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Cicely Saunders and Total Pain - Joe Wood

Cicely Saunders and Total Pain

Holism, Narrative and Silence at the End of Life

(Autor)

Buch | Softcover
256 Seiten
2026
Edinburgh University Press (Verlag)
978-1-3995-3107-8 (ISBN)
CHF 34,90 inkl. MwSt
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Offers the first full-length study of Cicely Saunders' idea of ‘total pain’, providing a fresh perspective on the ambiguous place of narrative in healthcare
Introduced in 1964, Cicely Saunders’ term ‘total pain’ has come to epitomise the holistic ethos of hospice and palliative care. It communicates how a dying person’s pain can be a whole overwhelming experience, not only physical but also psychological, social and spiritual. ‘Total pain’ clearly summarises Saunders’ whole-person, multidisciplinary outlook but is it a phenomenon, an intervention framework, a care approach – or something else? This book disregards the idea that Saunders’ phrase has one coherent meaning and instead explores the multiple interpretations now current in contemporary professional discourse. Using close reading of Saunders’ extensive publications, as well as archival evidence and Saunders’ own personal library, it situates the current usage of ‘total pain’ in wider histories of clinical holism, questions its similarity to later ideas of narrative medicine, and explores how it might express the ambiguities of bearing witness to pain and vulnerability when someone is dying.

Joe Wood is currently an Affiliate Researcher at King’s College London. He has worked in the English department at King’s and as part of the Glasgow End of Life Studies Group at the University of Glasgow. His work on Cicely Saunders and narrative at the end of life has led to collaborative work with St Christopher’s Hospice and the Royal College of Nursing.

Acknowledgements
Series Editor's Preface

Introduction: Pinning Down the Intangible

Part I. Holism

1. Saunders’ Use of ‘Total Pain’
2. Uses and Definitions of ‘Total Pain’ After Saunders: Many Holisms
3. Criticising ‘Total Pain’: Definite Concept or Ambiguous Term?

Part II. Narrative
4. ‘Total Pain’ and Narrative Medicine: A Sense of an Ending
5. Defending a Narrative ‘Total Pain’: Narrative vs. Narrating
6. Using Narratives to Express ‘Total Pain’

Part III. Fragments and Silence
7. Quotations and Fragments: The Limits of Narrative
8. Photographs: Looking for/at ‘Total Pain’
9. No Words: Presence and ‘Total Pain’

Conclusion: ‘Total Pain’ Now

Bibliography
Index

Erscheint lt. Verlag 31.5.2026
Reihe/Serie Contemporary Cultural Studies in Illness, Health and Medicine
Verlagsort Edinburgh
Sprache englisch
Maße 156 x 234 mm
Themenwelt Geisteswissenschaften Sprach- / Literaturwissenschaft Anglistik / Amerikanistik
Geisteswissenschaften Sprach- / Literaturwissenschaft Literaturwissenschaft
Studium Querschnittsbereiche Geschichte / Ethik der Medizin
Sozialwissenschaften
ISBN-10 1-3995-3107-7 / 1399531077
ISBN-13 978-1-3995-3107-8 / 9781399531078
Zustand Neuware
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