title: Using narrative analysis to understand the combined use of complementary therapies and bio-medically oriented health care.
abstract: Rather than using different therapies in isolation, many cancer patients use different therapies in a complementary fashion. Little research to date has given attention to individuals' experiences of the combined use of biomedically oriented health care (BHC) and complementary and alternative therapies (CATs). Therefore, this paper examines one individual's negotiation between complementary self-care methods and BHC in the treatment of cancer in Stockholm, Sweden. Using narrative analysis, we explore how a personal narrative is told, in addition to what is told, in order to see how the meaning of the negotiation between different therapies is created. Our analysis suggests that the BHC retains a vital role as a frame of reference for the use of certain CATs. It is also apparent how one CAT can be used for different purposes simultaneously by one individual. A positive example is given of how a spouse interpreted his experience of successful communication about CATs with a BHC provider as indicative of a shift from a hierarchical to a more collaborative relationship. Such increased collaboration between stakeholders is an important aspect of models of 'integrative health care'. Our findings highlight the need for an open and respectful dialogue about CATs between patients, their significant others and BHC providers.
authors.affiliation: Department of Neurobiology, Caring Sciences & Society, Karolinska Institutet,Huddinge, Sweden. johanna.hok@ki.se
authors.forename: Johanna
authors.initials: J
authors.lastname: Hök
authors.forename: Caroline
authors.initials: C
authors.lastname: Wachtler
authors.forename: Torkel
authors.initials: T
authors.lastname: Falkenberg
authors.forename: Carol
authors.initials: C
authors.lastname: Tishelman
mesh_terms: D000739:Anecdotes as Topic; D000529:Complementary Therapies; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000188:drug therapy / Q000628:therapy*; D011368:Professional-Family Relations; D012648:Self Care / Q000379:methods; D013548:Sweden