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Sissel Steihaug

Publications and source records attributed to Sissel Steihaug.

9 recordsLinked to original sources

[How can women with chronic muscular pain change their bodily habits?].

BACKGROUND: Each person develops their own posture and patterns of movement; our bodies are marked by the life we live. Our ways of being imply that the body is used and strained in different ways, and these habits are decisive for what kind of functional problems we may develop. A group-based treatment programme for women with chronic muscular pain includes movement training and group discussions once a week over the course of ten months, aimed at changing straining bodily habits. The study explores what the participants appreciate as meaningful and beneficial effects of this programme. MATERIAL AND METHODS: A treatment group of ten women with long-lasting chronic muscular pain was organised at the start of the 21st century. Seven of them completed the programme. Transcriptions from individual interviews with the participants were analysed using a phenomenological analysis. RESULTS: The participants made new bodily experiences, changed their bodily habits and developed strategies for handling stress and pain in daily life. INTERPRETATION: Group treatment may be a beneficial offer in primary care to women with chronic muscular pain.

Adult↗

Can chronic muscular pain be understood?1.

Chronic muscular pain is often regarded as incomprehensible or indefinable when the doctor "can't find anything" on examination. However, the physiotherapist often detects physical signs in these patients: changes in posture, holding breath, tense and hard musculature, and poor balance. The findings are dependent on what is being sought. The view of the body as ambiguous, as something a person has and is, can shed light on the way life has left its traces in the body, such as changes in posture and poor balance. In this article it will be argued that combining a physiotherapeutic, a phenomenological, and a biological perspective can make chronic muscular pain more comprehensible. Chronic muscular pain can be perceived not as a sign representing a symbol of underlying factors but rather as a sign understood as an expression of the bodily state.

Chronic Disease↗

Part process analysis: a qualitative method for studying provider-patient interaction.

AIMS: Communication between patients and healthcare providers is vital for quality care. Complaints about doctors often arise from unfortunate communication. Research methods suited for the study of relationship and interaction are essential to understand how communication can be improved. The principles and procedures of a qualitative research method with the capacity to explore details and foundations of interaction between patients and doctors is presented. METHODS: Anne-Lise Løvlie Schibbye's Part Process Analysis Method is a qualitative approach for studying communication at the microlevel. Attention is drawn both to verbal dialogue and to body communication, and the method is particularly suited for studying relationships and change. RESULTS: The application of the Part Process Analysis Method is described, exemplified by material from a group discussion between participants and leaders in a group-based treatment programme for women with chronic muscle pain. How the method can be used to explore reciprocity, relationships, and development is demonstrated in this context. CONCLUSIONS: The Part Process Analysis Method is proposed as a useful tool for studying communication between doctor and patient, providing knowledge about relationships and reciprocity, aspects that are important both in doctors' medical work and for patients' feeling of being understood.

Chronic Disease↗

Encountering the continuing challenges for women with chronic pain: recovery through recognition.

This work is based on experiences from a group treatment for women with chronic musculoskeletal pain. The authors explored the nature and consequences of the reported benefits from being met with recognition in the groups, focusing the potential usefulness in everyday life. In-depth interviews of six participants of various age and backgrounds were conducted. The women's answers reflected how recognition had enhanced strength, confidence, and awareness expressed as increased bodily, emotional, and social competence. This competence provided tools to handle their pain and illness. Achieving the sense of a better life with chronic pain represents an important recovery process. Because of the normative and gendered way the term "coping(ability)" has been used, the authors introduce recovery competence as a more fruitful concept.

Chronic Disease↗

Recognition and reciprocity in encounters with women with chronic muscular pain.

OBJECTIVE: Experiences from 11 treatment groups for women with chronic muscular pain showed that recognition had a major impact on the way the participants benefited from treatment. In this article, based on Anne-Lise Løvlie Schibbye's psychological theories, we explore and analyse how recognising interaction can be enacted in practice. DESIGN: Qualitative action research design. SETTING: Ongoing treatment groups in Stovner/Oslo for women with chronic muscular pain. SUBJECTS: A total of 31 women took part in 3 treatment groups with movement training and group discussions. MAIN OUTCOME MEASURES: Video recordings from six group discussions were analysed using Part Process Analysis (PPA), a qualitative research method addressing interaction on a micro-level. RESULTS: PPA demonstrates how recognition is expressed by specific types of behaviour, and how recognition can lead to change and development of the participants in the treatment groups. CONCLUSIONS: Schibbye's recognition model, with emphasis on a fundamental respect for the experience perspective of the opposite party, may also help the doctor to understand the patient better, particularly in difficult relationships where there seem to be insurmountable differences between the doctor's and patient's perspectives.

Adult↗

"I am allowed to be myself": women with chronic muscular pain being recognized.

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.

Adult↗