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Imaging and imagining chronic obstructive pulmonary disease (COPD) : Uruguayans draw their lungs.

Wainwright, M. (2018) 'Imaging and imagining chronic obstructive pulmonary disease (COPD) : Uruguayans draw their lungs.', Disability and rehabilitation., 40 (26). pp. 3094-3103.


Purpose: This anthropological study investigated what people imagined chronic obstructive pulmonary disease to look like in their lungs, what may be influencing these images and how this imagery shapes embodiment. Method: Employing graphic elicitation, in one of multiple ethnographic interviews, participants were asked to draw their lungs: “If we could look inside your chest now, what would we see?” Lung drawings and accompanying narratives and fieldnotes from 14 participants were analyzed for themes and patterns. Results: The theme of “imaging/imagining” emerged and three distinct patterns within this theme were identified: the microscope perspective, the X-ray perspective and the reduced pulmonary capacity perspective. These patterns demonstrate how embodiment can be shaped by an integration and reinterpretation of the medical images that form part of everyday clinic visits and pulmonary rehabilitation. Conclusions: Medical technology and images impact patients’ embodiment. Understanding this is important for rehabilitation practitioners who work in a challenging space created by potentially conflicting medical narratives: on the one hand, chronic obstructive pulmonary disease is incurable permanent damage, and on the other, improvement is possible through rehabilitation. Drawing could be integrated into pulmonary rehabilitation and may help identify perceptions of the body that could hinder the rehabilitation process. * Implications for rehabilitation * Drawings, when combined with interviews, can lead to a deeper and more complex understanding of patients’ perspectives and embodiment. * Rehabilitation practitioners should be concerned with how patients embody the medical technology and imagery they are exposed to as part of the educational component of pulmonary rehabilitation and healthcare generally. * Asking patients to visualize their illness through drawing may help pulmonary rehabilitation practitioners identify perceptions of the body which could hinder the patient’s ability to reap the full benefit of their treatment

Item Type:Article
Full text:(AM) Accepted Manuscript
Available under License - Creative Commons Attribution Non-commercial No Derivatives.
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Full text:(VoR) Version of Record
Available under License - Creative Commons Attribution Non-commercial No Derivatives.
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Publisher statement:© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Date accepted:03 September 2017
Date deposited:11 October 2017
Date of first online publication:11 September 2017
Date first made open access:No date available

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