“Strong Men Don't Cry, but I'm Not Strong Anymore”: A Case Study of Bodily Engagement with Stories of Loss and Grief in Palliative Care
Bibliographic record
Abstract
This case study addresses the importance of “life review” with regard to the crucial and demanding emotional work of older adults in palliative care who are experiencing the existential pain of grief and loneliness near the end of life. Drawing upon the reflexive field notes of one Spiritual Health Practitioner this case study describes the spiritual needs and care for an older deafened and emotionally-inhibited man in a long-term palliative care unit who described himself by saying “all I am is stories.” By illuminating the concept of “embodied listening” in response to stories told by a patient with significant hearing loss this case study differentiates the uses of voice and of body in therapeutic relationships.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.014 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.016 | 0.014 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.003 | 0.008 |
| Research integrity | 0.006 | 0.008 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".