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在顺势疗法咨询中建立联系。

Forming connections in the homeopathic consultation.

机构信息

University of Southampton, Primary Care & Population Sciences, Aldermoor Health Centre, United Kingdom.

出版信息

Patient Educ Couns. 2012 Dec;89(3):501-6. doi: 10.1016/j.pec.2012.02.004. Epub 2012 Feb 26.

Abstract

OBJECTIVE

A previous study which explored homeopathic practitioners' in depth understanding and experiences of homeopathic consultations identified "connecting" as a key component of the consultation. This paper reports on "connecting" and its role in the consultation.

METHOD

Using a qualitative grounded theory approach data was collected from homeopaths using in-depth interviews, observations of homeopathic consultations and solicited practitioner reflective diaries. Constant comparison assisted code, concept and category formation to form a model of the UK classical homeopathic consultation.

RESULTS

"Connecting", describes a complex notion of relationship in the homeopathic consultation consisting of four dimensions, and performs several roles within the consultation that enable practitioners to elicit symptoms, identify expectations, assist with prescribing, help patients engage with homeopathic principles and stimulate healing.

CONCLUSION

This study shows the homeopath as an important component of the therapeutic context forming complex relationships and using communication that is skills based and inductively shaped to interpret and respond to each individual patient and their narrative in the consultation.

PRACTICE IMPLICATIONS

This study could have implications for teachers, students and practitioners of homeopathy by influencing training needs, and could prove instructive for other clinicians as homeopaths' communication style could be used to augment other consultations.

摘要

目的

之前一项关于顺势疗法从业者深入理解和体验顺势疗法咨询的研究发现,“联系”是咨询的一个关键组成部分。本文报告了“联系”及其在咨询中的作用。

方法

采用定性扎根理论方法,通过深入访谈、观察顺势疗法咨询和征求从业者反思日记,从顺势疗法制剂师那里收集数据。通过不断比较辅助编码、概念和类别形成,形成了英国经典顺势疗法咨询模型。

结果

“联系”描述了顺势疗法咨询中一种复杂的关系概念,包括四个维度,并在咨询中扮演几个角色,使从业者能够引出症状、识别期望、协助处方、帮助患者理解顺势疗法原则并激发治疗。

结论

本研究表明顺势疗法制剂师是治疗环境的重要组成部分,他们形成复杂的关系,并运用基于技能的、归纳式的沟通方式来解释和回应每个个体患者及其在咨询中的叙述。

实践意义

本研究可能会对顺势疗法的教师、学生和从业者产生影响,影响培训需求,并可能对其他临床医生有启示作用,因为顺势疗法制剂师的沟通方式可以用于增强其他咨询。

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