 405–411.   10.1016/j.nepr.2008.02.003
     https://doi.org/10.1016/j.nepr.2008.02.003 [Google Scholar]
  12. Conle, C., Li, X., & Tan, J.
    (2002) Connecting vicarious experience to practice. Curriculum Inquiry, 32(4), 429–452.   10.1111/1467‑873X.t01‑1‑00240
     https://doi.org/10.1111/1467-873X.t01-1-00240 [Google Scholar]
  13. Declercq, J., & Jacobs, G.
    (2019) “It’s such a great story it sells itself”? Narratives of vicarious experience in a European pharmaceutical company. Journal of Pragmatics, 1521, 89–102.   10.1016/j.pragma.2018.01.008
     https://doi.org/10.1016/j.pragma.2018.01.008 [Google Scholar]
  14. De Fina, A.
    (2003) Identity in Narrative: A study of immigrant discourse. John Benjamins. 10.1075/sin.3
     https://doi.org/10.1075/sin.3 [Google Scholar]
  15. (2011) Researcher and informant roles in narrative interactions: Constructions of belonging and foreign-ness. Language in Society, 40(1), 27–38.   10.1017/S0047404510000862
     https://doi.org/10.1017/S0047404510000862 [Google Scholar]
  16. Dey, I.
    (2005) Qualitative data analysis: A user friendly guide for social scientists. Routledge.
     [Google Scholar]
  17. Foucault, M.
    (1988) Technologies of the self. University of Massachusetts Press.
     [Google Scholar]
  18. Fragkos, K.
    (2016) Reflective Practice in Healthcare Education: An Umbrella Review. Education Sciences, 6(3), 27.   10.3390/educsci6030027
     https://doi.org/10.3390/educsci6030027 [Google Scholar]
  19. Georgakopoulou, A.
    (2006) Thinking big with small stories in narrative and identity analysis. Narrative Inquiry, 16(1), 122–130.   10.1075/ni.16.1.16geo
     https://doi.org/10.1075/ni.16.1.16geo [Google Scholar]
  20. (2007) Small stories, interaction and identities. John Benjamins Publishing. 10.1075/sin.8
     https://doi.org/10.1075/sin.8 [Google Scholar]
  21. Glenn, P.
    (2009) Laughter in interaction. Cambridge University Press.
     [Google Scholar]
  22. Goodman, L.
    (1961) Snowball sampling. The Annals of Mathematical Statistics, 148–170. 10.1214/aoms/1177705148
     https://doi.org/10.1214/aoms/1177705148 [Google Scholar]
  23. Hale, H., & de Abreu, G.
    (2010) Drawing on the notion of symbolic resources in exploring the development of cultural identities in immigrant transitions. Culture & Psychology, 16(3), 395–415.   10.1177/1354067X10361395
     https://doi.org/10.1177/1354067X10361395 [Google Scholar]
  24. Hall, J.
    (2012) Teaching and researching language and culture. Pearson Education.
     [Google Scholar]
  25. Haakana, M.
    (2002) Laughter in medical interaction: From quantification to analysis, and back. Journal of Sociolinguistics, 6(2), 207–235.   10.1111/1467‑9481.00185
     https://doi.org/10.1111/1467-9481.00185 [Google Scholar]
  26. Hatavara, M., & Mildorf, J.
    (2017) Fictionality, Narrative Modes, and Vicarious Storytelling. Style, 511, 391–408.   10.5325/style.51.3.0391
     https://doi.org/10.5325/style.51.3.0391 [Google Scholar]
  27. Hogg, M., & Terry, D.
    (2000) Social Identity and Self-Categorization Processes in Organizational Contexts. Academy of Management Review, 25(1), 121–140.   10.5465/amr.2000.2791606
     https://doi.org/10.5465/amr.2000.2791606 [Google Scholar]
  28. Holmes, J., & Marra, M.
    (2017) You’re a proper tradesman mate: Identity struggles and workplace transitions in New Zealand. InD. Van de Mieroop and S. Schnurr (Eds.), Identity struggles: Evidence from workplaces around the world (pp.127–146). John Benjamins Publishing Company. 10.1075/dapsac.69.07hol
     https://doi.org/10.1075/dapsac.69.07hol [Google Scholar]
  29. Ibarra, H., & Barbulescu, R.
    (2010) Identity as narrative: Prevalence, effectiveness, and consequences of narrative identity work in macro work role transitions. Academy of Management Review, 35(1): 135–154.   10.5465/amr.35.1.zok135
     https://doi.org/10.5465/amr.35.1.zok135 [Google Scholar]
  30. Jain, P., & Krieger, J.
    (2011) Moving beyond the language barrier: The communication strategies used by international medical graduates in intercultural medical encounters. Patient Education and Counselling, 84(1): 98–104.   10.1016/j.pec.2010.06.022
     https://doi.org/10.1016/j.pec.2010.06.022 [Google Scholar]
  31. Kalua, F.
    (2009) Homi Bhabha’s third space and African identity. Journal of African Cultural Studies, 21(1): 23–32.   10.1080/13696810902986417
     https://doi.org/10.1080/13696810902986417 [Google Scholar]
  32. Kim, Y.
    (2001) Becoming intercultural: An integrative theory of communication and cross-cultural adaptation. Sage. 10.4135/9781452233253
     https://doi.org/10.4135/9781452233253 [Google Scholar]
  33. Lazzaro-Salazar, M. y Pujol-Cols, L.
    (2020) Comunicación intercultural en instituciones públicas de la salud: Validación de la Escala de Conflicto Comunicacional en Organizaciones Interculturales (ECCOI). Lengua y Migración, 12(1), 123–148. 10.37536/LYM.12.1.2020.1044
     https://doi.org/10.37536/LYM.12.1.2020.1044 [Google Scholar]
  34. Lazzaro-Salazar, M.
    (2017) Ingroups and outgroups in complaints: Exploring politic behaviour in nurses’ discourse. Logos: Revista de Lingüística, Filosofía y Literatura, 27(2), 319–333.   10.15443/RL2725
     https://doi.org/10.15443/RL2725 [Google Scholar]
  35. Lazzaro-Salazar, M. y Pujol Cols, L.
    (2017) Riesgos psicosociales e integración profesional de médicos extranjeros: Un estudio sobre el manejo del conflicto en la zona central de Chile. Revista Médica de Chile, 145(10), 1300–1307.   10.4067/S0034‑98872017001001300
     https://doi.org/10.4067/S0034-98872017001001300 [Google Scholar]
  36. Lazzaro-Salazar, M.
    (2013) Investigating Nurses’ Professional Identity Construction in Two Health Settings in New Zealand (Unpublished doctoral dissertation). Victoria University of Wellington, New Zealand.
  37. Labov, W., & Waletzky, J.
    (1967) Narrative analysis: Oral versions of personal experience. InJ. Helm (Ed.), Essays on the verbal and visual arts (pp.12–44). University of Washington Press.
     [Google Scholar]
  38. Leiva, L.
    (2015) El papel de los médicos extranjeros en consultorios (Santiago, Chile, pubd online27October 2020), accessed19 Jan 2021.
     [Google Scholar]
  39. Maguire, P., & Pitceathly, C.
    (2002) Key communication skills and how to acquire them. British Medical Journal, 325(7766), 697–700.   10.1136/bmj.325.7366.697
     https://doi.org/10.1136/bmj.325.7366.697 [Google Scholar]
  40. Manzi, C., Vignoles, V., & Regalia, C.
    (2010) Accommodating a new identity: Possible selves, identity change and well-being across two life-transitions. European Journal of Social Psychology, 40(6): 970–984.   10.1002/ejsp.669
     https://doi.org/10.1002/ejsp.669 [Google Scholar]
  41. Maynard, D. W., & Turowetz, J.
    (2017) Doing diagnosis: Autism, interaction order, and the use of narrative in clinical talk. Social Psychology Quarterly, 80(3), 254–275.   10.1177/0190272517720683
     https://doi.org/10.1177/0190272517720683 [Google Scholar]
  42. Mildorf, J.
    (2002) “Opening up a Can of Worms”: Physicians’ Narrative Construction of Knowledge about Domestic Violence. Narrative Inquiry, 12(2), 233–260.   10.1075/ni.12.2.02mil
     https://doi.org/10.1075/ni.12.2.02mil [Google Scholar]
  43. Norrick, N.
    (2013) Narratives of Vicarious Experience in Conversation, Language in Society, 42(4), 385–406.   10.1017/S0047404513000444
     https://doi.org/10.1017/S0047404513000444 [Google Scholar]
  44. Padilla, A., & Perez, W.
    (2003) Acculturation, social identity, and social cognition: A new perspective. Hispanic Journal of Behavioral Sciences, 251, 35–55.   10.1177/0739986303251694
     https://doi.org/10.1177/0739986303251694 [Google Scholar]
  45. Pennycook, A.
    (2004) Performativity and language studies. Critical Inquiry in Language Studies, 11, 1–19.   10.1207/s15427595cils0101_1
     https://doi.org/10.1207/s15427595cils0101_1 [Google Scholar]
  46. Pratt, M., Rockmann, K., & Kaufmann, J.
    (2006) Constructing professional identity: The role of work and identity learning cycles in the customization of identity among medical residents. Academy of Management Journal, 49(2), 235–262.   10.5465/amj.2006.20786060
     https://doi.org/10.5465/amj.2006.20786060 [Google Scholar]
  47. Preece, A.
    (1987) The range of narrative forms conversationally produced by young children. Journal of Child Language, 141, 353–373.   10.1017/S0305000900012976
     https://doi.org/10.1017/S0305000900012976 [Google Scholar]
  48. Prince, G.
    (1983) Narrative pragmatics, message, and point. Poetics, 12(6), 527–536.   10.1016/0304‑422X(83)90007‑4
     https://doi.org/10.1016/0304-422X(83)90007-4 [Google Scholar]
  49. Rubinstein, R.
    (1995) Narratives of elder parental death: A structural and cultural analysis. Medical Anthropology Quarterly, 9(2), 257–276.   10.1525/maq.1995.9.2.02a00080
     https://doi.org/10.1525/maq.1995.9.2.02a00080 [Google Scholar]
  50. Shuval, J.
    (2000) The reconstruction of professional identity among immigrant physicians in three societies. Journal of Immigrant Health, 2(4), 191–202.   10.1023/A:1009588229071
     https://doi.org/10.1023/A:1009588229071 [Google Scholar]
  51. Sowinska, A., & Sokol, M.
    (2018) “Luckily, she’s alive”: Narratives of vicarious experience told by Polish doctors. Journal of Pragmatics, 1521, 76–88.   10.1016/j.pragma.2018.01.007
     https://doi.org/10.1016/j.pragma.2018.01.007 [Google Scholar]
  52. Srivastava, P., & Hopwood, N.
    (2009) A practical iterative framework for qualitative data analysis. International Journal of Qualitative Methods, 8(1), 76–84.   10.1177/160940690900800107
     https://doi.org/10.1177/160940690900800107 [Google Scholar]
  53. Stagi, L.
    (2015) Crossing the symbolic boundaries: parkour, gender and urban spaces in Genoa. Modern Italy, 20(3), 295–305.   10.1017/S1353294400014678
     https://doi.org/10.1017/S1353294400014678 [Google Scholar]
  54. Stanley, P., & Hurst, M.
    (2011) Narrative palliative care: a method for building empathy. Journal of Social Work in End-of-Life & Palliative Care, 7(1), 39–55.   10.1080/15524256.2011.548046
     https://doi.org/10.1080/15524256.2011.548046 [Google Scholar]
  55. Sussman, N.
    (2000) The dynamic nature of cultural identity throughout cultural transitions: Why home is not so sweet. Personality and Social Psychology Review, 41, 355–373.   10.1207/S15327957PSPR0404_5
     https://doi.org/10.1207/S15327957PSPR0404_5 [Google Scholar]
  56. Sveningsson, S., & Alvesson, M.
    (2003) Managing managerial identities: Organizational fragmentation, discourse and identity struggle. Human Relations, 56(4), 1163–1193.   10.1177/00187267035610001
     https://doi.org/10.1177/00187267035610001 [Google Scholar]
  57. Tajfel, H.
    (1981) Human groups and social categories: Studies in social psychology. CUP Archive.
     [Google Scholar]
  58. Trew, J.
    (2007) Negotiating identity and belonging: Migration narratives of Protestants from Northern Ireland. Immigrants & Minorities, 25(1), 22–48.   10.1080/02619280701630938
     https://doi.org/10.1080/02619280701630938 [Google Scholar]
  59. Van Maanen, J.
    (1998) Identity work: Notes on the personal identity of police officers. Paper presented at theAnnual Meeting of the Academy of Management. San Diego, United States.
     [Google Scholar]
  60. Vygotsky, L.
    (1978) Mind in society: The development of higher psychological processes. Harvard University Press.
     [Google Scholar]
  61. Wen Li, W., Hodgetts, D., & Ho, E.
    (2010) Gardens, transitions and identity reconstruction among older Chinese immigrants to New Zealand. Journal of Health Psychology, 15(5), 786–796.   10.1177/1359105310368179
     https://doi.org/10.1177/1359105310368179 [Google Scholar]
  62. Wu, Z. Z., Zayts, O., Fortune, Z.
    (fc). “You’re not gonna admit to failure”: The Discourse of Mental Health Stigma in the Workplace. Journal of Sociolinguistics.
     [Google Scholar]
  63. Yates, L.
    (2015) Intercultural communication and the transnational: Managing impressions at work. Multilingua, 34(6), 773–95.   10.1515/multi‑2014‑0063
     https://doi.org/10.1515/multi-2014-0063 [Google Scholar]
  64. Zayts, O., & Norrick, N. R.
    (2020) Narratives of Vicarious Experience in Professional and Workplace contexts: Introduction to the special issue. Journal of Pragmatics, 1551, 64–69.   10.1016/j.pragma.2019.10.010
     https://doi.org/10.1016/j.pragma.2019.10.010 [Google Scholar]
  65. Zayts, O., & Lazzaro-Salazar, M.
    (2020) Healthcare communication in multicultural contexts: Exploring professional mobility. InZsófia Demjén (Ed.), Applying Linguistics in Illness and Healthcare Contexts (pp.299–325). London: Bloomsbury.
     [Google Scholar]
  66. (2017) Making sense of transitions: Identity construction of migrant doctors in Chile and Hong Kong. Presented in7th International Conference on Applied Linguistics and Professional Practice (ALAPP), Ghent, Belgium, 21–23 November.
  67. Zhao, X., & Mao, Y.
    (2021) Trust me, I am a doctor: discourse of trustworthiness by Chinese doctors in online medical consultation. Health Communication, 36(3), 372–380.   10.1080/10410236.2019.1692491
     https://doi.org/10.1080/10410236.2019.1692491 [Google Scholar]
/content/journals/10.1075/ni.21038.laz
Loading
  • Article Type: Research Article
Keyword(s): criticism; cultural transitions; discourse; narratives of vicarious experience; societal attitudes to health

Most Cited

This is a required field
Please enter a valid email address
Approval was successful
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error