Another Brick in the Wall: Individuals in the Context of Family and Community The first task of any skilled interviewer is to hear the story or the narrative as the patient tells it and to identify the patient’s key perceptions, thoughts, feelings, and behaviors. Our primary goal of the case history is to attend and focus on the individual patient and his/her ... Article
Article  |   May 01, 2003
Another Brick in the Wall: Individuals in the Context of Family and Community
Author Affiliations & Notes
  • Michael K. Wynne
    Department of Otolaryngology—Head and Neck Surgery Indiana University School of Medicine, Indianapolis, IN
Article Information
Hearing Disorders / Special Populations / Cultural & Linguistic Diversity / Genetic & Congenital Disorders / School-Based Settings / Professional Issues & Training / Articles
Article   |   May 01, 2003
Another Brick in the Wall: Individuals in the Context of Family and Community
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, May 2003, Vol. 13, 9-11. doi:10.1044/hhdc13.1.9
SIG 9 Perspectives on Hearing and Hearing Disorders in Childhood, May 2003, Vol. 13, 9-11. doi:10.1044/hhdc13.1.9
The first task of any skilled interviewer is to hear the story or the narrative as the patient tells it and to identify the patient’s key perceptions, thoughts, feelings, and behaviors. Our primary goal of the case history is to attend and focus on the individual patient and his/her concerns. However, it is important to understand that there is very little validity to the totally autonomous self and, as such, each individual should be seen as a being-in-relation (Baker Miller, Stiver, & Hooks) or another brick (person) in the wall (community). Each patient is truly a person-as-community (Obonnaya, 1994) wherein that patient’s family and community history live within him or her. The family and community genograms are useful in helping both the clinician and the patient gain new perspectives on themselves and their relationships to others.
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