8.4 (Zanin et al. 2019)

Athletes do not report concussion readily. They often conceal it due to cultural discourses and norms.

Cultural narratives

Based on (Polkinghorne 1995) two-level conceptualization of narrative: actors use narrative to create social reality and to make sense of their experiences.

Sport narrative and sensemaking:

  • Sensemaking is the basis for social action.
    • Sensemaking is where meanings materialize to create identity.
  • Cultural narratives help actors sensemaking by giving them a framework to understand an event.

Method: Abductive approach
Text Arichival Data: identify protagonist, actors, storyline, story values, and morals for each story. Then, identify sport story archetypes

Interview Data:
using constant comparative analysis to see how stakeholder made sense of a concussion even and reporting behavior, then compare to the types identified in the text archival data.

Findings:

5 narratives identified:

  • Play-Through-Pain: enduring pain for the benefits of the team.
  • Big Leagues: American Dream of becoming a professional athlete through hard work and perseverance.
  • Commodification: abstract objects with financial value
  • Masculine Warrior: protagonist defeats an opponent through strength, toughness, bravery, violence, and perseverance
  • Need-for-Safety: Contemporary culture where “athletes that seek healthcare are framed as moral and intelligent.”

Stakeholders refer to these 5 narratives to make sense of reporting behaviors.

Sensemaking use cultural sport narrative
(1) to extract cues: whether you have a concussion or not
(2) construct identity: positive defense mechanism (4 over 5 narratives).

References

Polkinghorne, Donald E. 1995. “Narrative Configuration in Qualitative Analysis.” International Journal of Qualitative Studies in Education 8 (1): 5–23. https://doi.org/10.1080/0951839950080103.

Zanin, Alaina C., Jessica K. Kamrath, Scott W. Ruston, Karlee A. Posteher, and Steven R. Corman. 2019. “Labeling Avoidance in Healthcare Decision-Making: How Stakeholders Make Sense of Concussion Events Through Sport Narratives.” Health Communication 35 (8): 935–45. https://doi.org/10.1080/10410236.2019.1598742.