Scandinavian Journal of Public Health, Oct 1, 2002
Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular ... more Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular pain. The programme includes movement training and group discussions. Qualitative data indicate that the participants valued the experience of being recognized in the groups as a crucial and beneficial effect of the treatment. In the present article, this finding is examined in more detail by studying the types of action and interaction that the women considered to have benefited from by participating in group treatment. Methods: Data are drawn from an action research project and the material originates from three treatment groups where 24 participants completed the programme. Qualitative data originating from five focus group interviews are analysed using Giorgi's principles of phenomenological analysis. Results: The women described different concrete aspects of interaction and awareness illustrating psychologist Løvlie Schibbye's theoretical perspectives of a recognizing attitude: listening, understanding, acceptance, tolerance, and confirmation. The women tell how they themselves have experienced these expressions of recognition from other group members and from the group leaders. Conclusions: The women confirmed that recognition had an important effect on how much they benefited from the treatment programme. The need for mutual recognition draws attention to the power and possible abuse of power inherent in human relationships, as exemplified by the relationship between the patient and healthcare providers. An explicit presentation of the human and moral value behind the treatment programme represents a challenge.
In physical therapy, communication that actively involves the patient is seen as the foundation o... more In physical therapy, communication that actively involves the patient is seen as the foundation of patient-centered treatment. Research on communication in physical therapy highlights how patients' opportunity to actively participate is often limited by the therapists' focus on biomedical facts and clinical tasks. Few studies have explored aspects of communication in clinical practice that may promote patients' active participation. The aim of this study is to shed light on verbal and nonverbal communication used by physical therapists to get in touch with patients and how this physical and linguistic touching may contribute to encouraging patients' participation. The selected case is from a qualitative observational case study of the first encounter between a female physical therapist and a male patient with chronic neck pain. Drawing on theories about communication and the metafunctions of language, the findings highlight how the therapist's use of unfinished s...
Introduction: In physiotherapy care is usually associated with something supplementary to active ... more Introduction: In physiotherapy care is usually associated with something supplementary to active treatment or rather as something physiotherapists do not primarily deal with. The aim of this article is to explore physiotherapy practice in the perspective of care. Our point of departure is a case from clinical practice and the ensuing reflections by the physiotherapist. Main part: The analysis is framed by an origin myth, Martin Heidegger's interpretation of this myth, and Annemarie Mol's concept of the logic of care. We ask whether caring aspects in physiotherapy may be underestimated by the therapists themselves, associated with something shameful and unmentionable, and even characterized as somewhat shady business. End part: By valuing professional judgements and the patient's needs and preferences, as well as evidence from different kinds of knowledge and research, we argue that care is part of evidenced-based physiotherapy.
Additional file 2. COREQ. Consolidated criteria for reporting qualitative research: a 32-item che... more Additional file 2. COREQ. Consolidated criteria for reporting qualitative research: a 32-item checklist for interviews and focus groups
Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular ... more Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular pain. The programme includes movement training and group discussions. Qualitative data indicate that the participants valued the experience of being recognized in the groups as a crucial and beneficial effect of the treatment. In the present article, this finding is examined in more detail by studying the types of action and interaction that the women considered to have benefited from by participating in group treatment. Methods: Data are drawn from an action research project and the material originates from three treatment groups where 24 participants completed the programme. Qualitative data originating from five focus group interviews are analysed using Giorgi's principles of phenomenological analysis. Results: The women described different concrete aspects of interaction and awareness illustrating psychologist Løvlie Schibbye's theoretical perspectives of a recognizing attitu...
Introduction: In physiotherapy care is usually associated with something supplementary to active ... more Introduction: In physiotherapy care is usually associated with something supplementary to active treatment or rather as something physiotherapists do not primarily deal with. The aim of this article is to explore physiotherapy practice in the perspective of care. Our point of departure is a case from clinical practice and the ensuing reflections by the physiotherapist. Main part: The analysis is framed by an origin myth, Martin Heidegger's interpretation of this myth, and Annemarie Mol's concept of the logic of care. We ask whether caring aspects in physiotherapy may be underestimated by the therapists themselves, associated with something shameful and unmentionable, and even characterized as somewhat shady business. End part: By valuing professional judgements and the patient's needs and preferences, as well as evidence from different kinds of knowledge and research, we argue that care is part of evidenced-based physiotherapy.
Additional file 1. Sample questions that were posed to the participants during the in-depth inter... more Additional file 1. Sample questions that were posed to the participants during the in-depth interview.
Purpose: To examine how men present themselves as patients with chronic pain and how the men’s su... more Purpose: To examine how men present themselves as patients with chronic pain and how the men’s subjective experience of pain interplay with dominant norms of masculinity. Method: The material consists of qualitative interviews with 10 Norwegian men on rehabilitation from chronic neck pain. The data is subjected to narrative analysis combined with a gender-sensitive perspective. Findings: The men’s accounts of chronic pain were narrated as a series of events, displaying physical impairments and demanding work and troubled private affairs. Through rich descriptions of presumably objective facts, like heredity, physical injury and the character of the men’s work, and comparatively little information about the men’s personal experiences of pain and distress, a rational and self-controlled masculinity is displayed. However, extrapolation of the analysis also brought out how human suffering, such as chronic
Scandinavian Journal of Public Health, Oct 1, 2002
Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular ... more Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular pain. The programme includes movement training and group discussions. Qualitative data indicate that the participants valued the experience of being recognized in the groups as a crucial and beneficial effect of the treatment. In the present article, this finding is examined in more detail by studying the types of action and interaction that the women considered to have benefited from by participating in group treatment. Methods: Data are drawn from an action research project and the material originates from three treatment groups where 24 participants completed the programme. Qualitative data originating from five focus group interviews are analysed using Giorgi's principles of phenomenological analysis. Results: The women described different concrete aspects of interaction and awareness illustrating psychologist Løvlie Schibbye's theoretical perspectives of a recognizing attitude: listening, understanding, acceptance, tolerance, and confirmation. The women tell how they themselves have experienced these expressions of recognition from other group members and from the group leaders. Conclusions: The women confirmed that recognition had an important effect on how much they benefited from the treatment programme. The need for mutual recognition draws attention to the power and possible abuse of power inherent in human relationships, as exemplified by the relationship between the patient and healthcare providers. An explicit presentation of the human and moral value behind the treatment programme represents a challenge.
In physical therapy, communication that actively involves the patient is seen as the foundation o... more In physical therapy, communication that actively involves the patient is seen as the foundation of patient-centered treatment. Research on communication in physical therapy highlights how patients' opportunity to actively participate is often limited by the therapists' focus on biomedical facts and clinical tasks. Few studies have explored aspects of communication in clinical practice that may promote patients' active participation. The aim of this study is to shed light on verbal and nonverbal communication used by physical therapists to get in touch with patients and how this physical and linguistic touching may contribute to encouraging patients' participation. The selected case is from a qualitative observational case study of the first encounter between a female physical therapist and a male patient with chronic neck pain. Drawing on theories about communication and the metafunctions of language, the findings highlight how the therapist's use of unfinished s...
Introduction: In physiotherapy care is usually associated with something supplementary to active ... more Introduction: In physiotherapy care is usually associated with something supplementary to active treatment or rather as something physiotherapists do not primarily deal with. The aim of this article is to explore physiotherapy practice in the perspective of care. Our point of departure is a case from clinical practice and the ensuing reflections by the physiotherapist. Main part: The analysis is framed by an origin myth, Martin Heidegger's interpretation of this myth, and Annemarie Mol's concept of the logic of care. We ask whether caring aspects in physiotherapy may be underestimated by the therapists themselves, associated with something shameful and unmentionable, and even characterized as somewhat shady business. End part: By valuing professional judgements and the patient's needs and preferences, as well as evidence from different kinds of knowledge and research, we argue that care is part of evidenced-based physiotherapy.
Additional file 2. COREQ. Consolidated criteria for reporting qualitative research: a 32-item che... more Additional file 2. COREQ. Consolidated criteria for reporting qualitative research: a 32-item checklist for interviews and focus groups
Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular ... more Aims: Since 1992, the authors have completed 11 treatment groups for women with chronic muscular pain. The programme includes movement training and group discussions. Qualitative data indicate that the participants valued the experience of being recognized in the groups as a crucial and beneficial effect of the treatment. In the present article, this finding is examined in more detail by studying the types of action and interaction that the women considered to have benefited from by participating in group treatment. Methods: Data are drawn from an action research project and the material originates from three treatment groups where 24 participants completed the programme. Qualitative data originating from five focus group interviews are analysed using Giorgi's principles of phenomenological analysis. Results: The women described different concrete aspects of interaction and awareness illustrating psychologist Løvlie Schibbye's theoretical perspectives of a recognizing attitu...
Introduction: In physiotherapy care is usually associated with something supplementary to active ... more Introduction: In physiotherapy care is usually associated with something supplementary to active treatment or rather as something physiotherapists do not primarily deal with. The aim of this article is to explore physiotherapy practice in the perspective of care. Our point of departure is a case from clinical practice and the ensuing reflections by the physiotherapist. Main part: The analysis is framed by an origin myth, Martin Heidegger's interpretation of this myth, and Annemarie Mol's concept of the logic of care. We ask whether caring aspects in physiotherapy may be underestimated by the therapists themselves, associated with something shameful and unmentionable, and even characterized as somewhat shady business. End part: By valuing professional judgements and the patient's needs and preferences, as well as evidence from different kinds of knowledge and research, we argue that care is part of evidenced-based physiotherapy.
Additional file 1. Sample questions that were posed to the participants during the in-depth inter... more Additional file 1. Sample questions that were posed to the participants during the in-depth interview.
Purpose: To examine how men present themselves as patients with chronic pain and how the men’s su... more Purpose: To examine how men present themselves as patients with chronic pain and how the men’s subjective experience of pain interplay with dominant norms of masculinity. Method: The material consists of qualitative interviews with 10 Norwegian men on rehabilitation from chronic neck pain. The data is subjected to narrative analysis combined with a gender-sensitive perspective. Findings: The men’s accounts of chronic pain were narrated as a series of events, displaying physical impairments and demanding work and troubled private affairs. Through rich descriptions of presumably objective facts, like heredity, physical injury and the character of the men’s work, and comparatively little information about the men’s personal experiences of pain and distress, a rational and self-controlled masculinity is displayed. However, extrapolation of the analysis also brought out how human suffering, such as chronic
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