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Doctors' attitudes to fibromyalgia: a phenomenological study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Vansbro Primary Health Care Unit, Vansbro, Sweden..
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
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1998 (English)In: Scandinavian Journal of Social Medicine, ISSN 0300-8037, Vol. 26, no 3, 232-237 p.Article in journal (Refereed) Published
Abstract [en]

Besides specific technical skills, successful encounters with patients require an understanding of the many ways in which patients may express themselves. This qualitative study reports on the clinical experiences of doctors when meeting patients with fibromyalgia (FM). Ten strategically chosen rheumatologists and 10 GPs in central Sweden were interviewed. The interviews were taped, transcribed and analysed in accordance with the empirical, phenomenological, psychological method. The analyses indicate that doctors try to comply with the wishes and demands of patients, and at the same time avoid perceptions of personal frustration. They are inclined to be objective and to act instrumentally, apparently in order to keep in touch with what gave biomedical meaning to an otherwise incomprehensible phenomenon. The meaning structures revealed by doctors' descriptions of FM and of relating to FM patients were characterized mainly by the way in which the doctors were (i) managing their clinical uncertainty, (ii) adhering to the biomedical paradigm, (iii) prioritizing diagnostics, (iv) establishing an instrumental relationship, and (v) avoiding recognizing FM as a possible biomedical anomaly.

Place, publisher, year, edition, pages
Taylor & Francis, 1998. Vol. 26, no 3, 232-237 p.
Keyword [en]
Fibromyalgia, Physician Attitudes, Sweden, Phenomenological Research, Funding Source, Interviews, Physician-Patient Relations, Physicians, Family, Patient Education, Human
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-98522PubMedID: 9768454OAI: oai:DiVA.org:umu-98522DiVA: diva2:783047
Available from: 2015-01-23 Created: 2015-01-23 Last updated: 2015-01-23Bibliographically approved
In thesis
1. Patienten som person: om mening och dialog i allmänmedicinsk praktik
Open this publication in new window or tab >>Patienten som person: om mening och dialog i allmänmedicinsk praktik
1999 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 1999. 128 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 585
Keyword
general practice, meaning, dialogue medicine, doctor-patient relation, narrative, fibromyalgia, health, empirical phenomenological psychological method, critical reflection, case analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-96897 (URN)91-7191-599-0 (ISBN)
Public defence
1999-04-16, Samhällsvetarhuset, hörsal B, Umeå universitet, Umeå, 09:00
Projects
digitalisering@umu
Note

Diss. Umeå : Umeå universitet, 1999, Härtill 7 uppsatser.

Available from: 2015-01-23 Created: 2014-12-05 Last updated: 2015-04-09Bibliographically approved

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