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Biomedical subjects

P Stensland

Publications and source records attributed to P Stensland.

13 recordsLinked to original sources
PubMed2001

Unravelling empowering internal voices-a case study on the interactive use of illness diaries.

BACKGROUND: The article is part of a study of an illness diary method for improving clinical communication with patients suffering from long-standing illness without clinical findings. OBJECTIVE: The aim of this study was to demonstrate how patient empowering can be approached through a process of shared insight in a personal illness description. METHODS: This was a single case study from three encounters with a 48-year-old woman suffering from headache, who participated in the illness diary study. Theoretical sampling was used to select the presented case from the sample. The material comprises sections of notes and transcripts from audiotapes. RESULTS: During the encounters, the medical dialogue is changed to include the patient's internal dialogues on her illness and her ways of coping. Her body language is approached and met, and its empowering potential is explored in the dialogue. CONCLUSION: The reflective practitioner may contribute to transform a consultation from repetitive patterns to a dialogue based on the patient's own coping resources.

Adaptation, Psychological↗
PubMed1999

[Chronic somatic illness--illness diaries written at home give possibilities for communication about the body].

The article presents the development and qualitative evaluation of a clinical communicative method based on illness diaries used in consultations with patients suffering from long-standing illness without clinical findings. The article is based on action research in the authors' own practice. Data were collected from 36 consultations with 16 patients where the illness diary method was applied. Analysis followed a procedure modified from phenomenologically based methodology. The method has gradually been elaborated according to utilization experiences on an interactional level, leading to a more specific presentation of the method and its use. Communicative strategies arising from illness diary utilization could be summarized as: using illness diaries as medical documentation; getting access to the patient's insight; exploring internal dialogues and locked voices; and adding meaning to a spoken message through writing. When the framework of conversation is changed through illness diary utilization towards one or more of these four levels of communication, the patient may become a more equal consultation partner. Illness diaries can provide clinically relevant information and may emphasize the patient's input and significance in medical dialogues on long-standing symptoms without clinical findings.

Adolescent↗
PubMed1999

Approaching the locked dialogues of the body. Communicating symptoms through illness diaries.

OBJECTIVE: To describe and analyse communication following the use of an illness diary method in consultations with patients suffering from longstanding illness without clinical findings. DESIGN: Action research in own practice with qualitative formative evaluation of material provided by the use of the diary method. Analysis followed a procedure modified from phenomenologically-based methodology. SETTING: The practice of the main author. SUBJECTS: 36 consultations with 16 patients where the illness diary method was applied. RESULT: Communication following illness diary utilisation could be summarised as: 1) illness diaries as medical documentation, 2) making access to the insight of the patient, 3) exploring internal dialogues and locked voices, and 4) adding meaning to a spoken message through writing (creative distance). By changing the frames of conversation through illness diary utilisation towards one or more of these four levels of communication, the patient may become a more equal consultation partner. CONCLUSION: Illness diaries can provide clinically relevant information and may emphasise the patient's input and significance in medical dialogues on longstanding symptoms without clinical findings.

Adolescent↗
PubMed1997

New gateways to dialogue in general practice. Development of an illness diary to expand communication.

OBJECTIVE: To present the development of a clinical communicative method based on illness diaries. DESIGN: Action research with qualitative evaluation of experiences leading to the clinical method. SETTING: The practice of one of the authors. PATIENTS: 16 patients with long-standing illness without clinical findings. MAIN OUTCOME MEASURES: Description of the illness diary method grounded in patients' and doctor's experiences. RESULTS: The illness diary method includes the following approach: The patient presents his symptoms and the doctor may suggest the use of an illness diary. Together, they shape the format of the diary and identify items to be included. The patient uses the diary for home notes between consultations. The notes constitute the frame for a fresh dialogue about the complaints in the next consultation. The method has gradually been elaborated according to utilization experiences on an interactional level, leading to a more specific presentation of the method and how it can be used. CONCLUSION: An illness diary and the subsequent doctor-patient interaction can be a feasible tool to expand the gateways to dialogue in general practice.

Adolescent↗