Research Article

Family Health Conversations: How Do They Support Health?

Table 2

One example of the analysis process of a narrating event.

What precedes the event? An exploring event
Text segmentWhat is characterizing this event? Could it be in any other way? Similarities and differences compared to other identified events?

Woman with illness: I can feel miserable, really low…. because we talk about my illness and my situation but the ones that are close to you…they can of course feel just as miserable…living together with a person that is like a wreck The woman with illness initiates a new issue that is bothering her. The event is similar to other events in that a new issue is introduced by a family member following an exploring event.
A comparison to other events also shows that new issues are introduced by all partaking family members and also can follow from a narrating event.

Conversational leader A: mmThe conversational leader A is mm-ingThe event is similar to other events in that one of the conversational leaders is mm-ing when a narrating event is introduced by a family member.
A comparison to other events also shows that the conversational leaders pose open questions to initiate a narrating event.

Woman with illness: and I think, I think the ones that are next to you and are healthy they have a hell. It’s just that…I can feel sorry for my husband, I can feel sorry for everybody that is next to a person with this illnessThe woman with illness reflects over the same issueThe event is similar to other events in that the family member who introduces the narrating event goes on reflecting on the same issue. Standpoints and feelings are expressed.
A comparison to other events also shows that occasionally the initiating family member hands over the narration of an overwhelming event to another family member.

Conversational leader A: mmThe conversational leader A continues to mm-ingThe event is similar to other events in that the conversational leaders only make short comments.
A comparison to other events also shows that the conversational leaders pose follow-up or clarifying questions is necessary.

Woman with illness: nobody asks him: how are you? Are you ok today? Are you happy today? No one asks… he is healthy, yes he is. And that is great… but he is also a human beingThe woman with illness goes on reflecting over the same issueThe event is similar to other events in that the family member who introduces the narrating event goes on reflecting on the same issue. Standpoints and feelings are further expressed.

Conversational leader A: mm, but I think that you (turns to the male partner) have expressed how you experience your wife’s illness and that the illness have a considerable impact on your situation The conversational leader A offers her reflection on the issue to the male partner. Her reflection is grounded in what the partner has previously narrated The event is similar to other events in that one of the conversational leaders turns to other family members to get hold of their standpoints and experiences.

Male partner: yesThe partner agrees with the conversational leader AThe event is similar to other events in that the family member that is invited takes the opportunity and gives his/her response.
A comparison to other events also shows that sometimes the other family member has an opposing statement.

Woman with illness: yes, it does, I can…I can feel, it must be a burdenThe woman with illness agreesThe event is similar to other events in that the family member initiating the narrating event continues to be active and responds to the other family members’ statements and reflections.
A comparison to other events also shows that the other family member who was invited by the conversational leader can go on with his/her reflections on the issue.

Conversational leader B: mmThe conversational leader B enter into the episode and is mm-ingThe event is similar to other events in that the conversational leaders takes turns in mm-ing.
A comparison to other events also shows that the first time the other conversational leader enters into the episode it can be with a reflection or posing a clarifying or follow-up question.

Woman with illness: it is a heavy burden, I hate this illness. Why I, why him, why we?The woman with illness goes on reflecting and also introduces a related issue by posing questionsThe event is similar to other events in that the family member who initiates the narrating event continues to be active and goes on expanding his/her reflection.
A comparison to other events also shows that another way is for the initiating family member to go on and reflect further on the same issue.

Male partner: yes but, you can’t think of that. It want take you nowhere. It is like it is…The partner answers with an opposing statementThe event is similar to other events in that another family member enters the conversation and adds his/her standpoints.
A comparison to other events shows that other family members can agree and confirm the narrating family member’s standpoints or experiences.

Woman with illness: no, it want take you anywhereThe woman with illness agrees with her partnerThe event is similar to other events in that family members respond to other family members’ statements or reflections.
A comparison to other events also shows that the family member who initiates the issue may not agree but expresses a contradictory standpoint or experience.

Male partner: the question is, how can you do the best of this situationThe partner poses a question in agreement with what he said earlierThe event is similar to other events in that family members continue to reflect on the standpoint they brought up.
A comparison to other events also shows that family members can respond to other family members’ statements or reflections.

Conversational leader B: yesConversational leader B agreesThe event is similar to other events in that the conversational leader only makes a short statement.
A comparison to other events also shows that the other conversational leaders also may pose a clarifying or follow-up question.

Woman with illness: yes, the best is to try to understand…I understand you and you understand me. There is no other way to do it. The woman with illness suggests how to handle the issue in line with her partner’s suggestion and comes to a conclusion The event is similar to other events in that the initiating family member continues to reflect and comes up with a “solution”.
A comparison to other events also shows that the initiating family members may not agree but express a contradictory statement or reflection which is followed by a discussion among members.

Conversational leader B: in what way do you try to understand each other?The conversational leader B poses an exploring questionThe event is similar to other events in that either of the conversational leaders poses a question that opens up for an exploration of the issue brought up by the family.

What follows the event? An exploring event of the issue that has been narrated