Hills, J orcid.org/0000-0002-6852-8261, Lees, J, Freshwater, D orcid.org/0000-0002-1225-9007 et al. (1 more author) (2018) Psychosoma in crisis: an autoethnographic study of medically unexplained symptoms and their diverse contexts. British Journal of Guidance and Counselling, 46 (2). pp. 135-147. ISSN 0306-9885
Abstract
In this study, we examine autoethnographic data from three critical incidents as experienced by the first author demonstrating the importance of context in understanding medically unexplained symptoms, their incidence and underlying patterns. We make the case for ethnographies as a crucial research strand in discerning the finer aspects of the patient or client experience; aspects that might be missed where people are directed along protocolised pathways of care. The article describes care as fragmented and depersonalising, leading to disembodied exchanges, as reflected in other autoethnographic studies, particularly those that highlight the complex relationship and controversies surrounding diagnostic uncertainty. We observe that psychological therapists, given the quality of the therapeutic relationship and sustained attention to the person’s experience, are well placed to assist in the necessary processes of re-contextualisation and re-embodiment.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016, Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in British Journal of Guidance and Counselling on 13 April 2016, available online: http://dx.doi.org/10.1080/03069885.2016.1172201 |
Keywords: | Psychosomatic pain, medically unexplained symptoms, trauma, patient narratives, depersonalisation, autoethnography |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 13 Dec 2016 12:31 |
Last Modified: | 24 Apr 2018 13:26 |
Published Version: | https://doi.org/10.0.4.56/03069885.2016.1172201 |
Status: | Published |
Publisher: | Taylor and Francis |
Identification Number: | 10.1080/03069885.2016.1172201 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:109313 |