Reading between the lines: a five-point narrative approach to online accounts of illness

Klay Lamprell, Jeffrey Braithwaite*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)
312 Downloads (Pure)


The successful delivery of patient-centered care hinges on clinical affiliation for patients' personal needs and experiences. Narrative competence is a mode of thinking and set of actions that widens the clinical gaze beyond logico-scientific cognition. In this article, we investigate a tool that enables clinicians to rehearse their skills in narrative competence. We apply the narrative competence framework developed by the founding practitioners of narrative medicine to personal accounts of illness and patienthood published on the Internet. We describe our use of the five-point framework in the close reading of 214 accounts by people with the life-threatening skin cancer melanoma.

Original languageEnglish
Pages (from-to)569-590
Number of pages22
JournalJournal of Medical Humanities
Issue number4
Early online date15 Apr 2019
Publication statusPublished - 1 Dec 2019

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • Medical education
  • Melanoma
  • Narrative medicine
  • Patient communication
  • Patient-centered care


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