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Smärtans mosaik: kommunikation och lärande om långvarig smärta
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
2001 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis focuses on how people, living with long-term pain, exploreand communicate their pain, by way of speech as a means for producingrelations between themselves, the. pain and everyday activities. The datamaterial consists of focused research interviews with patients undergoingtreatment for their pain at a pain clinic. The thesis takes as a point ofdeparture that people living with pain in various situations need tocommunicate their pain experiences which posits the person in acommunicational dilemma giving_ shape to a multi-dimensionalexperience. Different kinds of communicative resources are used in thesecommunication situations, verbal and figurative talk together withgestures. It is argued that learning about one's pain could be described as an apprenticeship process, which concerns as well the relations between the afflicted person and the her/his pain as how these relations are to be communicated. An important result is that mastering one's pain is about an on-going, situated, searching and communicative practice.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 2001. , 108 p.
Series
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 242
Keyword [en]
Chronic pain, communication, coping, gesture, metaphor, accounts, patient perspectives, living with pain
Keyword [sv]
kronisk smärta, kommunikation, smärta
National Category
Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:liu:diva-35035Local ID: 24710ISBN: 91-7373-214-1 (print)OAI: oai:DiVA.org:liu-35035DiVA: diva2:255883
Public defence
2001-12-14, Sal Elysion, Hus-T, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Supervisors
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-28Bibliographically approved
List of papers
1. Living with chronic pain: A dynamic learning process
Open this publication in new window or tab >>Living with chronic pain: A dynamic learning process
2000 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 7, no 3, 114-125 p.Article in journal (Refereed) Published
Abstract [en]

This study focuses on how patients describe and manage their pain in their everyday life. The data consist of interviews with 37 patients undergoing treatment for chronic pain. The study focuses on how experiences of pain are mediated and interpreted with the help of the individual's discursive resources. It is argued that this kind of resource is important in constituting a structure of relations between a suffering person, pain and context. In the analysis of the material a four-step procedure was used, including both formal and content-related aspects. It was found that the patients describe chronic pain as a dynamic phenomenon. Patients learn about their pain by actively constituting relations among themselves, the pain and their activities. For the patients, chronic pain is a structured phenomenon. Patients often describe how pain is initiated, worsens and is alleviated. Patients thereby learn to distinguish different figures in their pain, which they are able to relate to in their management of pain. This suggests that a life in pain could be seen as an apprenticeship process. The heart of the matter in this process is learning to become sensitive to and flexible towards variations in the pain and potential pain triggers in the environment. This knowledge is important, as mastering pain is a balancing act between inner resources and environmental circumstances.

Keyword
apprenticeship, communication, coping, chronic pain, dynamic, language, learning, patient perspective
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-22853 (URN)10.1080/110381200300006069 (DOI)2193 (Local ID)2193 (Archive number)2193 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2014-10-03Bibliographically approved
2. Experiencing and Knowing Pain: Patients’ Perspectives
Open this publication in new window or tab >>Experiencing and Knowing Pain: Patients’ Perspectives
2000 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 2, no 4, 146-155 p.Article in journal (Refereed) Published
Abstract [en]

This article focuses on patients’ accounts of chronic pain and the manner in which they communicate their experiences. The data have been generated through interviews with chronic pain patients undergoing treatment for their problems. The results show that patients develop a set of discursive markers by means of which they are able to make distinctions between different kinds of pain. These distinctions are made with respect to pain qualities and pain localizations in the body. Further, a majority of the patients report that one pain generally transforms into another. This subjectively perceived patterning we refer to as pain transformations and these, in turn, contain different pain phases. Most patients report pains as dynamic and tients report pains as dynamic and stable and consistent sensation. The results also show that some patients identify certain pain phases as precursors of more severe phases, and that they use this knowledge as a means for taking preventive actions. Since experiencing pain often involves a discursive element gaining linguistic control over one’s pain provides the person with an important resource for dealing with pain

Keyword
pain communication, pain discrimination, pain learning, pain localization, pain quality, pain phase, pain transformation
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-79050 (URN)10.1080/140381900750063409 (DOI)
Available from: 2012-06-28 Created: 2012-06-28 Last updated: 2017-12-07Bibliographically approved
3. The Metaphors for pain: a study of pain metaphors as communication
Open this publication in new window or tab >>The Metaphors for pain: a study of pain metaphors as communication
(English)Manuscript (preprint) (Other academic)
Abstract [en]

When describing pain the spoken language one is used to is often inadequate. This article takes as departure this communicative problem. The datamaterial consists of semi-structured interviews with thirty-seven patients undergoing treatment for their chronic pain.The metaphor consists of two parts or domains: the domain to be described and the domain from which a description is borrowed. 145 metaphors were identified in the data material. The analysis concernedboth the domains, their relationship and the metaphor's communicative function. The results shows that different types of 'linguisticimages' were used to describe pain, and that the relationship between the two domains were of two kinds: experiential and semantic,respectively. Further, five communicative functions of the metaphorical talk were found: a comparative, structuring, contextulising,problematising and interactive, function respectively. It is argued that professional caregivers by metaphorical talk could acquire indirect access to fragment of patients' experiences of pain, create interactivity and compliance.

Keyword
pain, metaphor, communication, patient description, patient counseling
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-79052 (URN)
Available from: 2012-06-28 Created: 2012-06-28 Last updated: 2012-06-28Bibliographically approved
4. Pain Gestures: The Orchestration of Talk and Body Gestures
Open this publication in new window or tab >>Pain Gestures: The Orchestration of Talk and Body Gestures
2002 (English)In: Health, ISSN 1363-4593, E-ISSN 1461-7196, Vol. 6, no 3, 325-345 p.Article in journal (Refereed) Published
Abstract [en]

This article is about the use and function of gestures in pain communication. More specifically how we can communicate an internal bodily experience like pain with the help of gestures. This is of great importance both in everyday situations and in medical consultations of various types. Our focus in this article is on the issues of the gesture as a communicative resource, how verbal and nonverbal communicative resources are related to each other and in what way gestures contribute to the structure of different types of pain. Thirty-seven patients have been interviewed about their pain experiences and the main result is that several communicative modalities are interwoven in the pain accounts. Three different functions of gestures were identified: the pointing, iconic and symbolic functions. The clinical relevance of this approach to gestures in pain communication is to take note of the intricate interplay of different communicative resources used in the pain description, and to emphasize both verbal and nonverbal interaction in the clinical conversation as a resource in the care situation.

Keyword
gesture, interaction, nonverbal, pain
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-22857 (URN)10.1177/136345930200600305 (DOI)2198 (Local ID)2198 (Archive number)2198 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-09-04Bibliographically approved

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