Amanda Banton , Steven Vogel , Geraldine Lee-Treweek
{"title":"厘清颅骨病的意义:解释性现象学分析","authors":"Amanda Banton , Steven Vogel , Geraldine Lee-Treweek","doi":"10.1016/j.ijosm.2023.100673","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>This study arose from a praxial problem: how best to communicate with patients about the mechanism of cranial osteopathy. The research question was rooted in the phenomenological concept of ‘sense-making’, and was expressed as: ‘What sense do osteopaths and their patients make of the phenomenon of cranial osteopathy?’</p></div><div><h3>Method</h3><p>Interpretative Phenomenological Analysis (IPA) was used to explore the ‘lived experience’ and embedded sense-making of pairs of osteopaths and patients. Four Fellows of the Sutherland Cranial College of Osteopathy (SCCO) participated, as did one patient of each. The osteopath participants were experienced practitioners, and the patient participants had had positive experiences of cranial osteopathy. The participants were interviewed about their experience of the phenomenon of cranial osteopathy. The semi-structured interviews were audio-recorded, transcribed, and analysed. The analysis was audited alongside the use of a reflexive diary and an account of the theoretical ‘fore-structure’ of the principal investigator, in order to monitor influences on their hermeneutic analysis of the data.</p></div><div><h3>Results</h3><p>The IPA revealed that both patients and practitioners establish epistemological grounds for their sense-making about their embodied experience of cranial osteopathy (Theme 1: Making sense of sense-making), that they use embodied metaphor and linguistic meta-metaphor to understand their lived experience of cranial osteopathy (Theme 2: Metaphors for mechanisms), and that the mechanism of cranial osteopathy is considered by both patients and practitioners to arise in part from the therapeutic relationship (Theme 3: The meaningful osteopathic relationship).</p></div><div><h3>Conclusions</h3><p>The main outcome of the study is a hermeneutic model of cranial osteopathy, which posits that the shared, embodied therapeutic relationship facilitates a collaborative rapport which enables the osteopath and the patient to come to an understanding of the source of the patient's malady, and that this understanding is the causal context for the patient's lived experience of better health.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Making sense of cranial osteopathy: An interpretative phenomenological analysis\",\"authors\":\"Amanda Banton , Steven Vogel , Geraldine Lee-Treweek\",\"doi\":\"10.1016/j.ijosm.2023.100673\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>This study arose from a praxial problem: how best to communicate with patients about the mechanism of cranial osteopathy. The research question was rooted in the phenomenological concept of ‘sense-making’, and was expressed as: ‘What sense do osteopaths and their patients make of the phenomenon of cranial osteopathy?’</p></div><div><h3>Method</h3><p>Interpretative Phenomenological Analysis (IPA) was used to explore the ‘lived experience’ and embedded sense-making of pairs of osteopaths and patients. Four Fellows of the Sutherland Cranial College of Osteopathy (SCCO) participated, as did one patient of each. The osteopath participants were experienced practitioners, and the patient participants had had positive experiences of cranial osteopathy. The participants were interviewed about their experience of the phenomenon of cranial osteopathy. The semi-structured interviews were audio-recorded, transcribed, and analysed. The analysis was audited alongside the use of a reflexive diary and an account of the theoretical ‘fore-structure’ of the principal investigator, in order to monitor influences on their hermeneutic analysis of the data.</p></div><div><h3>Results</h3><p>The IPA revealed that both patients and practitioners establish epistemological grounds for their sense-making about their embodied experience of cranial osteopathy (Theme 1: Making sense of sense-making), that they use embodied metaphor and linguistic meta-metaphor to understand their lived experience of cranial osteopathy (Theme 2: Metaphors for mechanisms), and that the mechanism of cranial osteopathy is considered by both patients and practitioners to arise in part from the therapeutic relationship (Theme 3: The meaningful osteopathic relationship).</p></div><div><h3>Conclusions</h3><p>The main outcome of the study is a hermeneutic model of cranial osteopathy, which posits that the shared, embodied therapeutic relationship facilitates a collaborative rapport which enables the osteopath and the patient to come to an understanding of the source of the patient's malady, and that this understanding is the causal context for the patient's lived experience of better health.</p></div>\",\"PeriodicalId\":51068,\"journal\":{\"name\":\"International Journal of Osteopathic Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-06-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Osteopathic Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1746068923000172\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Osteopathic Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1746068923000172","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Making sense of cranial osteopathy: An interpretative phenomenological analysis
Objective
This study arose from a praxial problem: how best to communicate with patients about the mechanism of cranial osteopathy. The research question was rooted in the phenomenological concept of ‘sense-making’, and was expressed as: ‘What sense do osteopaths and their patients make of the phenomenon of cranial osteopathy?’
Method
Interpretative Phenomenological Analysis (IPA) was used to explore the ‘lived experience’ and embedded sense-making of pairs of osteopaths and patients. Four Fellows of the Sutherland Cranial College of Osteopathy (SCCO) participated, as did one patient of each. The osteopath participants were experienced practitioners, and the patient participants had had positive experiences of cranial osteopathy. The participants were interviewed about their experience of the phenomenon of cranial osteopathy. The semi-structured interviews were audio-recorded, transcribed, and analysed. The analysis was audited alongside the use of a reflexive diary and an account of the theoretical ‘fore-structure’ of the principal investigator, in order to monitor influences on their hermeneutic analysis of the data.
Results
The IPA revealed that both patients and practitioners establish epistemological grounds for their sense-making about their embodied experience of cranial osteopathy (Theme 1: Making sense of sense-making), that they use embodied metaphor and linguistic meta-metaphor to understand their lived experience of cranial osteopathy (Theme 2: Metaphors for mechanisms), and that the mechanism of cranial osteopathy is considered by both patients and practitioners to arise in part from the therapeutic relationship (Theme 3: The meaningful osteopathic relationship).
Conclusions
The main outcome of the study is a hermeneutic model of cranial osteopathy, which posits that the shared, embodied therapeutic relationship facilitates a collaborative rapport which enables the osteopath and the patient to come to an understanding of the source of the patient's malady, and that this understanding is the causal context for the patient's lived experience of better health.
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
