Sviland Randi, Martinsen Kari, Råheim Målfrid
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway,
Med Health Care Philos. 2014 Nov;17(4):609-24. doi: 10.1007/s11019-014-9562-0.
This study elaborates on narrative resources emerging in the treatment of longlasting musculoskeletal and psychosomatic disorders in Norwegian psychomotor physiotherapy (NPMP). Patients' experiences produced in focus group interviews were analyzed from a narrative perspective, combining common themes across groups with in depth analysis of selected particular stories. NPMP theory expanded by Løgstrup's and Ricoeur's philosophy, and Mattingly's and Frank's narrative approach provided the theoretical perspective. Patients had discovered meaning imbued in muscular tension. Control shifted from inhibiting discipline and cognitive strategies, towards more contingence with gravity and sensation, and increased freedom to be what and who they were. Trust, time, open speech, and being respectfully listened to were described as therapeutic pre-conditions. The body was experienced as the source of their voice as their own. As tension patterns transformed, novel experience in sensation appeared to feed narrative imagination, reshaping past plots, embodied identity and future prospects. NPMP was disclosed as a treatment integrating detection, battle and repair as narrative subplots, but the core narrative was the journey of transformation. Novel embodied narrative resources nourished the quest for a life and identity in tune with the body as one's own.
本研究阐述了挪威心理运动物理治疗(NPMP)中治疗长期肌肉骨骼和身心障碍时出现的叙事资源。从叙事角度分析焦点小组访谈中产生的患者体验,将各小组的共同主题与对选定特定故事的深入分析相结合。由洛格斯特鲁普和利科的哲学以及马丁利和弗兰克的叙事方法扩展而来的NPMP理论提供了理论视角。患者发现肌肉紧张中蕴含着意义。控制从抑制性训练和认知策略转向更多地顺应重力和感觉,并增加了成为真实自我的自由。信任、时间、开放的言语以及被尊重地倾听被描述为治疗的先决条件。身体被体验为他们自己声音的来源。随着紧张模式的转变,新的感觉体验似乎激发了叙事想象力,重塑了过去的情节、身体身份和未来前景。NPMP被揭示为一种将检测、抗争和修复作为叙事子情节的治疗方法,但核心叙事是转变之旅。新的身体叙事资源滋养了对与自己身体和谐一致的生活和身份的追求。