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Time, story, and wisdom: emerging themes in narrative gerontology.

Narrative approaches in the field of aging are receiving increasing attention by theorists and practitioners alike. This article draws on recent thinking in narrative gerontology to look at three aspects of aging on which a narrative perspective can shed further light. In relation to the temporal aspects, the notion of storytime is examined. Concerning its poetical aspects, the article considers the stages, styles, genres, contexts, and selves of self-storying. Under spiritual aspects, the topics of meaning and identity are explored. A discussion of these aspects may be seen to converge on the theme of wisdom and the possibility of wisdom environments.

Aged↗

[Conrad Ferdinand Meyer reflected in the paradigm change in German psychiatry].

German-speaking psychiatrists had a great interest in the Swiss poet and writer Conrad Ferdinand Meyer (1825-1898)-even after his death. Meyer was hospitalised twice for major depression with psychotic features. For many years of his life he showed a chronic depressive disorder. We would diagnose a dysthymic disorder with comorbid recurrent major depressive disorder with psychotic features according to DSM-IV or ICD-10. After Meyer had lived isolated for many years and had hardly left his house, he reached public recognition and found his "profession" only at the age of 40. Different pathographic publications (amongst others Möbius, Hellpach, Sadger, Lang, Jung) on Meyer in the early 20th century reflect the debate over both Kraepelin's theories and psychoanalysis. In these publications the scientific argument was often more important than Meyer's biography. Two topics play an important role in these discussions: the differences between idiographic and nomothetic method, and the question, where the border between "personality variation" and "illness" lies.

Adult↗

The symbolic and literal in schizophrenic language.

TOPIC: Differences between the symbolic, or poetic, and the literal in schizophrenic language. PURPOSE: To enhance the nurse's therapeutic effectiveness with these clients. SOURCE: Review of the literature. CONCLUSION: What often is perceived as literal language in schizophrenic communication is, in many cases, full of symbolic meaning.

Affect↗

Loneliness and the poet: Robert W. Service.

The subject of loneliness has received inadequate attention at the hands of psychoanalysts. As a matter of great psychopathologic significance, the topic requires urgent attention. Its components and consequences are more complex than one realizes at first glance. As a great concern of mankind loneliness is naturally seized upon by poets, who dwell upon it in their work, whether or not they are consciously aware of it. These points have been studied in this essay by a scrutiny of the life and work of the poet, Robert W. Service.

Family↗

Illness in literature: an example of Middle Scots.

Few poets have written on medical topics, but one who did was William Dunbar, an eighteenth century Scots poet who wrote of his headache. His headache was severe enough to confine him to his house, and may have been migraine, but this remains uncertain. Scotland's king at that time was James IV who was well-educated and interested in medicine. He awarded Dunbar a salary, probably as secretary in his household, which may reflect his general support for education and the arts.

Headache↗

Women's narratives of long-term urinary incontinence.

PURPOSE: The purpose of this study was to use narrative analysis as a method for examining the lived experience and meaning of long-term, female urinary incontinence (UI). METHOD: Cognitive anthropology and critical medical anthropology provided the overall framework for this study. Theoretical saturation (Strauss, 1987) was achieved after 17 community-dwelling women with long-term (greater than 5 year's duration) UI were interviewed. Informants participated in two face-to-face, audiotaped, interviews and a semi-structured, topical outline for each interview was used. A field journal was used to supplement and validate other data. Informant's narratives were analyzed to emphasize the overall plot type of their stories. FINDINGS: In this study, three dominant plot types emerged from women's narratives: the UI Quest Narrative, UI Restitution and Redemption Narratives, and the UI Victim Narrative. These plot types provide a beginning understanding of the lived experience and meaning of long-term female UI. CONCLUSIONS: Study findings suggest (a) long-term female UI is primarily conceptualized as a condition integrated into a larger life story, (b) women with long-term UI relate stories that follow a narrative format, and (c) long-term, female UI is heterogeneous. Findings go beyond existing literature by suggesting that women's UI narratives serve an important function in understanding the lived experience and the meaning of UI.

Activities of Daily Living↗

[Surgery attributable to Abu l-Qasim in Wolfram von Eschenbach's 'Parzifal'].

None of the medieval chivalresque romances deals with topics from natural science to such an extent as the Parzival of Wolfram von Eschenbach. In the Urjans-episode this highly learned German poet describes a thoracocentesis by means of a wooden tube, which evacuates accumulated blood out of the wounded knight's chest. Due to the relief of the blood's pressure on his heart the normal circulation of his blood is restored and Urjans awakes from unconsciousness. Up to now this outstanding description of a not everyday surgical therapy could not be traced back into the history of medicine. There is, however, a striking parallel in the Chirurgia (chapter 100) of Abu l-Qasim Halaf Ibn al-'Abbas az-Zahrawi, which reads, even in details, like Wolfram's text except the fact that Wolfram takes a tube for evacuating the blood whereas Abu l-Qasim suggests a cord made of cotton. Wolfram must have had a professional knowledge of surgery, yet we do not know in which way he became acquainted with Gerard's of Cremona latin translation of his arabic source.

Germany↗

[Seed, youth, the land is fertile and the moment, unique!: it is not Neruda, but Gandulfo, the surgeon].

The second and definitive edition of "Crepusculario", the first book of Pablo Neruda, is dedicated by the poet "To Juan Gandulfo, this book of other times, Pablo". Juan Gandulfo, died tragically, at a very young age, in 1931. Juan Gandulfo, remembered in Neruda's memoirs, as the most formidable leader of the Anarchist movement of that time and that engraved in wood the cover and all the illustrations of the first edition of Crepusculario, published in 1923. Neruda qualified these as the "most impressive engravings made by a man that nobody relates to artistic creation". Juan Gandulfo, as a medical student, made the color illustrations used to teach biology and histology by Professor Juan Noe. Juan Gandulfo wrote more than one hundred articles in the magazine "Claridad", pertaining to the Student Federation of Chile. Juan Gandulfo was consequent with his writings and went to jail twice as a student leader and fought a duel for a woman. Later on, with the same vehemence, he dedicated himself to the care of children in the Arriaran Hospital and to teach general surgery at the San Vicente Hospital, but fate truncated his career at the age of 36. This essay is an homage to this man, in the centennial of Pablo Neruda's birth.

Chile↗

Destroyers and other verses. Henry Head, the poet.

Henry Head's literary contributions have gone virtually unnoticed despite Lord Brain's contention that "Had Henry Head not adopted medicine as a profession, he might have been equally distinguished as a writer." During World War I, Head published war poems in several literary journals and in 1919 they were compiled into a volume entitled Destroyers and Other Verses. Prior to Destroyers, Head published two other volumes of poetry and, in 1922, he wrote an introduction to a collection of works by Thomas Hardy, compiled by his equally literate wife, Ruth. That the literary influence between the Heads was mutual is revealed by the many references to medicine and physicians in the novels of Ruth Head. This article presents the literary works of Henry and Ruth Head and describes this little known but important part of Sir Henry's career.

History, 20th Century↗

Seizures in the life and works of Edgar Allan Poe.

Edgar Allan Poe, one of the most celebrated of American storytellers, lived through and wrote descriptions of episodic unconsciousness, confusion, and paranoia. These symptoms have been attributed to alcohol or drug abuse but also could represent complex partial seizures, prolonged postictal states, or postictal psychosis. Complex partial seizures were not well described in Poe's time, which could explain a misdiagnosis. Alternatively, he may have suffered from complex partial epilepsy that was complicated or caused by substance abuse. Even today, persons who have epilepsy are mistaken for substance abusers and occasionally are arrested during postictal confusional states. Poe was able to use creative genius and experiences from illness to create memorable tales and poignant poems.

Diagnosis, Differential↗