Attribution of responsibility in the management of patients with chronic pain; a qualitative exploration of osteopaths’ opinions.
Item
- Title
- Attribution of responsibility in the management of patients with chronic pain; a qualitative exploration of osteopaths’ opinions.
- Title
- Attribution of responsibility in the management of patients with chronic pain; a qualitative exploration of osteopaths’ opinions.
- Author(s)
- Long Veronique
- Abstract
- Background: Attributing responsibilities is central to chronic pain, with implications for strategies and standards of care, patient autonomy or blame, litigation and allocation of resources. However, there is very little research available regarding Osteopathy. Objectives: to explore osteopaths' opinions about attribution of responsibility when dealing with patients in chronic pain. Methods: A qualitative study of 6 semi-structured interviews. Analysis was performed using a combination of Content Analysis, consistent with elements of Grounded Theory, and Discourse Analysis, using elements of Functional Grammar. Results: The causes of chronic pain prior to osteopathic treatment were attributed to patients and to failures in the medical system. Responsibility for good outcomes was shared between osteopaths and patients, which contradicts previous research. Bad outcomes were mainly attributed to patients, as is common in allopathic medicine. Conclusions : Results reflected individualistic value systems, which may underestimate external constraints on patients' behaviours. Practitioners had strong expectations that patients should change. This may constitute a prerequisite to treatment, rather than a possible result from osteopathic management. Further research comparing the discourse and practice of more osteopaths is necessary before firmer conclusions can be drawn about the need for increased psychology and sociology training and multidisciplinary practices.
- Abstract
- Background: Attributing responsibilities is central to chronic pain, with implications for strategies and standards of care, patient autonomy or blame, litigation and allocation of resources. However, there is very little research available regarding Osteopathy. Objectives: to explore osteopaths' opinions about attribution of responsibility when dealing with patients in chronic pain. Methods: A qualitative study of 6 semi-structured interviews. Analysis was performed using a combination of Content Analysis, consistent with elements of Grounded Theory, and Discourse Analysis, using elements of Functional Grammar. Results: The causes of chronic pain prior to osteopathic treatment were attributed to patients and to failures in the medical system. Responsibility for good outcomes was shared between osteopaths and patients, which contradicts previous research. Bad outcomes were mainly attributed to patients, as is common in allopathic medicine. Conclusions : Results reflected individualistic value systems, which may underestimate external constraints on patients' behaviours. Practitioners had strong expectations that patients should change. This may constitute a prerequisite to treatment, rather than a possible result from osteopathic management. Further research comparing the discourse and practice of more osteopaths is necessary before firmer conclusions can be drawn about the need for increased psychology and sociology training and multidisciplinary practices.
- presented at
- British School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 3.2.2012 00:00:00
- Type
- osteo_thesis
- Language
- English
- Pub-Identifier
- 15075
- Inst-Identifier
- 780
- Keywords
- Responsibility, Autonomy, Blame, Chronic pain, Individualism, Practitioner Expectations, Osteopathy
- Recommended
- 0
- Item sets
- Thesis
Long Veronique, “Attribution of responsibility in the management of patients with chronic pain; a qualitative exploration of osteopaths’ opinions.”, Osteopathic Research Web, accessed May 19, 2024, https://www.osteopathic-research.com/s/orw/item/1634