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咨询补充和替代医学从业者:法国患者动机的系统梳理

Consulting a complementary and alternative medical practitioner: a systematic inventory of motives among French patients.

作者信息

Cottencin Audrey, Mullet Etienne, Sorum Paul C

机构信息

Ecole Pratique des Hautes Etudes, France.

出版信息

J Altern Complement Med. 2006 Oct;12(8):791-8. doi: 10.1089/acm.2006.12.791.

DOI:10.1089/acm.2006.12.791
PMID:17034285
Abstract

OBJECTIVES

To classify people's motives for seeking care from complementary and alternative medicine practitioners. Participants were asked about a wide variety of motives representing all eight motivational states described in Reversal Theory (RT): telic, paratelic, conformist, negativist, mastery, sympathy, autic, and alloic.

DESIGN

Data from a convenience sample of 256 participants was examined using factorial techniques.

RESULTS

Six factors were evidenced that were easily interpretable in the RT framework. Participants perceived their motives largely in terms of goals and means, and within this domain they focused more on the goals (i.e., telic motives were more important than paratelic ones). Paratelic motives were, however, not unimportant: they ranked third. Participants also perceived their motives in terms of rules and constraints, and within this domain they focused more on rules (i.e., conformist motives were more important than negativist ones). Participants, finally, perceived their motives in terms of the combined domains of relationships and exchanges with others, namely, acting out of concern for others (alloic sympathy) as well as for themselves (autic mastery).

CONCLUSIONS

If the six-factor structure is proved applicable, the six corresponding subscales could be used for systematically comparing motives among different types of patients, regarding different types of therapies, and among patients from different cultures.

摘要

目的

对人们寻求补充和替代医学从业者治疗的动机进行分类。研究人员询问了参与者各种各样的动机,这些动机代表了反转理论(RT)中描述的所有八种动机状态:目的型、嬉戏型、从众型、叛逆型、掌控型、同情型、自我型和他人导向型。

设计

使用因子分析技术对来自256名参与者的便利样本数据进行了分析。

结果

证实了六个因素,这些因素在反转理论框架中易于解释。参与者主要从目标和手段方面来认识自己的动机,并且在这个范畴内他们更关注目标(即目的型动机比嬉戏型动机更重要)。然而,嬉戏型动机并非不重要:它们排名第三。参与者还从规则和限制方面来认识自己的动机,并且在这个范畴内他们更关注规则(即从众型动机比叛逆型动机更重要)。最后,参与者从与他人的关系和交流的综合范畴来认识自己的动机,即出于对他人(他人导向型同情)以及对自己(自我型掌控)的关心而行动。

结论

如果证明六因素结构适用,那么这六个相应的子量表可用于系统地比较不同类型患者之间、针对不同类型疗法以及不同文化背景患者之间的动机。

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