| 1. |
- Afrell, Maria, 1953-
(författare)
-
Att leva med en kropp som värker : samtal med fysioterapeuten
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background and aim: Physiotherapists in primary care meet, assess and treat patients with long-standing benign musculoskeletal pain. As a clinical condition, long-standing pain is common but nonetheless it is quite complex. The aim of this thesis has been, from a bodily existential perspective, to investigate and conceptualise the experience of living with longstanding benign musculoskeletal pain, and from there, to work out a method for conversation and assessment within non-specialised physiotherapy.Methods: Our first study was an interview study where we applied a phenomenological approach and investigated the ways individuals suffering from long-standing pain experienced their body and their illness. Four aspects of body experience were described, and based on these aspects, four typologies of attitudes to pain were distinguished. In the second study, we made two group interviews with six physiotherapists about their experiences of using, in their clinical work, questions from the interview guide in study I that had given particularly rich responses. Transcripts were analysed using phenomenography. In the third study, patients’ verbal responses to the key questions, directed to them by physiotherapists in clinical situations, were investigated, and the four aspects of body experience from study I formed the concepts of a deductive analysis. In study IV, finally, the key questions and typologies were tried by a larger group (31), and their experiences and the possible applicability of the method were studied by qualitative content analysis combined with the counting of codes.Results: We created four typologies of attitudes to long-standing pain: “Surrendering to one’s fate”, “Accepting by an active process of change”, “Balancing between hope and resignation” and “Rejecting the body”. These typologies, in turn, were based on four aspects of body experience: “The body as an aspect of identity”. “Body reliance”, “Body awareness”, and “Ways of understanding pain”. In study II, by the aid of key questions, patient and physiotherapist managed to have a conversation on bodily existential matters. The physiotherapist learnt to know the patient as a person, a process appeared to be initiated in the patient, and their relation changed. The patient was willing to talk about her body in pain, and had the words to do this. In study III, the key questions opened ways to reflections on body, existence, and biography. The four aspects of body experience were central to the patients’ descriptions. In study IV, the participating physiotherapists reported by large positive experiences from applying key questions and typologies. The patients reflected, emotions were evoked, and the relation and the communication often improved. The typologies helped in giving a comprehensive perspective of the patient’s problem, and to grasp where in the process of rehabilitation the patient was to be found.Conclusions: The method, seven key questions combined with the tentative frame of interpretation of the answers, seemed to be easily applied by interested physiotherapists in non-specialised practice. The application of the method addresses the need of developing the professional role of the physiotherapist. The challenge is to face the whole person, who is her lived body as well as her identity crisis, carried by emotions such as grief and anger. This may inspire the use of the full potential of the physiotherapist’s professional role in the clinical encounter.
|
|
| 2. |
- Bertilsson, Ingrid, et al.
(författare)
-
Understanding one's body and movements from the perspective of young adults with autism : A mixed-methods study
- 2018
-
Ingår i: Research in Developmental Disabilities. - : Elsevier BV. - 0891-4222. ; 78, s. 44-54
-
Tidskriftsartikel (refereegranskat)abstract
- Background: There are but a few studies of how persons with autism perceive their bodies and movements. Difficulties in perceiving the surrounding world along with disturbed motor coordination and executive functions may affect physical and psychological development. Aims: To explore the experiences of body and movements in young adults with autism and how two physiotherapeutic instruments may capture these experiences. Procedures: Eleven young adults (16–22 years) with autism were interviewed and assessed using Bruininks-Oseretsky Test of Motor Proficiency (BOT2) and Body Awareness Scale Movement Quality and Experience (BAS MQ-E). Following a mixed- methods design, the interviews were deductively analyzed and conceptually integrated to the results of the two assessments. Results: Experiencing conflicting feelings about their bodies/movements, led to low understanding of themselves. The assessments captured these experiences relatively well, presenting both movement quality and quantity. Positive experiences and better movement quality related to having access to more functional daily strategies. Conclusion: Combining motor proficiency and body awareness assessments was optimal to understand the participants’ experiences. Implications: To capture body and movement functions in persons with autism in this standardized manner will lead to improved and reliable diagnoses, tailored interventions, increased body awareness and activity, and enhanced quality of life.
|
|
| 3. |
|
|
| 4. |
- Blaauwendraat, Conny, et al.
(författare)
-
One-year follow-up of basic body awareness therapy in patients with posttraumatic stress disorder. A small intervention study of effects on movement quality, PTSD symptoms, and movement experiences
- 2017
-
Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 33:7, s. 515-526
-
Tidskriftsartikel (refereegranskat)abstract
- The present study with mixed methods design evaluated the long-term effects of Basic Body Awareness Therapy (BBAT) for patients with posttraumatic stress disorder (PTSD). Fifteen patients received 12 individual sessions of BBAT treatment as usual (TAU) when needed. The patients were assessed at baseline (T0), directly after treatment (T1) and at one-year follow-up (T2), using the Body Awareness Scale Movement Quality and Experience (BAS MQ-E), the Visual Analog Scale (VAS), and the Impact of Event Scale—Revised (IES-R). The results at T1 showed significant improvement in the quality of movement (p = 0.001), body experience (p = 0.007), and symptoms (p = 0.001). At T2, the improvements were sustained. Pain in stillness (p = 0.017) and during movement (p = 0.007) had decreased. The verbal ability to describe the body experiences in words was poor at T0, but became more detailed at T1 and even more so at T2. Our findings suggest that BBAT in addition to TAU can be a viable physiotherapeutic treatment for patients with PTSD. This knowledge may influence future treatment strategies for patients with PTSD and be of guidance to physiotherapists working with persons with trauma experiences in the community or psychiatry/mental healthcare areas.
|
|
| 5. |
- Gard, Gunvor, et al.
(författare)
-
Are emotions important for good interaction in treatment situations?
- 2004
-
Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 20:2, s. 107-119
-
Tidskriftsartikel (refereegranskat)abstract
- Emotional aspects in interaction have been an area of growing interest in recent decades.The aims of this research were to investigate the role of emotions in interactions between individuals receiving physiotherapy and their therapists providing PT services to them in psychiatric care. The study was a qualitative case study with cross-case analysis according to Shephard et al (1993) and Merriam (1988). Eleven informants participated all of them experts in interaction with patients. All informants perceived that emotional aspects were important for good interaction between physiotherapist and patient. It was considered important to identify and express emotions as a PT but also to identify emotions in patients and help patients to express emotions. The following themes were identified: emotions as a basis for interaction, identifying and using one's own emotions as a PT, separating one's own emotions form the patients' emotions, emotions as a motivating force,body language and emotion
|
|
| 6. |
- Gard, Gunvor, et al.
(författare)
-
Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy : a qualitative study?
- 2020
-
Ingår i: European Journal of Physiotherapy. - : Taylor & Francis. - 2167-9169 .- 2167-9177. ; 22:1, s. 29-35
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Clinical reasoning is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process to arrive at a diagnosis. Body awareness is an approach directed toward an awareness of how the body is used in terms of body function, behaviour, and interaction with self and others.Methods: In the present study, 36 physiotherapists (PTs) from 13 countries working with body awareness methods, mainly Basic Body Awareness Therapy (BBAT) in mental health were interviewed in six focus groups. Content analysis was used to analyse how the informants’ reasoned around the concept of body awareness therapy, and how they use it in their clinical work with patients.Result: Body awareness was conceived as being in contact with sensations and emotions, to be able to control symptoms, such as pain, to find a balance and to develop one’s identity by relating to oneself and others. BBAT was used as a whole body treatment, to promote balance and stability, to teach about body, movements, and coping strategies, to interact in a therapeutic approach and to be integrated with other methods and professionals.Conclusion: The present results can be used to improve the PTs clinical reasoning.
|
|
| 7. |
|
|
| 8. |
|
|
| 9. |
- Gard, Gunvor, et al.
(författare)
-
Physical Therapists´ emotional expressions in interviews about factors important for interaction with patients
- 2000
-
Ingår i: Physiotherapy. - 1873-1465 .- 0031-9406. ; 86:5, s. 229-240
-
Tidskriftsartikel (refereegranskat)abstract
- Interactions between patients and physiotherapists have been studied by various researchers. Some results indicate that physiotherapists have an awareness of underlying emotions, but often respond only on an intellectual level. It seems that verbally expressed emotions may be important for interaction between physiotherapists and patients during treatment. Aim The aim of this study was to investigate how many and what verbally expressed emotions physiotherapists state during interviews between physiotherapists and patients. Method The study was a qualitative case study with cross-case analysis according to Shepard et al (1993) and Merriam (1988). Ten informants participated, all of them 'experts in interaction with patients', women, Swedish-speaking, and with at least five years' experience in primary health care. The physiotherapists' emotions were categorised according to Tomkins (1984) and Izard (1977) in the categories of interest/excitement, surprise/startle, enjoyment/joy, sadness, anger/rage, fear/terror, shame/humiliation, contempt and disgust. Results Positive emotions such as interest and joy were expressed most often in the interviews, in situations where physiotherapy had been successful, as joyful contacts with colleagues, or in situations where humour was used as a therapeutic instrument. Surprise, sadness and anger were expressed more seldom and contempt or disgust were not expressed at all in the interviews. Conclusion Verbal expressions of emotions in treatment situations in physiotherapy practice should be promoted more emphatically. This may start a reflective process in both patients and physiotherapists and deepen the understanding of the interaction.
|
|
| 10. |
- Gard, Gunvor, et al.
(författare)
-
The importance of emotions in physiotherapeutic practice
- 2000
-
Ingår i: Physical Therapy Reviews. - : Informa UK Limited. - 1083-3196 .- 1743-288X. ; 5:3, s. 155-160
-
Tidskriftsartikel (refereegranskat)abstract
- Emotions are a topic of great relevance, but are not frequently studied within physiotherapy. To identify and express emotions can be seen as a prerequisite for having emotional intelligence, an ability highly needed in treatment situations in physiotherapy. Within psychology, there is a tradition as well as a recognized fact that the identification and expression of emotions are important for good clinical outcomes. The aim of this paper is to review the literature within physiotherapy and psychology about the importance of emotions in treatment situations. Research has shown that physiotherapists have an awareness of underlying emotions in treatment situations, but often respond mostly on an intellectual level. Skills and awareness in identifying and expressing emotions in combination with cognitive and self-monitoring skills can be an effective way of improving the clinical reasoning process and treatment outcomes in physiotherapy. Identifying and expressing emotions in treatment situations may also increase positive treatment outcomes thanks to an increased adherence to transference and countertransference processes in treatment situations. More emphasis can be put on identifying and promoting verbal expression of emotions in treatment situations in physiotherapy practice.
|
|
