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Beyond the clinic? Eluding a medical diagnosis of anorexia through narrative
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Abstract:
The persistence and recurrence of anorexia nervosa poses a clinical challenge, and provides support for critiques of oppressive and injurious facets of society inscribed on women’s bodies. This essay illustrates how a phenomenological, linguistic anthropological approach fruitfully traverses clinical and cultural perspectives by directing attention beyond the embodied experience of patients diagnosed with anorexia nervosa to those who are not clinically diagnosed. Extending a model of illness and recovery as entailing sufferers’ emplotting of past, present, and imagined future selves, I argue that women’s accounts of their experiences do not simply reflect lived reality, but actually propel health-relevant states of being by enlivening and creating these realities in the process of their telling. In indexical interaction with public and clinical discourses, narratives’ grammar, lexicon, and plot structures modify subjects’ experiences and interpretations of the events and feelings recounted. This article builds on the insight that linear narratives of “full recovery” that adopt a clinical and feminist voice can help tellers stay recovered, whereas for those “struggling to recover,” a genre of contingent, uncertain, sideshadowing narratives alternatively renders recovery an elusive and ambivalently desired object. This essay then identifies a third narrative genre, eluding a diagnosis, which combines elements of the first two genres to paradoxically keep its teller simultaneously sheltered from, and invisible to the well-meaning clutches of medical care, leaving her suffering, yet free, to starve. This focus on narrative genres illustrates the utility of linguistic analyses for discerning and interpreting distress in subclinical populations. ; First author draft
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Keyword:
Adult; Anorexia nervosa; Anthropology; Body-image; Care; Clinical sciences; Cultural politics; Ethics; Female; Humans; Life sciences & biomedicine; Male; Narration; Narrative practice; Nervosa; North America; Phenomenological discourse analysis; Psychiatry; Public health and health services; Science & technology; Self; Undiagnosed eating disorders; Women; Young adult
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URL: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000440349600004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=6e74115fe3da270499c3d65c9b17d654 https://hdl.handle.net/2144/40750 https://doi.org/10.1177/1363461517722467
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A speech about farewell of PI ; farewell_speech ; Linguistic Description and Comprehensive Documentation of Mewahang, an undescribed Tibeto-Burman Language of Nepal
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church service and funeral ; bon20180211_01 ; A comprehensive documentation of Bine - a language of Southern New Guinea
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: Christian Döhler, 2018. : General Linguistics (Department of Linguistics), University of Cologne, 2018
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Chinese alphabetization reform: Intellectuals and their public discourse, 1949-1958
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In: Graduate Theses and Dissertations (2018)
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Taxation for Whom?:a Diachronic Analysis of Taxation in Ireland and the United Kingdom from 1970-2015.
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In: Other (2018)
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Women in the New Testament’s Church Ministry: The Problem of Remaining Silent
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In: Diligence: Journal of the Liberty University Online Religion Capstone in Research and Scholarship (2018)
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Energiediskurse in der Schweiz : anwendungsorientierte Erforschung eines mehrsprachigen Kommunikationsfelds mittels digitaler Daten ...
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De la concertation à la contestation: quand la peur de la rhétorique envenime les controverses sociotechniques
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In: ESSACHESS - Journal for Communication Studies ; 10 ; 1 ; 197-214 (2018)
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Kontextualisierung durch Hashtags: die Mediatisierung des politischen Sprachgebrauchs im Internet
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In: Öffentliche Wörter: Analysen zum öffentlich-medialen Sprachgebrauch ; 9 ; Perspektiven Germanistischer Linguistik ; 137-159 (2018)
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LINGUISTIC MEANS OF HATE SPEECHES IN DIGITAL PRESS ; INSTRUMENTOS LINGÜÍSTICOS DE LOS DISCURSOS DE ODIO EN LA PRENSA DIGITAL
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In: Fragmentum; n. 50: jul.-dez. 2017 – Os discursos de intimidação: de onde eles vêm e para onde vão?; 99-122 ; 2179-2194 ; 1519-9894 (2018)
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Public hearings: context for polysemy of “must” in politician’s speech ; Audiências públicas: a polissemia do “dever” no discurso do político
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In: Letras; n. 56: (Jun. 2018) - Análise do discurso político: questões de teoria e de prática; 143-164 ; 2176-1485 ; 1519-3985 (2018)
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The invisibilization of health promotion in Australian public health initiatives
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Spazi mediali delle migrazioni. Framing e rappresentazioni del confine nell’informazione italiana
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In: Lingue e Linguaggi; Volume 25 (2018) - Special Issue; 17-44 (2018)
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Medical Discourse in Professional, Academic and Popular Settings. Pilar Ordóñez-López, Nuria Edo-Marzá (eds) [Ressenya]
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Aspectos pragmáticos y discursivos de los usos eufemísticos en la comunicación pública
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Lighting the Beacon: Presidential Discourse, American Exceptionalism, and Public Diplomacy in Global Contexts
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In: Languages, Philosophy, and Communication Studies Faculty Publications (2018)
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