Rg. Dean, STORIES OF AIDS - THE USE OF NARRATIVE AS AN APPROACH TO UNDERSTANDING IN AN AIDS SUPPORT GROUP, Clinical social work journal, 23(3), 1995, pp. 287-304
This paper shows how the co-creation and telling of narratives helped
members of an AIDS support group transform their unique and separate e
xperiences of suffering into shared insights, intense connections and
comfort. Examples of narratives are drawn from the author's experience
as a co-leader of a support group for gay men living with AIDS. Curre
nt literature on group work with persons living with AIDS is embedded
in a modernist orientation in which the therapist is the scientist/exp
ert, the client has the problem and the therapist helps the client's t
hrough exploring and interpreting the client's story according to a su
perseding theory (Gergen and Kaye, 1992). This approach emphasizes the
need for leaders to maintain objectivity and emotional distance to av
oid burnout (Gabriel, 1991; Grossman and Silverstein, 1993; Tunnell, 1
991). In contrast, in a post-modern therapeutic approach, there is no
privileging of the therapist's narrative and the traditional hierarchi
cal relationship is replaced by a mutual effort as therapist and clien
t together develop stories that translate and transcend experience. Us
ing the AIDS work as illustration, this paper offers a post-modern, na
rrative approach to group work and shows how persons living with AIDS
can use narrative to move beyond finite structures and the limits of l
ife.