Patients with anorectal illness (AI) must deal with shame from social stigma and difficulties in the medical context. Recovering from shame is a challenge. Applying shame resilience theory (SRT) to the Chinese health care setting, this study explores how patients with AI develop resilience to shame using humor to facilitate the narrative’s five functions. The method is a thematic narrative analysis of 60 stories from a Chinese online community. Four main themes were identified: understanding shame events, normalizing them, shifting priorities, and transforming shame into pride. Storytellers can use humor to externalize shame, reflect on their concealment and avoidance, eliminate the shame associated with making health decisions, re-establish shameless identities, achieve positive agency, and build illness communities through “aligning moments” with their audiences and subverting hierarchies of normality and abnormality.
Families are (one of the) first and most influential socializing agents of our lives. Among the innumerable messages family members convey to each other, a select few are regarded as “memorable.” Memorable messages are “distinct communication units considered influential over the course of a person’s life.” Those messages that are most memorable are typically brief, direct, oral messages delivered by a higher-status, older, and likable individual to the recipient during their teen or young adult years. Although memorable messages were initially regarded as having positive implications for the receiver’s life, newer research has provided space for the negative implications and perceptions of these messages. Nonverbal communication elements and relational contexts and qualities are influential to the receptivity of memorable messages. Although memorable messages often originate from a family member, the sources of memorable messages can also be friends/peers, teachers, coworkers, or, in some cases, the media. Research on memorable messages has been largely concentrated in health and interpersonal/family communication contexts; organizational and instructional contexts have also been explored. Memorable message research in families has focused much on health topics (i.e., mental health, sexual health, body image and weight), socialization (i.e., around school, work, race, other topics), and coping with hardship. In these studies, memorable messages have largely been investigated through mixed-method survey-based research, but also through purely quantitative (i.e., survey-based) and qualitative (i.e., interview) methods as well. This research has been largely atheoretical but has been grounded in control theory and, more recently, the theory of memorable messages and communicated narrative sense-making theory. Future research and practical applications of family memorable message research include informing health campaigns and family life education programming.
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