My supervision session to review progress with my 7 Framework pilot charts went well.  We reviewed the index framework and charts, no changes were made and it was agreed I should continue charting using index framework as per pilot charts.

We identified that there was a need to map the methodology; to map Kleinman’s 8 questions to the recurrent/important themes, the 5 parts of an illness, and the semantic illness network.  This should show any gaps in Kleinman’s questions which do not cover the breadth of the illness experience of people with depression.

 

We also identified some themes to explore:

- Do the narratives of the patients fit with an acceptance of depression; are their narratives contradictory or complementary, both within narratives and across narratives?

- What models to the patients have to explain their depression?

- Kleinman’s research was carried out in China, is there a cultural explanation for his 8 questions not explaining the whole of the patient depression experience?