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一项关于在儿童和成人初级保健的实际物理治疗中,将触摸作为“实践技能”使用的批判性现象学调查。

A critical phenomenological investigation in the use of touch as "know how" in practical physiotherapy in primary care with children and adults.

作者信息

Bjorbækmo Wenche Schrøder, Mengshoel Anne Marit

机构信息

Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.

Department for Interdisciplinary Health Sciences, University of Oslo, Oslo, Norway.

出版信息

Front Rehabil Sci. 2022 Dec 5;3:1008969. doi: 10.3389/fresc.2022.1008969. eCollection 2022.

Abstract

In this article, we examine the interactions between physiotherapists and patients in actual situations, focusing on how touch is expressed, what it may mean and how physiotherapists know (or do not know) when and how to touch. The empirical material is obtained from two Norwegian research projects. In both of them, the first author observed physiotherapeutic practice and conducted interviews with patients (children and adults) and physiotherapists. A phenomenological research approach was applied, and analysis of the empirical data was guided by the concept of implying adopting a questioning attitude and being open to that which presents itself and exploring its possibilities Three processed excerpts from the empirical data are presented to illustrate how, in different ways, physiotherapists' expert knowledge about how to relate to and interact with individual patients is put into play and expressed in real physiotherapy encounters. Each excerpt is presented individually, followed by analysis. Our findings reveal aspects of the epistemology of physiotherapeutic practice to be intercorporal and illuminated by the concept and phenomenon of .

摘要

在本文中,我们考察物理治疗师与患者在实际情境中的互动,重点关注触摸是如何表达的、其可能意味着什么,以及物理治疗师如何知道(或不知道)何时以及如何进行触摸。实证材料来自两个挪威研究项目。在这两个项目中,第一作者观察了物理治疗实践,并对患者(儿童和成人)以及物理治疗师进行了访谈。采用了现象学研究方法,实证数据分析以“意味着采取质疑态度并对呈现出来的事物持开放态度并探索其可能性”这一概念为指导。呈现了实证数据中的三段处理后的摘录,以说明物理治疗师关于如何与个体患者建立联系和互动的专业知识是如何以不同方式在实际物理治疗过程中发挥作用并得以体现的。每个摘录单独呈现,随后进行分析。我们的研究结果揭示了物理治疗实践认识论的一些方面是相互关联的,并通过“ ”这一概念和现象得以阐明。

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引用本文的文献

本文引用的文献

1
The Significance of Touch in Pediatric Physiotherapy.触摸在儿科物理治疗中的意义。
Front Rehabil Sci. 2022 May 31;3:893551. doi: 10.3389/fresc.2022.893551. eCollection 2022.
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Phenomenological physiotherapy: extending the concept of bodily intentionality.
Med Humanit. 2022 Dec;48(4):e14. doi: 10.1136/medhum-2021-012300. Epub 2022 Feb 25.
3
Manual therapy: Exploiting the role of human touch.手法治疗:挖掘人类触摸的作用。
Musculoskelet Sci Pract. 2019 Dec;44:102044. doi: 10.1016/j.msksp.2019.07.008. Epub 2019 Jul 25.
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Physiotherapy as bricolage: theorizing expert practice.物理疗法作为一种权宜之计:专家实践的理论化。
Physiother Theory Pract. 2012 Aug;28(6):420-7. doi: 10.3109/09593985.2012.676941.
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Physiotherapists' use of touch in inpatient settings.
Physiother Res Int. 2002;7(3):170-86. doi: 10.1002/pri.253.

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