Dealing with doubt. How patients account for non-specific chronic low back pain.
J Psychosom Res
; 49(4): 223-5, 2000 Oct.
Article
en En
| MEDLINE
| ID: mdl-11119777
ABSTRACT
OBJECTIVE:
To explore the ways that persons with long standing chronic low back pain respond to the problem of medical doubt about the presence of organic pathology.METHOD:
Qualitative analysis of accounts provided by 12 persons attending a back pain rehabilitation clinic in NW England.RESULTS:
Subjects rejected the notion that they were culpable for their pain. They were not culpable for the onset of their pain. They argued that despite their cooperation, no sensible explanation of their pain was forthcoming from health professionals. Finally, they asserted that medical scepticism had been damaging and dispiriting.CONCLUSION:
Patients dealt with clinical doubt by stressing their own expertise. They constituted their beliefs about the cause and trajectory of their pain and disability as accurate accounts of their disability. They resisted the suggestion that there might be psychological factors involved in their ill-health by locating culpability among clinicians, who were confused or uncertain about diagnosis and treatment.
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Bases de datos:
MEDLINE
Asunto principal:
Actitud Frente a la Salud
/
Satisfacción del Paciente
/
Dolor de la Región Lumbar
/
Indemnización para Trabajadores
Tipo de estudio:
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Psychosom Res
Año:
2000
Tipo del documento:
Article
País de afiliación:
Reino Unido