title: Treating gynecological pain: the experiences of bachelor students in physiotherapy performing somatocognitive therapy.
abstract: BACKGROUND
  Longstanding gynecological pain affects large numbers of women in the Western world. In recently published studies, we have found that a hybrid of physiotherapy and cognitive psychotherapy called somatocognitive therapy (SCT) ameliorates physical symptoms and psychological distress. In this paper, we report on the experiences of undergraduate physiotherapy students performing the therapy to patients with provoked vestibulodynia (PVD).
  
  
  OBJECTIVE
  The study aimed to investigate the nature of the collaborative interaction between female physiotherapy students and patients with PVD, focusing on critical factors for the students' learning of professional skills through SCT applied on patients suffering from an especially demanding pain condition.
  
  
  METHODS
  In a qualitative study design, data were collected from two group interviews with four female students in pairs, and subjected to a thematic analysis.
  
  
  RESULTS
  We found that students perceive the patient encounter as critical incidents in the sense of strong emotional encounters. From the data material, there emerged a four-step process ranging from distance to proximity, highlighting factors that influence the development of professional skills. The four steps are defined respectively as: (1) the students' prejudices; (2) identification and empathy; (3) senses of responsibility in the therapeutic relationship and (4) collaborative engagement for change.
  
  
  CONCLUSIONS
  Contrary to expectations, the students experienced the application of this combined approach (SCT) as an interesting and rewarding way of working with patients, and that they had achieved skills and a sufficient set of tools to cope with the challenges that patients with longstanding gynecological pain represent.
authors.affiliation: Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences , Oslo , Norway.
authors.forename: Marit
authors.initials: M
authors.lastname: Fougner
authors.forename: Gro Killi
authors.initials: GK
authors.lastname: Haugstad
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000379:methods; D003142:Communication; D004645:Empathy; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007858:Learning; D017699:Pelvic Pain / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D026741:Physical Therapy Modalities / Q000193:education*; D011287:Prejudice; D011369:Professional-Patient Relations; D036301:Qualitative Research; D013336:Students, Health Occupations / Q000523:psychology*
keywords: Chronical pelvic pain; PVD; physiotherapy; somatocognitive therapy; students' learning; therapeutic alliance