Groleau Danielle, Young Allan, Kirmayer Laurence J
McGill University.
Transcult Psychiatry. 2006 Dec;43(4):671-91. doi: 10.1177/1363461506070796.
This article summarizes the rationale, development and application of the McGill Illness Narrative Interview (MINI), a theoretically driven, semistructured, qualitative interview protocol designed to elicit illness narratives in health research. The MINI is sequentially structured with three main sections that obtain: (1) A basic temporal narrative of symptom and illness experience, organized in terms of the contiguity of events; (2) salient prototypes related to current health problems, based on previous experience of the interviewee, family members or friends, and mass media or other popular representations; and (3) any explanatory models, including labels, causal attributions, expectations for treatment, course and outcome. Supplementary sections of the MINI explore help seeking and pathways to care, treatment experience, adherence and impact of the illness on identity, self-perception and relationships with others. Narratives produced by the MINI can be used with a wide variety of interpretive strategies drawn from medical anthropology, sociology and discursive psychology.
本文总结了麦吉尔疾病叙事访谈(MINI)的基本原理、发展历程及应用。MINI是一种理论驱动、半结构化的定性访谈方案,旨在健康研究中引出疾病叙事。MINI按顺序分为三个主要部分,用于获取:(1)症状和疾病经历的基本时间叙事,按事件的连续性组织;(2)与当前健康问题相关的显著原型,基于受访者、家庭成员或朋友的既往经历,以及大众媒体或其他流行表述;(3)任何解释模型,包括标签、因果归因、对治疗、病程和结果的期望。MINI的补充部分探讨了寻求帮助和就医途径、治疗经历、依从性以及疾病对身份认同、自我认知和与他人关系的影响。MINI产生的叙事可与从医学人类学、社会学和话语心理学中借鉴的多种解释策略一起使用。