Pub Date : 2022-09-01Epub Date: 2022-05-03DOI: 10.1007/s11019-022-10086-z
Alistair Wardrope, Markus Reuber
The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it - a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine - the study of the interpretation of human experience in medical terms - has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This paper examines the hermeneutical activity of symptom-construction more closely. I propose a fourfold account of the clinical function of symptoms: as theoretical entities; as tools for communication; as guides to palliative intervention; and as candidates for medical explanation or intervention. I also highlight roles they might play in illness experience. I use this framework to discuss four potential failures of symptom-interpretation: failure of symptom-type and symptom-token recognition; loss of the complete picture of illness experience through overwhelming emphasis on its symptomatic interpretation; and intersubjective feedback effects of symptom description altering the ill person's own perceptions of their phenomenal experience. I conclude with some suggestions of potential remedies for failures in the process of symptom-construction.
{"title":"The hermeneutics of symptoms.","authors":"Alistair Wardrope, Markus Reuber","doi":"10.1007/s11019-022-10086-z","DOIUrl":"10.1007/s11019-022-10086-z","url":null,"abstract":"<p><p>The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it - a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine - the study of the interpretation of human experience in medical terms - has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This paper examines the hermeneutical activity of symptom-construction more closely. I propose a fourfold account of the clinical function of symptoms: as theoretical entities; as tools for communication; as guides to palliative intervention; and as candidates for medical explanation or intervention. I also highlight roles they might play in illness experience. I use this framework to discuss four potential failures of symptom-interpretation: failure of symptom-type and symptom-token recognition; loss of the complete picture of illness experience through overwhelming emphasis on its symptomatic interpretation; and intersubjective feedback effects of symptom description altering the ill person's own perceptions of their phenomenal experience. I conclude with some suggestions of potential remedies for failures in the process of symptom-construction.</p>","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"20 4 1","pages":"395-412"},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79685658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.4135/9781483380810.n191
P. Williams, J. Corrin
Children with developmental verbal dyspraxia have difficulty in making and co-ordinating the precise movements required for the production of clear speech, and yet there is no evidence of damage to nerves or muscles. They have difficulty in producing individual speech sounds and in sequencing sounds together in words. As a result their speech is often unintelligible even to family members. The speech disorder is the predominant presentation, but children with developmental verbal dyspraxia may also have oro-motor dyspraxia, affecting their ability to make and co-ordinate the movements of the larynx, lips, tongue and palate and /or generalised dyspraxia affecting gross and fine body movements.
{"title":"Developmental Verbal Dyspraxia","authors":"P. Williams, J. Corrin","doi":"10.4135/9781483380810.n191","DOIUrl":"https://doi.org/10.4135/9781483380810.n191","url":null,"abstract":"Children with developmental verbal dyspraxia have difficulty in making and co-ordinating the precise movements required for the production of clear speech, and yet there is no evidence of damage to nerves or muscles. They have difficulty in producing individual speech sounds and in sequencing sounds together in words. As a result their speech is often unintelligible even to family members. The speech disorder is the predominant presentation, but children with developmental verbal dyspraxia may also have oro-motor dyspraxia, affecting their ability to make and co-ordinate the movements of the larynx, lips, tongue and palate and /or generalised dyspraxia affecting gross and fine body movements.","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70635300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1163/2210-7363_ecll_COM_000096
KS To
{"title":"Developmental Speech and Language Disorders","authors":"KS To","doi":"10.1163/2210-7363_ecll_COM_000096","DOIUrl":"https://doi.org/10.1163/2210-7363_ecll_COM_000096","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64560820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Contents: Preface. Part I: How Knowledge of Language Can Inform Teachers in Multicultural, Linguistically Diverse Classrooms. J. Baugh, Linguistics and Education in Multilingual America. J.S. Lee, Embracing Diversity Through the Understanding of Pragmatics. S. Burt, H. Yang, Growing Up Shifting: Immigrant Children, Their Families, and the Schools. K.A. Remlinger, Language and Gender Matters in the Classroom. A.B. Wassink, "My Teacher Says...," Mastery of English and the Creole Learner. J. Ann, L. Peng, The Relevance of Linguistic Analysis to the Role of Teachers as Decision Makers. L.S. Mancini, A Positive Sign: An Overview of the Benefits of Signing in the Classroom. A. Lobeck, A Critical Approach to Standard English. P. MacGregor-Mendoza, Bilingualism: Myths and Realities. R. Bayley, S.R. Schecter, Spanish Maintenance and English Literacy: Mexican-Descent Children's Spanish and English Narratives. Part II: Integrating Knowledge of Language Into K-12 Teaching. A. Curzan, Spelling Stories: A Way to Teach the History of English. K. Denham, Teaching Students About Language Change, Language Endangerment, and Language Death. J.M.D. Higgins, Language as a Reflection of Our Social and Physical World: What We Can Learn From Metaphor. R.S. Wheeler, Contrasive Analysis and Codeswitching: How and Why to Use the Vernacular to Teach Standard English. K. Hazen, English LIVEs: Language in Variation Exercises for Today's Classrooms. P.A. Dunn, K. Lindblom, Developing Savvy Writers by Analyzing Grammar Rants. D.J. Napoli, Linguistics as a Tool in Teaching Fiction Writing. T.T.N. Hung, Applications of Corpus Linguistics in the English Language Classroom. A.M. Nemoianu, English Gairaigo: Learning About Language Structure From the Margins of Japanese. A. Curzan, Opening Dictionaries to Investigation.
{"title":"Opening dictionaries to investigation","authors":"Anne Curzan","doi":"10.4324/9781410613219","DOIUrl":"https://doi.org/10.4324/9781410613219","url":null,"abstract":"Contents: Preface. Part I: How Knowledge of Language Can Inform Teachers in Multicultural, Linguistically Diverse Classrooms. J. Baugh, Linguistics and Education in Multilingual America. J.S. Lee, Embracing Diversity Through the Understanding of Pragmatics. S. Burt, H. Yang, Growing Up Shifting: Immigrant Children, Their Families, and the Schools. K.A. Remlinger, Language and Gender Matters in the Classroom. A.B. Wassink, \"My Teacher Says...,\" Mastery of English and the Creole Learner. J. Ann, L. Peng, The Relevance of Linguistic Analysis to the Role of Teachers as Decision Makers. L.S. Mancini, A Positive Sign: An Overview of the Benefits of Signing in the Classroom. A. Lobeck, A Critical Approach to Standard English. P. MacGregor-Mendoza, Bilingualism: Myths and Realities. R. Bayley, S.R. Schecter, Spanish Maintenance and English Literacy: Mexican-Descent Children's Spanish and English Narratives. Part II: Integrating Knowledge of Language Into K-12 Teaching. A. Curzan, Spelling Stories: A Way to Teach the History of English. K. Denham, Teaching Students About Language Change, Language Endangerment, and Language Death. J.M.D. Higgins, Language as a Reflection of Our Social and Physical World: What We Can Learn From Metaphor. R.S. Wheeler, Contrasive Analysis and Codeswitching: How and Why to Use the Vernacular to Teach Standard English. K. Hazen, English LIVEs: Language in Variation Exercises for Today's Classrooms. P.A. Dunn, K. Lindblom, Developing Savvy Writers by Analyzing Grammar Rants. D.J. Napoli, Linguistics as a Tool in Teaching Fiction Writing. T.T.N. Hung, Applications of Corpus Linguistics in the English Language Classroom. A.M. Nemoianu, English Gairaigo: Learning About Language Structure From the Margins of Japanese. A. Curzan, Opening Dictionaries to Investigation.","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"1 1","pages":"247-258"},"PeriodicalIF":0.0,"publicationDate":"2005-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70475404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prison services: the Parchman Project.","authors":"T A Crowe, M E Byrne, A N Henry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"41 6","pages":"50-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21428938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creating the tapestry of audiology.","authors":"V S Gladstone, S E Moss","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"41 6","pages":"44-8"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21428939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Struggling to be heard: the unmet needs of Asian Pacific Americans.","authors":"L R Cheng","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"41 6","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single-subject versus randomized group design.","authors":"R R Robey, J Wambaugh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"41 6","pages":"14-5"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When student and supervisor disagree about patient care.","authors":"A Blake, J F Shuler, S Gambs, S MacRae","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75567,"journal":{"name":"ASHA","volume":"41 6","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21428940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}