Article published in:
Narrative Matters in Medical Contexts across Disciplines
Edited by Franziska Gygax and Miriam A. Locher
[Studies in Narrative 20] 2015
► pp. 141–164

A genre analysis of reflective writing texts by English medical students

What role does narrative play?

This chapter reports on the study of reflective writing texts by English medical students on a memorable encounter with a patient. The texts offer crucial information on the ways in which future doctors interpret a patient’s narrative and reflect their own situation. Drawing on genre analysis and corpus linguistics, we discuss how the texts are composed and how different genres influence their composition. While reflection is the main element of the texts, we see evidence of the genre of essay, medical case report, drama, and aspects of personal narratives. The latter is particularly evident and highlights once more the importance of narrative in medical practice.
Published online: 13 March 2015
https://doi.org/10.1075/sin.20.08loc
References
Baker, Paul
(2010) Corpus linguistics and sociolinguistics. Edinburgh: Edinburgh University Press.Google Scholar
Bax, Stephen
(2011) Discourse and genre: Analysing language in context. Houndmills: Palgrave Macmillan.Google Scholar
Bamberg, Michael
(2004) Talk, small stories, and adolescent identities. Human Development, 47, 331–353. CrossrefGoogle Scholar
Brady, Donald W., Corbie-Smith, Giselle, & Branch Jr., William T
(2002) “What’s important to you?”: The use of narratives to promote self-reflection and to understand the experiences of medical residents. Annals of Internal Medicine, 137(3), 220–223. CrossrefGoogle Scholar
Branch, William T., & Anuradha, Paranjape
(2002) Feedback and reflection: Teaching methods for clinical settings. Academic Medicine, 77, 1185–1188. CrossrefGoogle Scholar
Busse, Beatrix
(2014) Genre. In P. Stockwell & S. Whiteley (Eds.), The Cambridge handbook of stylistics (pp. 103-116). Cambridge: Cambridge University Press.Google Scholar
Charon, Rita
(2006) Narrative medicine: Honoring the stories of illness. New York, NY: Oxford University Press.Google Scholar
Charon, Rita, & Montello, Martha
(Eds.) (2002) Stories matter: The role of narrative in medical ethics. New York, NY: Routledge.Google Scholar
Cohen, Henry
(2006) How to write a patient case report. American Journal of Health-System Pharmacy, 63, 1888–1892. CrossrefGoogle Scholar
Corbett, John
(2006) Genre and genre analysis. In K. Brown (Ed.), Encyclopedia of language & linguistics (2nd ed., pp. 26–32). Oxford: Elsevier. CrossrefGoogle Scholar
Davies, Bronwyn, & Harré, Rom
(1990) Positioning: The social construction of self. Journal for the Theory of Social Behavior, 20(1), 43–63. CrossrefGoogle Scholar
De Fina, Anna, & Georgakopoulou, Alexandra
(2012) Analyzing narrative. Discourse and sociolinguistic perspectives. Cambridge: Cambridge University Press.Google Scholar
Georgakopoulou, Alexandra
(2007) Small stories, interaction and identities. Amsterdam: John Benjamins. CrossrefGoogle Scholar
(2013) Narrative analysis and computer-mediated communication. In S. Herring, D. Stein & T. Virtanen (Eds.), Pragmatics of computer-mediated communication (pp. 695–715). Berlin: Mouton de Gruyter.Google Scholar
Gibbs, Graham
(1988) Learning by doing: A guide to teaching and learning methods. London: Further Education Unit.Google Scholar
Giltrow, Janet
(2013) Genre and computer-mediated communication. In S. Herring, D. Stein & T. Virtanen (Eds.), Pragmatics of computer-mediated communication (pp. 717–737). Berlin: Mouton de Gruyter.Google Scholar
Giltrow, Janet, & Stein, Dieter
(Eds.) (2009) Genres in the Internet. Issues in the theory of genre. Amsterdam: John Benjamins. CrossrefGoogle Scholar
Gygax, Franziska, Koenig, Regula, & Locher, Miriam A
(2012) Moving across disciplines and genres: Reading identity in illness narratives and reflective writing texts. In R. Ahmed & B. Bates (Eds.), Medical communication in clinical contexts: Research and applications (pp. 17–35). Dubuque, IA: Kendall/Hunt.Google Scholar
Hall, George M
(Ed.) (2003) How to write a paper (3rd ed.). London: BMJ Publishing Group.Google Scholar
Hunter, Kathryn Montgomery
(1991) Doctors' stories: The narrative structure of medical knowledge. Princeton, NJ: Princeton University Press.Google Scholar
Hurwitz, Brian
(2006) Form and representation in clinical case reports. Literature and Medicine, 25(2), 216–240. CrossrefGoogle Scholar
Johnstone, Barbara
(1990) Stories, community, and place: Narratives from Middle America. Bloomington: Indiana University Press.Google Scholar
Labov, William
(1997) Some further steps in narrative analysis. Journal of Narrative and Life History, 7(1–4), 395–415.Google Scholar
Labov, William, & Waletzky, Joshua
(1967) Narrative analysis: Oral versions of personal experience. In J. Helm (Ed.), Essays on verbal and visual arts (pp. 12–44). Seattle, WA: University of Washington.Google Scholar
Locher, Miriam A., & Koenig, Regula
(2014) “All I could do was hand her another tissue” – Handling emotions as a challenge in reflective writing texts by medical students. In A. Langlotz & A. Soltysik Monnet (Eds.), Emotion, affect, sentiment: The language and aesthetics of feeling (in press). Tübingen: Narr.Google Scholar
Mann, Karen, Gordon, Jill, & MacLeod, Anna
(2009) Reflection and reflective practice in health professions education: A systematic review. Advice in Health Science Education, 14, 595–621. CrossrefGoogle Scholar
McIntyre, Dan
(2006) Point of view in plays: A cognitive stylistic approach to viewpoint in drama and other text-types (Vol. 3). Amsterdam: John Benjamins. CrossrefGoogle Scholar
Meier, Janine
(2012) Same function – different texts. Textual hybridity in medical students’ reflective writing texts. Unpublished MA thesis, University of Basel, Switzerland.Google Scholar
Monash University
(2012) What is reflective writing? Retrieved from http://​www​.monash​.edu​.au​/lls​/llonline​/writing​/medicine​/reflective​/1​.xml.
Schubert, Christoph
(2012) Englische Textlinguistik: Eine Einführung (2nd ed.). Berlin: Erich Schmidt Verlag.Google Scholar
Scott, Mike
(1997) PC analysis of keywords: And key key words. System, 25(2), 233–245. CrossrefGoogle Scholar
Shapiro, Johanna, Kasman, Deborah, & Shafer, Audrey
(2006) Words and wards: A model of reflective writing and its uses in medical education. Journal of Medical Humanities, 27, 231–244. CrossrefGoogle Scholar
Smith, Carlota S
(2003) Modes of discourse: The local structure of texts. Cambridge: Cambridge University Press. CrossrefGoogle Scholar
Stubbs, Michael
(2001) Words and phrases: Corpus studies of lexical semantics. Malden, MA: Blackwell.Google Scholar
Swales, John
(1990) Genre analysis: English in academic and research settings. Cambridge: Cambridge University Press.Google Scholar
Taavitsainen, Irma, & Pahta Päivi
(2000) Conventions of professional writing: The medical case report in a historical perspective. Journal of English Linguistics, 28(1), 60–76. CrossrefGoogle Scholar
Tannen, Deborah
(1989) Talking voices. Cambridge: Cambridge University Press.Google Scholar
Watton, Pete, Collings, Jane, & Moon, Jenny
(2001) Reflective writing: Guidance notes for students. Retrieved from http://​www​.exeter​.ac​.uk​/fch​/work​-experience​/reflective​-writing​-guidance​.pdf