Temporal experiences of persistent pain. Patients' narratives from meetings with health care providers

Nilsen, Gudrun; Elstad, Ingunn

doi:10.3402/qhw.v4i1.5000

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Researchers have recently shown increasing interest in the process of acceptance as an essential aspect of living with chronic or recurring conditions and emphasize that health carers should address and facilitate the process of acceptance in relation to (e.g., chronic pain) (Viane et al, 2003 ). Nilsen and Elstad ( 2009 ) showed that when persons with chronic pain had the opportunity to convey storylines from their trajectory, it helped them to look forward and gave room for hope. An increasing number of researchers argue that health carers should assist voice hearers in exploring and attempting to understand what the voice experiences mean in the context of their lives and thus enhance coping and acceptance (Beavan & Read, 2010 ; Kalhovde et al, 2013 ).…”

Section: Overall Understanding and Reflectionsmentioning

confidence: 99%

“Sometimes I walk and walk, hoping to get some peace.” Dealing with hearing voices and sounds nobody else hears

Kalhovde

Elstad

Talseth

2014

International Journal of Qualitative Studies on Health and Well

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Our objective in this article is to add to the understanding of how people with mental illness experience dealing with hearing troublesome voices and sounds in everyday life. Fourteen people contributed through in-depth interviews and we analysed these using a hermeneutic phenomenological approach. We found that the participants (a) tried to block out the voices and sounds, (b) navigated the health care services, and (c) struggled to come to terms with limitations. Our overall understanding of how the participants dealt with hearing voices is that they sought to be independent and lead ordinary lives despite being troubled by voices. The participants fought desperately to find relief and avoid being overcome by the voices and sounds in intense phases. In less intense phases, they developed ways of getting along with daily life in spite of these experiences. We reflect on the implications of these findings and emphasize the need for care providers to attempt to understand and engage in collaborative explorations with service users in search of the most helpful ways of dealing with hearing troublesome voices and sounds in everyday life.

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Section: Overall Understanding and Reflectionsmentioning

confidence: 99%

“Sometimes I walk and walk, hoping to get some peace.” Dealing with hearing voices and sounds nobody else hears

Kalhovde

Elstad

Talseth

2014

International Journal of Qualitative Studies on Health and Well

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“…Studies in the future could evaluate the effectiveness of targeted interventions of cognitive and emotional support on the dimensions included in the model described in this study and aim at reinforcing the resistance and persistence in the conduct of tasks that involve the management of physical and mental pain. A further extension of the study could investigate whether the person’s temporal focus could also show associations with the modulation of pain perception [ 48 , 49 ].…”

Section: Future Studiesmentioning

confidence: 99%

Influence of Cognitive Orientation and Attentional Focus on Pain Perception

Diotaiuti

Corrado

Mancone

et al. 2021

IJERPH

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Background. Recently, a growing interest has emerged in the role of attention and hypervigilance in the experience of pain. Shifting attention away from pain seems likely to reduce the perception of pain itself. Objectives. The present study has been designed to test the following overall hypotheses: (1) disposition to catastrophize, self-efficacy perceived in pain resistance (task self-efficacy), previous experiences concerning the tolerance of physical pain, and degree of impulsiveness are significant predictors of the decision to abandon a painful test such as the cold pressor test (CPT); (2) the manipulation of the attentive focus (internal or external) can influence the level of perceived pain. Methods. Effects of the manipulation of attentional focus (internal and external) on pain perception and response of trial abandonment were evaluated in a sample of university students (n = 246) subjected to the cold pressor test. Results. A significant effect (p < 0.05) was found through a test–retest comparison on the final level of perceived pain among subjects who had received instruction to externalize the focus of their attention (mixed factorial analysis of variance), but no significance was observed with respect to the decision to abandon the experiment. A general explanatory model of the abandonment behavior demonstrating overall good fit measurements was tested too. Conclusion. The abandonment of tests has been shown to be predicted mainly by catastrophic attitude. Attentive impulsiveness showed a further positive effect on catastrophic attitude. Perceived self-efficacy in the tolerance of pain limited learned helplessness, which in turn positively influenced catastrophizing.

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“…Severe pain can create the experience of time standing still, and by its unpredictability tends to confuse the order of experienced time (Leder, 1990; Nilsen & Elstad, 2009). As an aspect of changes and processes, time is often prominent in sickness experience.…”

Section: Time As Order Of Changementioning

confidence: 99%

The issue of life: Aristotle in nursing perspective

Elstad

Torjuul

2009

Nursing Philosophy

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This paper explores the issue of life and its relevance to nursing, through Aristotle's philosophy and an Aristotelian interpretation of Nightingale's Notes on Nursing. Life as process and becoming has ontological status in Aristotle's philosophy and this dynamism is particularly relevant for nursing. The paper presents aspects of Aristotle's philosophy of life: his account of life as inherent powers of the individual, his analysis of change and time, and his understanding of sickness and health as qualitative states of living beings. It is shown how the Greek medical-philosophical tradition, continued by Galenic medicine and hygiene into modern time, influenced Nightingale's nursing. Individuals' life-maintaining metabolic relations to their surroundings are investigated through Aristotle and modern philosophy of biology and through Nightingale's nursing emphasis on the patient's relation to her or his immediate surroundings. It is argued that Nightingale's concern is really the processes of individual life, which in sickness necessitate temporally continuous nursing observation. Humans' radical dependency on their surroundings is actualized as interpersonal interdependency. The paper argues that the end of nursing care, the telos for which sake it is practised, is inherent in the individual course of the patients' life. When life processes are affected by sickness, infirmity, medical interventions or mental suffering, individuals need competent help to live - and to live as well as possible. It is suggested that the special responsibility of nursing is to facilitate, relieve and protect individual life continuously during such times.

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Temporal experiences of persistent pain. Patients' narratives from meetings with health care providers

Cited by 3 publications

References 22 publications

“Sometimes I walk and walk, hoping to get some peace.” Dealing with hearing voices and sounds nobody else hears

“Sometimes I walk and walk, hoping to get some peace.” Dealing with hearing voices and sounds nobody else hears

Influence of Cognitive Orientation and Attentional Focus on Pain Perception

The issue of life: Aristotle in nursing perspective

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