Fibromyalgia patients' own experiences of video self-interpretation: a phenomenological-hermeneutic study.
Fibromyalgia syndrome (FMS) is a disorder with musculoskeletal pain as well as many other psychological and physical symptoms. Up-to-date treatment strategies for this disorder often have only limited effects. In order to develop more effective and adequate treatment tools, a phenomenological-hermeneutic study inspired by Paul Ricoeur was used. FMS patients viewed themselves on videotapes. After the video sessions the FMS patients were interviewed about thoughts that were triggered when they saw themselves on videotape. Video interpretation in combination with interviews facilitated a communication and understanding between the patient and therapist about the patients' body and self-image. The results showed that with the help of video interpretation, the patients' body and self-awareness could be improved, which in turn may help therapists to find better treatment tools for a more directed and individually adapted treatment. This is of importance as this method can be useful to FMS patients for early identification of maladaptive movement patterns and for a better integration their body and self-image. By allowing the FMS patients to interpret themselves from videotape, the FMS patients become more aware of both body and self-signals, which make it easier for the clinician/therapist to know where to start to work with each patients' specific rehabilitation programme.
Horwitz
Eva Bojner
EB
Department of Public Health and Caring Sciences, Center for Environmental ill health and Stress, Uppsala University and University Hospital, Uppsala, Sweden. eva.bojner@stockholm.mail.telia.com
Theorell
Töres
T
Anderberg
Ulla Maria
UM
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001828:Body Image; D017281:Cost of Illness; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D007697:Kinesics; D008875:Middle Aged; D015404:Nursing Methodology Research; D011187:Posture; D036301:Qualitative Research; D016059:Range of Motion, Articular; D012647:Self-Assessment; D012720:Severity of Illness Index; D012944:Social Support; D011795:Surveys and Questionnaires; D013548:Sweden; D014743:Videotape Recording / Q000379:methods