Koki Kato
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kokikatokk.bsky.social
Koki Kato
@kokikatokk.bsky.social
Director of a GP Practice in Japan, GP, MPH, Master of FamMed, tutor at UoEFamMed, with extended role in palliative home care, interested in advanced generalist care and narrative approach.
https://www.linkedin.com/in/koki-kato-9638361b7/
Could it not be said that the meaning of illness is a kind of creation by the patient? And the listener who is there is also there as a creator. A new narrative is born when the listener asks questions to 'fill in the gaps'.
October 5, 2025 at 10:27 AM
From ‘How to Read Literature Like a Professor’ Japanese edition by Thomas Foster
October 5, 2025 at 10:27 AM
The figure is drawn like a sketch in the writer's invention, but in the second reader's invention, the gaps are filled by taking on that figure. So we sometimes, without realising it ourselves, fill in the gaps with elements not in the text.’
October 5, 2025 at 10:27 AM
The writer invents a character using memory, observation and creativity, and the reader - not the reader as a set, but the individual reader of the book - reinvents the character using their own memory, observation and creativity.
October 5, 2025 at 10:27 AM
This is why neutrality is essential here: an Intentional stance of not knowing.
October 5, 2025 at 1:59 AM
Intertextual awareness is essential, but whereas with a literary work in the public domain, it is possible to find out if we have read it or not, with a biography, the connection is only possible in a dialogue with the patient.
October 5, 2025 at 1:59 AM
It is essential to explore how the patient's past experiences and predictions for the future are connected to the present, but this is a task that only the patient can do for themselves.
October 5, 2025 at 1:59 AM
How is the present state of affairs connected to what we are discussing? Asking questions in the dark does not reveal meaningful connections.
October 5, 2025 at 1:59 AM
So we explore context. Context comprises ‘con’ and ‘text’, whose origin is in weaving together (of back and forth). The narrative approach is sometimes described as 'weaving a beautiful tapestry', which is aptly put.
October 4, 2025 at 12:20 AM
Intertextuality means that works in the present are imbued with specific meanings in relation to works in the past. When we think about narratives, we are searching for this intertextuality.
October 4, 2025 at 12:20 AM
Validate User
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September 13, 2025 at 6:18 AM
Here is where Eric Cassell, Joanne Reeve, John Gabby & Andreē Le May, Sabena Jameel and Aristotle come in. I can also see where the narrative approach is positioned within it. I feel like I have found a missing piece.
September 13, 2025 at 6:15 AM
Sabena Yasmin Jameel, A Critical Interpretive Literature Review of Phronesis in Medicine, -The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, Volume 50, Issue 2, April 2025, Pages 117-132.
September 13, 2025 at 6:15 AM
Recommended reading with this article

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July 21, 2025 at 2:35 AM