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EN
“Cancer. Anthropological study of practice and narration” by Hubert Wierciński is a work in the field of medical anthropology, a discipline gaining recent popularity in Poland. Author interviewed 44 people at selected medical facilities and among oncological patient’s organizations members. Using tools developed in so called “narrative paradigm” which has been founded in the 80’s of XX century, he describes world of people suffering from cancer. Wierciński challenges the idea that the life medicalization process is unambiguously harmful for the patients – a view developed by critical theory. According to authors notion, modern medicine helps patients organizing their experience and delivers useful language for its description. Gathering data supporting this view is certainly an important achievement. Other one is drawing attention on patient’s organizations importance for regaining psychological well-being process. The major drawback of Wierciński work is ambiguous metaphor according to which “narration is a medicine”. It can be understood in two ways: 1) having language which organizes experience of illness can improve chances for survival for cancer patients, 2) describing painful experiences can contribute in regaining psychological well-being. However, neither oncology nor psychology cannot support either of those theses. Description of the world of cancer patients focuses on aspects which are left unsaid, however analytical category of “tabu” wasn’t sufficiently conceptualized and operationalized. For this reason, part of work which focuses on poorly known aspects of illness, has purely descriptive value. Goals which were set by author were only partially achieved.
PL
Dla wielu logopedów, niezależnie od stażu pracy, podjęcie terapii z pacjentem po całkowitym usunięciu krtani stanowi ogromne wyzwanie, któremu nierzadko nie umieją sprostać. Taki stan rzeczy jest spowodowany wciąż niewielką liczbą praktycznych opracowań zawierających szczegółowe wskazówki dotyczące terapii po laryngektomii. W artykule przedstawiono szczegółowe zalecenia dotyczące terapii mowy przełykowej wraz z objaśnieniem przyczyn możliwych niepowodzeń podczas procesu rehabilitacji głosu i mowy. Omówiono możliwe działania począwszy od kilku dób od operacji usunięcia krtani aż do momentu trenowania prozodycznych elementów mowy.
EN
For many speech therapists, regardless of their work experience, undertaking therapy with a patient after complete removal of the larynx is a huge challenge that they often cannot cope with. This state of affairs is caused by the still small number of practical studies containing detailed guidelines for post-laryngectomy therapy. The article presents detailed recommendations on evoking esophageal voice along with an explanation of the causes of possible failures during the voice and speech rehabilitation process. Possible actions range from those that are possible a few days after laryngeal surgery to those for practicing the prosodic elements of speech.
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