This study examines how patients use narratives to evaluate their experiences of healthcare services online. The
analysis draws on corpus linguistic techniques, specifically annotation, applying Labov and
Waletzky’s (1967) framework to a sample of online comments about the NHS in England. Narratives are pervasive in this
context, being present more than absent in the patients’ comments, but are particularly prominent in comments which evaluate care
negatively. Evaluations can be accomplished through all the structural elements of the narrative, including in combination with
one another. However, the presence and ordering of these elements does not seem to be influenced by the type of evaluation given
(i.e. positive, negative or more neutral). As mediated social practice, the narratives are shaped by the technological affordances and
social dynamics of this context, for instance in the placement of particular structural elements and the design of narratives for
particular “imagined” audiences.
Anthony, L. (2020). AntConc (Version
3.5.9) [Computer Software]. Tokyo, Japan: Waseda University. Available
from [URL]
Arribas-Ayllon, M. (2021). Narrative
Analysis: DNA testing and collaborative knowledge-building in a CFS/ME
forum. In G. Brookes & D. Hunt (Eds.), Analysing
Health Communication: Discourse Approaches. Palgrave Macmillan.
Atkinson, P., & Delamont, S. (2006). In
the Roiling Smoke: Qualitative Inquiry and Contested Fields. International Journal of
Qualitative Studies in
Education, 19(6), 747–755.
Austin, J. (1962). How
to do things with words. Oxford: Oxford University Press.
Bell, A. (1984). Language
Style as Audience Design. In N. Coupland and A. Jaworski (Eds.), Sociolinguistics:
A Reader and
Coursebook (pp. 240–250). Palgrave Macmillan.
Baker, P., Brookes, G., & Evans, C. (2019). The
Language of Patient Feedback: A Corpus Linguistic Study of Online Health
Communication. Routledge.
Brookes, G., & Baker, P. (2017). What
does patient feedback reveal about the NHS? A mixed methods study of comments posted to the NHS Choices online
service. BMJ
Open, 71: e013821.
Brookes, G., & Harvey, K. (2016b). Examining
the discourse of mental illness in a corpus of online advice-seeking
messages. In L. Pickering, E. Friginal and S. Staples (Eds.), Talking
at Work: Corpus-based Explorations of Workplace
Discourse (pp. 209–234). Palgrave Macmillan.
Brookes, G., & McEnery, T. (2020). Corpus
Linguistics. In S. Adolphs and D. Knight (Eds.), The
Routledge Handbook of English Language and Digital
Humanities (pp. 378–404). Routledge.
Bruner, J. (1991). The
narrative construction of reality. Critical
Inquiry, 181, 1–21.
Clark, J., & Mishler, E. (1992). Attending
to patients’ stories: Reframing the clinical task. Sociology of Health and
Illness, 141, 344–370.
Cortazzi, M., & Jin, L. (2000). Evaluating
Evaluation in Narrative. In S. Hunston and G. Thompson (Eds.), Evaluation
in Text: Authorial stance and the construction of
discourse (pp.102–120). Oxford University Press.
Davis, J., Lister, J., & Wringley, D. (2015). NHS
for Sale. Merlin Press.
Frank, A. (1995). The
Wounded Storyteller. University of Chicago Press.
Goffman, E. (1955). On
Face-Work: An Analysis of Ritual Elements in Social Interaction. Psychiatry: Interpersonal and
Biological
Processes, 18(3), 213–231.
Greenhalgh, T. (1999). Narrative
based medicine in an evidence based world. British Medical
Journal, 3181, 232.
Greenhalgh, T., & Hurwitz, B. (1999). Why
study narrative?British Medical
Journal, 318(7175), 48–50.
Harvey, K., & Koteyko, N. (2012). Exploring
Health Communication: Language in Action. Routledge.
Jones, R. (2013). Health
and Risk Communication: An Applied Linguistic
Perspective. Routledge.
Kleinman, A. (1988). The
illness narratives: Suffering, healing, and the human condition. Basic Books.
Labov, W., & Waletzky, J. (1967). Narrative
analysis. In J. Helm (Ed.) Essays
on the Verbal and Visual
Arts (pp. 12–44). University of Washington Press.
Lamerichs, J., & Te Molder, H. (2003). Computer-mediated
communication: from cognitive to a discursive model. New Media &
Society, 5(4), 451–473.
Linde, C. (1997). Evaluation
as a linguistic structure and social practice. In B. L. Gunnarsson, P. Linell & B. Nordberg (Eds.), The
Construction of Professional
Discourse (pp. 151–172). Routledge.
Polanyi, L. (1979). So
what’s the
point?Semiotica, 251, 207–241.
Polkinghorne, D. (1988). Narrative
knowing and the human sciences. New York Press.
Riessman, C. (1990). Strategic
Uses of Narrative in the Presentation of Self and Illness. Social Science and
Medicine, 301, 1195–1200.
Sarangi, S., & Clarke, A. (2002). Constructing
an account by contrast in counselling for childhood genetic testing. Social Science &
Medicine, 541, 295–308.
Ziebland, S. (2013). Narrative
interviewing. In S. Ziebland, A. Coulter, J. D. Calabrese & L. Locock (Eds.), Understanding
and Using Health Experiences: Improving patient
care (pp. 38–47). Oxford University Press.
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This list is based on CrossRef data as of 20 september 2024. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers.
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