Sunday, December 11, 2011

Needing a good editor...

What is one of the interesting mental tug-of-wars that I have with myself is the meta-meaning of narrative. (Yup, that's the kind of stuff I think about). What I mean is this: In the work that I do, evidence, science, data - these are the things by which decision trees, management guidelines and the like are created. Clinically, in many ways, it doesn't matter about the 'lived experience' as much as the 5-yr survival curve, the PPV, the percentages of side effects, the timeline of prognosis. All very numeric, qualitative and statistically significant.
Not to say it's not important: It is. It's critically important in making key decisions and deciding how to proceed with disease management.
However, the other end of the spectrum is how personally important the post-modern sense of narrative is to draw meaning. Our bodies may be made of amino acids and molecules, but our lives are constructed of stories. And stories hold great power in describing meaning.
At any rate, it basically comes down to: stories are how our lives are made. Stories are how we transmit who we are to others. That amazes me, really. It amazes me in considering how, in many ways, it is the stories that are the critical touchstones to help decision making.
I think I'm blathering a bit, but it is still quite something... this is definitely not well-written as a story, that's for sure...

1 comment:

Unknown said...

what you say about it being related to decision-making... i think from an educational standpoint, stories are also the prime method of passing on information, wisdom, etc... and i think stories connect with emotions as well as impart facts, so... interesting ponderings. meta-narrative is also an interesting concept and i wish i knew more about cultures (modern and historical) and the role of meta-narrative in their understanding of the world. and now, story-less comment ending...