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Begränsade möjligheter - anpassade strategier: en studie i primärvården av kvinnor med värk
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
1998 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet , 1998. , 133 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 551
Keyword [en]
undefined disorders, musculoskeletal pain, women’s health, gender, marital relationship, primary health care, rehabilitation, consultation, qualitative research
National Category
Family Medicine
Identifiers
URN: urn:nbn:se:umu:diva-96896ISBN: 91-7191-492-7 (korr.) OAI: oai:DiVA.org:umu-96896DiVA: diva2:769107
Public defence
1998-09-18, Samhällsvetarhuset, hörsal A, Umemå universitet, Umeå, 09:00
Projects
digitalisering@umu
Note

Diss. Umeå : Umeå universitet, 1998, härtill 8 delarbeten.

Available from: 2015-01-23 Created: 2014-12-05 Last updated: 2015-04-09Bibliographically approved
List of papers
1. "How could I even think of a job?"--Ambiguities in working life in a group of female patients with undefined musculoskeletal pain.
Open this publication in new window or tab >>"How could I even think of a job?"--Ambiguities in working life in a group of female patients with undefined musculoskeletal pain.
1997 (English)In: Scand J Prim Health Care, ISSN 0281-3432, Vol. 15, no 4, 169-74 p.Article in journal (Refereed) Published
Keyword
Adult, Attitude, Family, Female, Humans, Middle Aged, Motivation, Musculoskeletal Diseases/*psychology, Pain/*psychology, Sick Leave, Sick Role, Sweden, Women; Working/*psychology
Identifiers
urn:nbn:se:umu:diva-11098 (URN)9444718 (PubMedID)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved
2. The impact of marital relationship on the rehabilitation process in a group of women with long-term musculoskeletal disorders.
Open this publication in new window or tab >>The impact of marital relationship on the rehabilitation process in a group of women with long-term musculoskeletal disorders.
1997 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Scandinavian Journal of Social Medicine, ISSN 0300-8037, Vol. 25, no 1, 17-25 p.Article in journal (Refereed) Published
Abstract [en]

This qualitative study investigated problems in the rehabilitation of women with long-term, musculoskeletal pain disorders. Data were collected by repeated semi-structured interviews and doctor-patient encounters during two years, and analysed in a gender perspective. The “marriage contract”, i.e. the pattern of division of duties and power structure within the marital relationship, was of obvious importance to the implementation of rehabilitation measures. We explored situations where the rehabilitation measures disagreed with the terms and patterns in the “marriage contract”. The participants' ways of coping with the contract in these delicate situations could be described as three type strategies; accepting the terms, negotiating for new terms, and breaking the contract. The crucial impact of the “marriage contract” and the type strategies on the rehabilitation process are exemplified.

Keyword
Adaptation, Psychological, Adult, Attitude to Health, Chronic Disease, Employment, Female, Follow-Up Studies, Humans, Marriage, Middle Aged, Models; Psychological, Musculoskeletal Diseases/*psychology/*rehabilitation, Negotiating, Pain/etiology/*psychology, Sweden
Identifiers
urn:nbn:se:umu:diva-11096 (URN)10.1177/140349489702500105 (DOI)9106941 (PubMedID)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved
3. "I was always on guard"--an exploration of woman abuse in a group of women with musculoskeletal pain.
Open this publication in new window or tab >>"I was always on guard"--an exploration of woman abuse in a group of women with musculoskeletal pain.
1999 (English)In: Fam Pract, ISSN 0263-2136, Vol. 16, no 3, 238-44 p.Article in journal (Refereed) Published
Keyword
Adult, Battered Women, Family Practice, Female, Humans, Middle Aged, Musculoskeletal Diseases/*etiology, Pain/*etiology, Spouse Abuse, Sweden, Women's Health
Identifiers
urn:nbn:se:umu:diva-11100 (URN)10439976 (PubMedID)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved
4. "I've been crying my way": qualitative analysis of a group of female patients' consultation experiences
Open this publication in new window or tab >>"I've been crying my way": qualitative analysis of a group of female patients' consultation experiences
1996 (English)In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 13, no 6, 498-503 p.Article in journal (Refereed) Published
Abstract [en]

Background and objectives What do women patients, sick-listed for biomedically undefined musculoskeletal disorders, expect and experience when they consult a doctor? With the purpose to learn more about this, a qualitative interview study was conducted.

Methods Twenty women participated. They were patients at an urban health care centre in northern Sweden. Data were gained through repeated, semi-structured interviews, and analysed according to grounded theory.

Results The participants described an atmosphere of distrust in the consultation. They had felt ignored, disregarded and rejected by doctors, and had worked out strategies to keep up medical attention in their search for a creditable diagnosis. They were somatizing, claiming under cover, and pleading, to catch the doctor's interest. In addition, they upheld their self-respect by mystifying and martyrizing themselves and their symptoms, and by condemning physicians as ignorant.

Discussion The patient's consultation experiences are discussed from different aspects; the biomedical framework, the power asymmetry, and the gendered positions of patient and doctor. The findings indicate the importance of making doctors aware of the context behind frustrations in doctor-patient interaction.

Place, publisher, year, edition, pages
Oxford University Press, 1996
Keyword
Consultation, gender, musculoskeletal pain, undefined disorders, women's health
National Category
Family Medicine
Identifiers
urn:nbn:se:umu:diva-11097 (URN)10.1093/fampra/13.6.498 (DOI)9023524 (PubMedID)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2016-01-01
5. The meanings of pain: an exploration of women's descriptions of symptoms.
Open this publication in new window or tab >>The meanings of pain: an exploration of women's descriptions of symptoms.
1999 (English)In: Soc Sci Med, ISSN 0277-9536, Vol. 48, no 12, 1791-802 p.Article in journal (Refereed) Published
Keyword
Adult, Attitude to Health/ethnology, Cost of Illness, Female, Humans, Middle Aged, Musculoskeletal Diseases/ethnology/*psychology, Pain/ethnology/*psychology, Self Concept, Sick Role, Social Conditions, Sweden, Verbal Behavior, Women; Working/*psychology
Identifiers
urn:nbn:se:umu:diva-11101 (URN)10405017 (PubMedID)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved
6. Scientific rigor in qualitative research: examples from a study of women´s health
Open this publication in new window or tab >>Scientific rigor in qualitative research: examples from a study of women´s health
1994 (Swedish)In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 11, 176-181 p.Article in journal (Refereed) Published
Abstract [en]

The increase in qualitative research in family medicine raises a demand for critical discussions about design, methods and conclusions. This article shows how scientific claims for truthful findings and neutrality can be assessed. Established concepts such as validity, reliability, objectivity and generalization cannot be used in qualitative research. Alternative criteria for scientific rigour, initially introduced by Lincoln and Guba, are presented: credibility, dependability, confirmability and transferability. These criteria have been applied to a research project, a qualitative study with in-depth interviews with female patients suffering from chronic pain in the locomotor system. The interview data were analysed on the basis of grounded theory. The proposed indicators for scientific rigour were shown to be useful when applied to the research project. Several examples are given. Difficulties in the use of the alternative criteria are also discussed.

Place, publisher, year, edition, pages
Oxford University Press, 1994
Identifiers
urn:nbn:se:umu:diva-11094 (URN)10.1093/fampra/11.2.176 (DOI)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved
7. Practitioner, Researcher and Gender Conflict in a Qualitative Study.
Open this publication in new window or tab >>Practitioner, Researcher and Gender Conflict in a Qualitative Study.
1999 (English)In: Qualitative Health Research, Vol. 9, no 4, 455-467 p.Article in journal (Refereed) Published
Identifiers
urn:nbn:se:umu:diva-11099 (URN)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2015-01-23Bibliographically approved

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Begränsade möjligheter - anpassade strategier(9435 kB)111 downloads
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Hamberg, Katarina

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Citation style
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Output format
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