Bibliographic record
Abstract
Chapter 3 illustrates the poetics of illness experience by examining clinical conversations during a psychiatric assessment of a patient. Patients’ narratives in clinical contexts are often fragmentary and contradictory, reflecting their ongoing struggle to make sense of inchoate experience and position themselves in ways that elicit care and concern. Metaphors of illness experience open up narrative possibilities, but may be blocked by conflicting agendas or cross-purposes of clinician and patient. In place of an overarching integrative narrative are interruption, miscommunication, and mutual subversion. Focusing on narratives, with close attention to the speakers’ rhetorical aims, can identify situations of tension and misunderstanding, which can be clarified through cognitive and social analysis tracing the models and metaphors used in clinical exchanges to their personal meaning and embodiment and outward into the social world where they function as part of discursive systems that organize institutions and confer power. Close attention to metaphor in lived experience, social interaction, and cultural performance can yield an account of the dynamics of clinical conversations.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".