Physiotherapists' encounters with "obese" patients: Exploring how embodied approaches gain significance

被引:8
作者
Groven, Karen Synne [1 ,2 ,3 ]
Heggen, Kristin [1 ]
机构
[1] Univ Oslo, Inst Hlth & Soc, Fac Med, Oslo, Norway
[2] Oslo Univ Coll, Dept Hlth & Soc, Oslo, Norway
[3] Oslo & Akershus Univ Coll Appl Sci, Fac Hlth, Inst Physiotherapy, Pilestredet 46, N-0167 Oslo, Norway
关键词
Embodyment; experience; lifestyle program; obesity; professional development; PROFESSIONAL-DEVELOPMENT; PHYSICAL-THERAPISTS; LIVED EXPERIENCES; WEIGHT STIGMA; PERSPECTIVE; STUDENTS;
D O I
10.1080/09593985.2017.1400140
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Background: Obesity is regarded as a modern lifestyle problem, causing illness, stigma, discrimination, and psychological problems. To help patients avoid these problems, physiotherapists increasingly engage in lifestyle programs specialized in weight loss. Objective: To explore how physiotherapists' encounters with patients diagnosed as obese acquire significance for their development as clinicians. Method: The material draws on semi-structured interviews with eight physiotherapists. We conducted a thematic analysis inspired by van Manen's hermeneutic-phenomenological approach combined with Kvale and Brinkman's critical approach. Findings: The analysis identified the following four themes: 1) Striving to find one's own style of communication; 2) Relating to bodily discrepancies; 3) Developing clinical competence through bodily encounters; and 4) Gaining insight into the dilemmas of group-based lifestyle programs. Taken together, our findings highlight bodily encounters between patients and physiotherapists as an invaluable source of insight. Such insight can shape physiotherapists' development as clinicians inspiring them to develop their unique ways of communicating so that patients diagnosed as obese can feel empowerment rather than failure and shame. At the same time, our findings point to the need of critically reflecting on ones' own approach entering a double role of both controller and supporter. As such, our findings complicate and extend previous work on stigma and shame. Conclusion: Our research leads us to conclude that more emphasis on critical thinking in physiotherapy is necessary. We suggest that this should be given more priority in research, education, as well as in clinical practice.
引用
收藏
页码:346 / 358
页数:13
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