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DIAGNOSIS: TRUTHS AND TALES
The announcement of a serious diagnosis is a solemn moment when
directions shift, priorities change, and life appears in sharper focus. It is
also a moment when a story takes shape. It is a story we are able to imagine,
even if we haven’t experienced it firsthand, because the moment of
diagnosis is as pervasive in popular media as it is in medicine.
Diagnosis: Truths and Tales shares stories told from the perspectives of
those who receive diagnoses and those who deliver them. Confronting
how we address illness in our personal lives and in popular culture,
this compelling book explores narratives of diagnosis while pondering
the impact they have on how we experience health and disease.
AnnemArie Goldstein Jutel is a professor in the Faculty of Health at
Victoria University of Wellington.
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Annemarie Goldstein Jutel
https://t.me/medicina_free
TRUTHS
AND
TALES
With Thierry Jutel and Ian Williams
Foreword by Lisa Sanders, MD
UNIVERSITY OF TORONTO PRESS
Toronto Buffalo London
© University of Toronto Press 2019
Funded by the
Financé par le
https://t.me/medicina_free
Toronto Buffalo London
utorontopress.com
Printed in the U.S.A.
ISBN 978-1-4875-0302-4 (cloth)
ISBN 978-1-4875-2226-1 (paper)
♾
Printed on acid-free paper with vegetable-based inks.
_________________________________________________________________________
Library and Archives Canada Cataloguing in Publication
Jutel, Annemarie, author
Diagnosis : truths and tales /
with Thierry Jutel and Ian Williams ; foreword by Lisa Sanders, MD.
Includes bibliographical references and index.
ISBN 978-1-4875-0302-4 (cloth). ISBN 978-1-4875-2226-1 (paper)
1. Social medicine. 2 . Diagnosis – Social aspects.
3. Diagnosis – Psychological aspects. 4. Popular culture. I. Title.
RA418.J88 2019 362.1 C2018-906309-2
________________________________________________________________________
Annemarie Goldstein Jutel ;
Thermometer image used for editorial break: bluebright/iStock
University of Toronto Press acknowledges the financial assistance to its
publishing program of the Canada Council for the Arts and the Ontario Arts
Council, an agency of the Government of Ontario.
gouvernement
du Canada
Government
of Canada
To Lydia Wevers for her support, her example, and her friendship.
https://t.me/medicina_free
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https://t.me/medicina_free
Contents
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List of Illustrations ix
Foreword: Giving the Story Back – by Lisa Sanders xi
Acknowledgments xv
Introduction 1
1 A Touch of the Flu:
The Paradoxes and Contradictions of Diagnoses 23
Narrative Exchange and Self-Diagnosis 41
Diagnosis, Disclosure, and the Power of a Profession 59
4 “The News Is Not Altogether Comforting”:
The Diagnostic Moment in Film and Television –
2 Whose Stories?
3 “The Expertness of His Healer”:
Fiction and the Diagnostic Moment 81
5 Breaking Bad:
with Thierry Jutel 97
viii Contents
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6 A Picture Paints a Thousand Words:
The Graphic Diagnosis – with Ian Williams 125
7 The Intellectual Documentary:
Methods for Understanding the Diagnostic Moment 139
8 What’s There to Tell?
Diagnosis-as-Mystery 157
Notes 169
References 185
Index 201
Illustrations
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I.1 Diagnosis as clear-cut categories 6
I.2 In the diagnostic moment one story is told and another one
is triggered 14
1.1 Public health warnings presume a familiarity with, and the
reliability of, influenza case definition criteria 32
2.1 Selling a remedy by promoting a story 45
2.2 A contemporary marketing narrative 46
3.1 The ponderous task of diagnostic deliberation and
delivery 64
5.1 Walter White (Brian Cranston) receiving the diagnosis of
inoperable lung cancer, in Breaking Bad 101
5.2 Peter Mitchell (Christopher Walken) with his doctor (Madhur
Jaffrey), before the diagnosis of Parkinson’s disease, in A Late
Quartet 112
6.1–6.8 Julie’s diagnosis, excerpt from The Bad Doctor by Ian
Williams 126
7.1 X-rays and diagnostic imaging creates a representation of a
fragmented inner self 144
8.1 Bruce Banner (Mark Ruffalo) and security guard (Harry Dean
Stanton), in The Avengers 159
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