Category Archives: Chronicling Childhood Cancer: Illuminating the Illness Experience through Narrative

These blog posts will chronicle the process of my illness narrative research. My research project, Chronicling Childhood Cancer, will explore how pediatric oncology patients express their illness through writing, speaking, or drawing.

ICD Connection: Inspiring Illness Narrative Publication

After reading and reviewing  the illness narrative ICD Connection: Living with an Implantable Cardioverter Defibrillator: A Collection of Patient & Family Stories, I feel that I need to explain another facet of this book. This book has also entirely revolutionized my own research.

When I found out that this book had published, I was shocked to see this publication of illness narratives come to fruition right here at the University of Michigan. I couldn’t help but wonder: would it be possible to do the same with the narratives that the pediatric oncology patients create? After all, one of the main motivations for conducting this research was because of the void in published illness narratives by children themselves. So why not fill that void?

That’s when I got in touch with MPublishing and explained to them my research project and why this was important to me. I wanted the children participating in my research to really gain something meaningful from being a part of the study; I wanted them to be proud of their narrative. I hope that children will find fulfillment in sharing their stories with the health professionals that treat them, the loved ones that care for them, and all the other kids with cancer.

MPublishing agreed, and I couldn’t be happier. We’ll have to wait and see how everything turns out, but the plan is to have publishing be a separate opportunity from the research component of my project. While I will study these narratives anonymously, children can choose how much of their identity they would like to disclose in the publication.

At the end of it all, the children will be able to hold this book in their hands, to flip through the pages, and find their own words. They will be able to share their story with the world.

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Dear Cancer…

I kind of love this:

Screen Shot 2013-05-08 at 12.51.47 PM

One of the most intriguing things about cancer is that we as a society respond differently to this illness than to others. We have personified cancer, transforming this disease into a being. 

So here’s my question: why? What about cancer has made it particularly tempting to personify, and what are the effects of this personification?

I believe that the question why cancer? is pretty loaded, so I’ll be unpacking that in some upcoming posts. For now, I’d like to think more about the effects of personification.

Understanding cancer as a being transforms the abstract into something tangible. This familiarity deflates cancer to our plane, simultaneously empowering us in the face of illness. We’ve accepted this as a part of our coping mechanism, promoting organizations that invert the power dynamics of cancer such as  Cancer Fears Me

Writing letters to cancer has a similar function for patients, as evidenced by this fascinating fundraiser for the American Cancer Society. As a strong proponent of writing as a therapeutic process in the face of illness, I think that letter-writing can be incredibly empowering. It’s fascinating to see how people address cancer: some violently and aggressively command cancer to follow their mandates, while others respond more passively to its malicious nature and tempestuous effects.

If you were to write a letter to cancer (which you should do here), what would you say? How would you say it? And why?

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The Genesis of Illness Narrative Research

For 5 years, I have spent my Friday evenings volunteering with pediatric oncology patients at Mott Children’s Hospital. I admire these children, and their abilities to cope with their situations astound me. I have been fascinated by coping activities such as the Beads of Hope activity, where children make a necklace with beads that each represent a hospital procedure or milestone event in the course of their treatment. These activities give children an outlet to talk about their illness and to tell their story. By spending time with these patients, I have come to greatly value efforts to improve the patient experience and to support these children through their illnesses.

When I came to college with a fascination for medicine and a love for literature, I was uncertain about how to pursue both. I discovered the field of narrative medicine that embodies both these interests: it encourages an exploration of the “and” between literature and medicine. I am fascinated by how literature enables patient expression and provides others with insight into illness. As I explored illness narratives through an independent study, I became interested in studying the illness narratives of children with cancer for my thesis. There seemed to be a void of published narratives written by kids with cancer, and since I am fascinated by the therapeutic nature of the writing process, I crafted my own research project to approach these ideas. My research project is designed to give children the opportunity to explore the mediums of writing, drawing, and speaking to express their experience with cancer.

In the early stages of the project, I talked to individuals from a variety of disciplines in order to shape this interdisciplinary research. Scholars and researchers in the fields of English, Anthropology, Psychology, Child Life, Pediatric Palliative Care, and Pediatrics Hematology/Oncology all provided invaluable input to help me shape this project. I reached out to MPublishing through the UM Medical School to ensure that participating children will be even be provided with the opportunity to publish the narratives that they create in a compiled book.

The current status of this project is that with the help of my pediatric oncologist PI, Dr. Rajen Mody, and my faculty advisor, Melanie Yergeau, the IRB application has been submitted to IRB-MED. This project has received funding through the Honors Program in LSA and the English Department. The months of May and June will be spent developing recruitment materials and preparing for data collection, which will begin in July. The project will be an ongoing two year study and is estimated to include up to 100 patients. Narratives created in the months of May and June will be compiled and published as a narrative collection by as early as the end of 2013, and I hope that we can create multiple collections throughout the course of the study.

As an aspiring pediatric oncologist, I am incredibly excited to have the opportunity to conduct this research. I believe that not only will patients benefit from this therapeutic means of expression, but the created narratives will illuminate the experience of childhood cancer. This research will allow health professionals, parents, and even other children with cancer to better understand the illness. I look forward to interacting with these patients and using a literary lens to better understand their illness experience.

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