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Has The `narrative` Of Disease Shifted From A Patient-centred To A Bio-medical One?
This is an example essay plan for a history essay written at degree level. The essay based off this plan received a high first.
Date : 09/09/2021
Planning is essential when writing a history essay. Bellow I have provided a (very brief) example of a structure used in my degree.
Note: this is only an example of one form of essay - it would not fit every question or topic.
HAS THE NARRATIVE OF DISEASE SHIFTED FROM A PATIENT-CENTRED TO A BIO-MEDICAL ONE? In a nutshell This essay will focus its analysis on mental health The comparison aspect of this essay will focus on the similarities/differences between manic and acuteillnesses.o How have these illnesses charted a shift from patient centred to biomedical mental illness? Introduction: What is a patient-centred narrative? What is a bio-medical narrative? What time period will I focus on? How do I, as a historian, benefit from a comparison of these areas/illness/periods? Section 1: Historiography What sources have I used? Why? What do they contribute to the narratives? How do they complicate the narrative? How do particular provenances effect the impact of certain sources? E.g. how did the male-dominated medical industry impact the narrative of the female malady? what power structures emerge from this? Section 2: Medical Here, remember to consider the watershed of war how did this impact medicine as a growing industrial power? Compare psychoanalysis and cognitive behaviour therapy vs pharmaceutical consider the critiques of Freudian approaches and not scientific compared to the anti-psychiatry movement. Look into the cultural authority of medicine and the moral argument consider autonomous selfhood and optimised health. Compare this to the idea of autonomy being regulated through pharmaceuticals i.e. drugs provide autonomy but only that which fits within the constraints of social norms. Section 3: Social/cultural social judgement and impact on norms Look towards voyeurism in the rise of modern medicine problematising the patient-centred narrative through patient-doctor negotiation what did the biomedical shift do to this? Looking at acute and manic illnesses, consider which fits more into the social norm relate this to socio-political influences Section 4: Conclusion What are the continuities? What are the changes? Does mental health fit into a different narrative to other diseases? close relation to socio-political influences
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