Speaking Shame and Laughing It Off: Using Humorous Narrative to Conquer the Shame of Anorectal Illness

Yue, Jinwen

doi:10.1177/1049732320987832

Cited by 11 publications

(6 citation statements)

References 39 publications

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“…Members' discussions on the academic degrees allow for assessing topics related to virtual academic degrees. Based on the discussion content, scholars can explore the incentive function of virtual academic degrees with the qualitative research method [22], which has been widely used in web-based content analyses [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Incentive Function of Virtual Academic Degrees in a Chinese Online Smoking Cessation Community: Qualitative Content Analysis

Qian¹,

Liu²,

Lee³

et al. 2023

J Med Internet Res

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Background Previous studies on online smoking cessation communities (OSCCs) have shown how such networks contribute to members’ health outcomes from behavior influence and social support perspectives. However, these studies rarely considered the incentive function of OSCCs. One of the ways OSCCs motivate smoking cessation behaviors is through digital incentives. Objective This study aims to explore the incentive function of a novel digital incentive in a Chinese OSCC—the awarding of academic degrees—to promote smoking cessation. It specifically focuses on “Smoking Cessation Bar,” an OSCC in the popular web-based Chinese forum Baidu Tieba. Methods We collected discussions about the virtual academic degrees (N= 1193) from 540 members of the “Smoking Cessation Bar.” The time frame of the data set was from November 15, 2012, to November 3, 2021. Drawing upon motivational affordances theory, 2 coders qualitatively coded the data. Results We identified five key topics of discussion, including members’ (1) intention to get virtual academic degrees (n=38, 2.47%), (2) action to apply for the degrees (n=312, 20.27%), (3) feedback on the accomplishment of goals (n=203, 13.19%), (4) interpersonal interaction (n=794, 51.59%), and (5) expression of personal feelings (n=192, 12.48%). Most notably, the results identified underlying social and psychological motivations behind using the forum to discuss obtaining academic degrees for smoking cessation. Specifically, members were found to engage in sharing behavior (n=423, 27.49%) over other forms of interaction such as providing recommendations or encouragement. Moreover, expressions of personal feelings about achieving degrees were generally positive. It was possible that members hid their negative feelings (such as doubt, carelessness, and dislike) in the discussion. Conclusions The virtual academic degrees in the OSCC created opportunities for self-presentation for participants. They also improved their self-efficacy to persist in smoking cessation by providing progressive challenges. They served as social bonds connecting different community members, triggering interpersonal interactions, and inducing positive feelings. They also helped realize members’ desire to influence or to be influenced by others. Similar nonfinancial rewards could be adopted in various smoking cessation projects to enhance participation and sustainability.

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Section: Introductionmentioning

confidence: 99%

Exploring the Incentive Function of Virtual Academic Degrees in a Chinese Online Smoking Cessation Community: Qualitative Content Analysis

Qian¹,

Liu²,

Lee³

et al. 2023

J Med Internet Res

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“…Some researchers in clinical settings have noted that humour can establish rapport and allow for the discussion of difficult topics, 14 where humour is contextualized by the ‘culture of suffering’ in medical settings and interactions 15 . Patients can also employ humour to create narratives that externalize shame 16 . However, when the hierarchy between clinicians and patients is stark, jokes can appear as humiliations or microaggressions; their potential to shame uncovering the workings of power 17 .…”

Section: Introductionmentioning

confidence: 99%

“…15 Patients can also employ humour to create narratives that externalize shame. 16 However, when the hierarchy between clinicians and patients is stark, jokes can appear as humiliations or microaggressions; their potential to shame uncovering the workings of power. 17 Some jokes can reflect micro-inequities, 'minute expressions and events that may or may not be recognized by victims and perpetrators'.…”

mentioning

confidence: 99%

You're joking: Exploring humour and humiliation as forms of shame and obstetric violence within medical encounters

Smith‐Oka

2022

Evaluation Clinical Practice

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Despite medical guidelines delineating respect towards patients, many encounters between patients and clinicians are problematic, in which patients feel disrespected, unheard, shamed or abused. This article uses an anthropological lens to focus on the imbrication of humour and humiliation as forms of shame and obstetric violence within obstetric encounters. Humour as a form of speech play creates a substrate for the occurrence of humiliation and shaming of obstetric patients. Humour enhances patients' feelings of shame, making them vulnerable to verbal and physical forms of obstetric violence. Ethnographic methods of observation and interviews were performed in two hospitals in the Mexican city of Puebla to uncover clinicians' perceptions and narratives about their patients as problematic others. Narratives about patient worth underscored interactions. Humour and humiliation were centrally present within these interactions. Ultimately, both humour and humiliation functioned as shaming mechanisms that increased the presence of obstetric violence in these encounters. The article examines whether an understanding of shame can improve clinical practice and concludes with implications to clinical practice.

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“…Narratives are important for re-examining and transforming one’s identity, for maintaining a coherent sense of self, and for giving meaning to the physical, psychological, and social experiences of being ill [ 1 , 3 , 4 , 5 , 6 ]. Illness narratives have been seen as empowering because they may help a person assert control and regain agency in their life [ 7 ] (p. 848) and enable the person to gain a “voice” outside the biomedical domain to express their experiential experiences of being ill [ 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Narratives about Negative Healthcare Service Experiences: Reported Events, Positioning, and Normative Discourse of an Active Client

et al. 2022

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Narratives about clients’ service experiences in healthcare organizations constitute a crucial way for clients to make sense of their illness, its treatment, and their role in the service process. This is important because the client’s role has recently changed from that of a passive object of care into an active responsible agent. Utilizing Bamberg’s narrative positioning analysis as a method, and 14 thematic interviews of healthcare clients with multiple health-related problems as data, we investigated the expectations of the client’s role in their narratives about negative service experiences. All the narratives addressed the question of the clients’ “activeness” in some way. We identified three narrative types. In the first, the clients actively sought help, but did not receive it; in the second, the clients positioned themselves as helpless and inactive, left without the care they needed; and in the third, the clients argued against having to fight for their care. In all these narrative types, the clients either demonstrated their own activeness or justified their lack of it, which—despite attempts to resist the ideal of an “active client”—ultimately just reinforced it. Attempts to improve service experiences of clients with considerable service needs require a heightened awareness of clients’ moral struggles.

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Speaking Shame and Laughing It Off: Using Humorous Narrative to Conquer the Shame of Anorectal Illness

Cited by 11 publications

References 39 publications

Exploring the Incentive Function of Virtual Academic Degrees in a Chinese Online Smoking Cessation Community: Qualitative Content Analysis

Exploring the Incentive Function of Virtual Academic Degrees in a Chinese Online Smoking Cessation Community: Qualitative Content Analysis

You're joking: Exploring humour and humiliation as forms of shame and obstetric violence within medical encounters

Narratives about Negative Healthcare Service Experiences: Reported Events, Positioning, and Normative Discourse of an Active Client

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