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Thus, chronotope refers not merely to the formal features of a given narrative of greater interest is the way in which chronotope defines a field of possibilities available to the narrator ( Morson, 1994). According to Bakhtin, genres portray particular ideologies, in large part, through their representation of time and space (e.g., the heroic vision of epic). Following the work of Bakhtin (1981, 1984), we identify this phenomenon as “chronotope disruption.” Chronotope refers to the way in which recognizable patterns of interwoven time and space are expressed in literature through genre forms (e.g., the way in which classic epic is set in the deep past, in dramatic locations, and stresses hierarchical social structure).
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In this article, we elaborate a little-investigated aspect of chronic illness narratives: the grounding of biographical disturbance in time and space. Chronotope disruption could be used to develop practice by gaining empathic understanding of patients’ life-worlds and provides a tool to examine how new technologies change the way in which the chronically ill have “being” in the world. Chronotope analysis fills an important gap in the science through compensating current health sciences’ focus on rationality, cognition, and prospective time (prediction) with a patient-oriented focus on emotionality, embodiment, and retrospective time (nostalgia). Conclusions: Chronotope disruption offers a useful sensitizing concept for approaching chronic illness narratives and around which to organize analytical insights and to develop practice. Finally, we focus on the masquerade of health as an attempt to manage, hide, or deny that one is physically challenged. Second, the increasing temporal and spatial intrusion of chronic illness into participants’ lives is examined. First, we investigate how medical advice can conflict with embodied experience and how progressive bodily deterioration can provoke a reevaluation of past illness (self-mis)management. Results: The analysis demonstrates how the concept of chronotope disruption helps identify, and understand, important aspects of patients’ chronic illness narratives. We present dialogically inflected discursive analysis of exemplar extracts. Transcripts were inspected for key moments defined as emotionally laden stories relevant to the purpose of the research. Each was interviewed about his or her experience of diabetes self-management using the biographical-narrative interview method. Methods: Sixteen men and 16 women with Type 2 diabetes were purposefully sampled. Objectives: This article aims to elaborate chronotope disruption -a changed relation to time and space- as a sensitizing concept for understanding chronic illness narratives.