{"pk":26149,"title":"Distributed Cognition in the Past Progressive: Narratives as Representational Tools\nfor Clinical Reasoning","subtitle":null,"abstract":"Cognition may require access to past events, for example to\nunderstand undesirable outcomes or diagnose failures. When\ncognition is distributed between multiple participants, a\nparticular representational challenge occurs because not all of\nthe participants may have directly experienced the focal\nevent. Language can transcend temporal and physical\nlimitations on event accessibility. We suggest that people\ncreate complex linguistic constructs as tools to facilitate\nretrospective cognition. We illustrate this process by\nanalyzing the use of a particular linguistic construct\n(narrative) in the domain of clinical reasoning. Results\ndemonstrated that narratives support clinical cognition during\npractitioner-patient interactions. Narratives extended access to\nclinically relevant events providing information about\ncircumstances, subjective experiences, patient functioning,\nand prior decisions. Whereas, the hermeneutic nature of\nnarrative allowed collaborative hypothesis testing and\ncreation of meaning. The use of narrative in clinical cognition\nchallenges Bruner’s (1991) distinction between narrative and\nparadigmatic reasoning and enriches the understanding of\nmedical narratives.","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"distributed cognition; medical cognition;\nnarrative; doctor-patient interaction"}],"section":"Papers","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6ms4t78x","frozenauthors":[{"first_name":"Katherine","middle_name":"D.","last_name":"Lippa","name_suffix":"","institution":"Wright State University","department":""},{"first_name":"Valerie","middle_name":"L.","last_name":"Shalin","name_suffix":"","institution":"Wright State University","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-01-01T18:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cognitivesciencesociety/article/26149/galley/15785/download/"}]}