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EN
This article aims to present and discuss new developments in the macro-genre of medical case reporting. These developments are novel forms of case reports published in international medical journals, going beyond the mere reporting of a case of a new disease or of its novel aspects. They may consist in the differences at the level of form, function and mode of content presentation. The data for the study constitute various publications derived from prestigious medical publishing outlets in English and will be analysed from the qualitative discourse perspective. The article demonstrates both generic creativity on the part of the authors as well as reflections on the changes taking place in medical practice.
EN
Mechanical ventilation at home is one of the methods of treatment of respiratory failure, but it is not yet widespread in Poland. Domestic ventilation can increase quality of life of patients who can remain at home under the care of a therapeutic team. Multiple sclerosis is one of the diseases that require mechanical ventilation. This disease, leds in many cases to respiratory failure. Here, we describe a case of the patient who has suffered from multiple sclerosis for 23 years and is now mechanically ventilated at home. The paper presents the current state of the patient, problems that affected her and her family, and what changes have occured since the time of her diagnosis with MS.
EN
While titles in scientific journals in general have attracted considerable interest, titles in medical research seem not to have been examined quite extensively. In these few studies, attention has been paid primarily to the form and length of titles as well as to their content. What is also emphasised is the need for discussion and further research on the topic in order to establish consistent guidelines regarding the formulation of clear and precise titles, which would aid journal editors, authors and readers. This paper constitutes an attempt to examine practices of formulating titles in medical case reports in Polish, following the study of F. Salager-Meyer et al. (2013a), in which title length, structure and content were considered as well.
EN
Aim. The main aim of the research is to identify and evaluate the quality of life of patients with an eating disorder – anorexia nervosa. In an analytical and descriptive way, the authors determine the level of various areas of life of patients who suffer from anorexia nervosa. Methods. The subjects of the study were participants suffering from anorexia nervosa. Based on qualitative research through unstructured interviews, the authors carried out causal case individual investigations, which they classified according to anamnesis, diagnostic tools and areas, which they evaluated based on the statements of the participants. Results. The analysis shows that anorexia nervosa affects different areas of life. It is a lifelong problem that has a huge impact on the physical, psychological, and spiritual side of a person. Conclusion. The study deals with the various elements of anorexia nervosa, which ultimately affects a person for life. Through definitions and interpretations of the authors' research results, we can confirm that it has multi-problematic consequences for the categorised areas of an individual's life, for the family and the groups in which they live.
EN
The aim of this series of articles is to identify and characterize the main linguistic and struc-tural features of medical case reports in the field of psychiatry and psychology. The series of papers is divided into to two parts: theoretical and empirical. The main purpose of the first part is to present the theoretical background of the discourse of psychiatry and psychology as well as the characteristics of case reports of these disciplines. In the paper, the present authors also demonstrate the structure of the case reporting of psychiatry and psychology, including the instruction for authors given by the American Psychological Association. Also, the narrative approach, the patient’s stories appearing in these texts as well as one of the main elements of the case reports, i.e. ‘case conceptualization’ are discussed. The second part will be an empirical one. The main research question is whether the case reports of psychiatry and psychology are typical representatives of the microgenre or whether they are different with respect to particular levels of the texts. The case reports of psychiatry and psychology will be compared with the case reports of clinical and surgical disciplines, for instance from cardiology or otorhinolaryngology.
EN
The aim of this series of articles is to identify and characterize the main linguistic and structural features of medical case reports in the field of psychiatry and psychology. The series is divided into to two parts: theoretical and empirical. The main purpose of the first part is to present the theoretical background of the discourse of psychiatry and psychology, including the characteristics of case reports of these disciplines and instructions for authors for preparing this type of text, as well as the narrative approach, case conceptualization etc. The second part is an empirical one. The main research question is whether the case reports of psychiatry and psychology are typical representatives of the microgenre or whether they are different with respect to particular levels of the texts. The present authors focus on the structure of case reports and their rhetorical character – the way of presenting particular information and its linguistic representation. The psychiatric and psychological case reports will be compared with the case reports from clinical and surgical disciplines, for instance cardiology or otorhinolaryngology. The study presents both differences and similarities between the two types of case reports, which are illustrated with representative examples from the research material.
PL
The present paper constitutes a qualitative discursive investigation of the nineteenth century case reports from ophthalmology derived from a specialist American medical journal, and focuses on citation as well as on authorial and patient’s presence. Regarding the first aspect, the present study generally confirms the results of the previous research, i.e. significant subjectivity, directness and informal character of the texts at hand. However, it also provides another insight into the scholarly communication in the nineteenth century, focusing on how patients are positioned therein, which has not received significant attention in the literature of the subject. Additionally, the paper offers an overview of the studies on specific aspects of scientific prose of the nineteenth century, including the medical context, as well as attempts to show the relation between the texts analysed and the context of their production and functioning, following the tradition of Genre Rhetorical Studies.
EN
This article presents various uses of the term ‘pathography’: as a genre in medical communication, an autobiographical patient narrative or a narrative case report written by a professional. A discussion of classic pathographies (Sigmund Freud, Karl Jaspers) is followed by an analysis of patient pathographies, with particular emphasis on the history of the Polish ones, only to eventually come back to narratives created by professionals (Alexander Luria, Oliver Sacks). The aim of this article is to draw attention to a certain affinity between the writings in the field of medical sciences and humanities.
EN
The article discusses case report as a literary genre of complex status and purpose: specialist (medical), popular and literary, extending beyond time and space, constantly evolving (to such an extent that one could even speak of a biography of case report). The notion of case report is not synonymous with medical history, although both are closely related. The aim of this article is to juxtapose different theoretical approaches (both medical and literary) and to introduce the concept of case report to Polish literary studies.
PL
Liczne badania specjalistycznego pisanego dyskursu medycznego, różnych gatunków oraz form, wskazują na ogólny bezosobowy i dehumanizujący charakter komunikacji w tym konkretnym kontekście. Z drugiej strony podejmowano liczne inicjatywy uwzględnienia owego ludzkiego pierwiastka w tekstach medycznych, zarówno poprzez różnego rodzaju modele, wskazówki, odmiany gatunkowe, jak również, bardziej holistycznie, poprzez różne modele praktyki medycznej. Celem niniejszego artykułu jest zbadanie dyskursu raportowania przypadków we współczesnych opisach przypadków w odniesieniu do obecności pacjenta. W tym celu zanalizowano próbkę typowych opisów przypadków zaczerpniętych z prestiżowego czasopisma medycznego, zwracając uwagę na tekstowe odnośniki do osób leczonych. Badanie pokazuje iż regularne opisy przypadku, tj. nie specjalne odmiany, nadal noszą znamiona dyskursu biomedycznego.
EN
Ample research on written professional medical discourse across genres and modalities generally points to the impersonal and dehumanising character of the communication in this particular context. On the other hand, there have been numerous attempts at incorporating the human element into medical texts, be it through different models, sets of guidelines, generic varieties, but also, more holistically, models of medical practice. The objective of the present paper is to study the discourse of case reporting in contemporary medical case reports with respect to patient’s presence. To this aim, a sample of regular case reports derived from a prestigious medical journal has been examined with particular attention to textual references to the treated. It will be shown that regardless of the current trend in medical practice in the direction to patient-centredness, regular medical reports, i.e. not special varieties, still bear the features of the biomedical discourse. 
EN
The aim of this study is to present a case report based on the Rorschach protocol of an adolescent patient with anorexia nervosa, demonstrating hypervigilant experiencing and distorted thinking patterns. Based on the psychological characteristics of adolescence and quantitative research on the monitoring of eating disorders with the Rorschach test, the key variables of the applied method and their expected configuration are defined. The case study presents anamnestic data of a seventeen-year-old patient with anorexia nervosa and information about the context of the psychological diagnosis performed. The protocol contains 37 responses collected according to the rules of the Comprehensive System. The scoring is done according to the Comprehe nsive System rules and includes the scales used in previous studies. The scoring system for barriers and penetrations is also newly used. In addition to assessing agreement with the expected configuration of variables (introversion; high PTI, Wsum6, Mp; low H and Hd; high dysphoric experiencing, aggression and S), particular attention is paid to the dynamics of the protocol and the importance of partial variables in the overall protocol picture, focusing on distorted thinking, body theme and aggression. The case study offers insight into the dynamics of hypervigilant and fantasy-distorted experiences of body themes. In addition to the limitations of the idiographic approach to personality, the limitation is the absence of other patient protocols reflecting the disease's development
CS
Cílem studie je prezentovat případovou studii založenou na protokolu Rorschachovy metody adolescentní pacientky s mentální anorexií, demonstrující hypervigilantní prožívání a zkreslené vzorce myšlení. Na základě psychologických charakteristik věku dospívání a kvantitativních výzkumů sledujících poruchy příjmu potravy s využitím Rorschachovy metody jsou vymezeny klíčové proměnné v aplikované metodě a jejich očekávaná konfigurace. Případová studie prezentuje anamnestická data 17leté pacientky s mentální anorexií a informace o kontextu provedené psychologické diagnostiky. Dále je prezentován protokol zahrnující 37 odpovědí získaných v souladu s pravidly Komprehenzivního systému. Vyhodnocení je provedeno v souladu s požadavky Komprehenzivního systému a navíc zahrnuje škály reflektované v předcházejících studiích. Nově je konzultován také skórovací systém Bariér a Penetrací. Vedle zhodnocení shody s očekávanou konfigurací proměnných (introverze, pozitivní PTI, zvýšené Wsum6, Mp a dysforické prožívání, snížené H a Hd, zvýšená agrese a S) je pozornost zvláště věnována dynamice protokolu a významu dílčích proměnných v celkovém obrazu protokolu s důrazem na zkreslené myšlení, téma těla a agresivitu. Případová studie přináší pohled na dynamiku hypervigilantního a fantazií zkresleného prožívání tělesných témat. Vedle omezení vyplývajících z idiografického přístupu k osobnosti je limitem absence dalších protokolů pacientky reflektujících vývoj onemocnění.
EN
The aim of the current paper is to characterize particular parts of a section / sections of clinico-diagnostic case reports in comparison with the reports derived from psychology / psychiatry in order to examine and present the narrative used there as a one of the distinguishing factors between these two microgenres. It is a fragment where a particular disease in a patient is described. The goal is also to determine to what extent the differences in the character of these two areas of medicine affect the character of the narration as well as the linguistic resources used in the description of the patient, which, in turn, has consequences for their image in the text. The analysis was carried out on the basis of two groups of texts: 30 case reports from the publication outlets “Pneumonologia i Alergologia Polska” (“Advances in Respiratory Medicine”) (18), “Otolaryngologia Polska” (8), “Choroby Serca i  Naczyń” (2), as well as 1 from “Arterial Hypertension” and 1 from “Folia Cardiologica”, published between 2006–2021 and referring to a variety of medical areas; and 30 psychiatric / psychological case formulations from three Polish specialised medical journals: “Psychiatria”, “Psychiatria i Psychologia Kliniczna” as well as “Psychiatria Polska”, published between 2006–2021. The results demonstrate a significantly different character of the narration as well as partial differences in the lexis used, which results primarily from structural differences in the texts. These, in turn, may be resultant of the different character of psychiatry / psychology and clinical medicine. Consequently, what can be observed is a narrative-like and holistic image of the patient in psychiatric and psychological texts and the technical and partial one in clinico-diagnostic reports. The outcomes of such studies may be used in practice in a twofold way. First, they may be treated as valuable guidelines for doctors and medical students how to write a case report in a more ‛patient oriented’ manner, including the patient’s perspective. Secondly, from the educational point of view, they can be treated a starting point in the creation of vocabulary lists/glossaries for courses in medical terminology for doctors, medical students and linguists (future translators and interpreters).
PL
Celem niniejszego artykułu jest charakterystyka poszczególnych części jednej / kilku podsekcji kliniczno-diagnostycznych opisów przypadku w porównaniu z opisami z zakresu psychologii i psychiatrii w celu zbadania i przedstawienia charakterystyki narracji jako elementu rozróżniającego oba te mikrogatunki. Jest to fragment, w którym opisywany jest dany przypadek choroby u pacjenta. Pomniejszym zadaniem jest analiza tego, w jaki sposób różnice między tymi dziedzinami wpływają na charakter narracji i użytych w niej środków językowych w opisie pacjenta i jego choroby, co z kolei ma wpływ na jego obraz w całym tekście. Analiza ta została przeprowadzona w dwóch grupach tekstów: w 30 opisach przypadku z czasopism „Pneumonologia i Alergologia Polska” („Advances in Respiratory Medicine”) (18), „Otolaryngologia Polska” (8), „Choroby Serca i Naczyń” (2), oraz po jednym z „Arterial Hypertension” oraz „Folia Cardiologica”, opublikowanych między 2006 a 2021 rokiem i obejmujących różne dziedziny medycyny; oraz w 30 psychiatrycznych i psychologicznych opisach przypadków z trzech polskich czasopism specjalistycznych: „Psychiatria”, „Psychiatria i Psychologia Kliniczna” oraz „Psychiatria Polska”, opublikowanych w latach 2006–2021. Wyniki pokazują zdecydowanie inny charakter narracji oraz różnice w użytej leksyce, które wynikają głównie z rozbieżności strukturalnych tekstów. Te z kolei są pochodną różnic między medycyną kliniczną a psychiatrią i psychologią. W rezultacie mamy do czynienia z narracyjnym i całościowym obrazem pacjenta w tekstach psychiatrycznych i psychologicznych oraz technicznym i częściowym przedstawieniem pacjenta w tekstach kliniczno-diagnostycznych. Wyniki tego typu badań mogą posłużyć jako przyczynek: po pierwsze, do przygotowania poradnika dla lekarzy i studentów – adeptów sztuki medycznej – jak ująć perspektywę pacjenta w „technicznych” opisach; po drugie, w ujęciu dydaktycznym, do stworzenia gotowych list słownictwa / wyrażeń dla studentów medycyny, lekarzy, jak i lingwistów (przyszłych tłumaczy i lektorów) do wykorzystania podczas zajęć z terminologii medycznej.
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