scholarly journals Transitions in the Embodied Experience After Stroke: Grounded Theory Study

2016 ◽  
Vol 96 (10) ◽  
pp. 1565-1575 ◽  
Author(s):  
Emily K. Timothy ◽  
Fiona P. Graham ◽  
William M.M. Levack
Keyword(s):  
Grounded Theory ◽  
Physical Therapy ◽  
Physical Therapist ◽  
Sense Of Self ◽  
The Body ◽  
Embodied Experience ◽  
Self Identity ◽  
Clinical Theory ◽  
Bodily Movement ◽  
Body Self

Abstract Background The body is central to the practice of physical therapy, but clinical theory largely neglects the body as a concept. A better understanding of the embodied experience could enhance delivery of physical therapy. Objectives The purpose of this study was to gain an in-depth understanding of embodiment for people after stroke while transitioning from the hospital to the home. Design and Methods Seven people with stroke, aged 66 to 89 years, were interviewed 1 month after discharge from a stroke rehabilitation unit. Interviews were analyzed using grounded theory methods, and a theoretical model was developed. Results Two main themes in the embodied experience of stroke were: (1) “a divergent body-self,” where participants referred to an objective physical body, separate from their sense of self, and (2) “a cohesive body-self,” reflecting a sense that “it's all me.” The theme “a divergent body-self” included subthemes of a body that was “strange,” “unpredictable,” and “effortful.” In contrast, the theme “a cohesive body-self” comprised the subthemes “freedom,” “control,” and “self-identity,” reflecting experiences of bodily movement, personal independence, and self-identity. Participants fluxed between these perspectives, within moments and over time, with these perspectives influenced by “anchors,” including their environment, knowledge, and attitude. Conclusions The bodily experience of stroke is intimately connected with a person's sense of self. A person's social and physical environment, as well as his or her personal attributes, can serve to “anchor” that person more comfortably within his or her embodied experience of stroke. Theory that acknowledges the integral connection between body and self could enhance physical therapist practice. This study supports the need for physical therapists to be adequately informed to integrate the embodied experience in their practice when working with people after stroke.

The conflict between mind and body – the case of Mrs. R.

Physiotherapy ◽  
2014 ◽  
Vol 22 (4) ◽  
Author(s):  
Agnieszka Stępień ◽  
Sylwia Chładzińska-Kiejna ◽  
Katarzyna Salamon-Krakowska
Keyword(s):  
Social Life ◽  
Suicide Attempts ◽  
Sense Of Self ◽  
The Body ◽  
Self Identity ◽  
Family Work ◽  
Psychiatric Hospitalizations ◽  
Mind And Body ◽  
Memory Awareness ◽  
And Control

AbstractDissociative psychopathology is understood as an immature defence mechanism of personality, based on the techniques of reality distortion. The natural cause of a disorder reflects the lack of sense of coherence between identity, memory, awareness, perception and consequently - goal orientated action. Its symptoms manifest the separation of emotions, thoughts and behaviours bound with an event in order to maintain an illusory sense of control of demanding and unbearable experience.We describe the case of a 57-year-old woman suffering from broad range of dissociative symptoms from early childhood. Decomposition of integrity between memories, a sense of self-identity and control of the body has become the cause of numerous suicide attempts, multiple psychiatric hospitalizations and not fully effective therapy attempts. Destructive influence of psychopathological symptoms negatively influenced patient’s life course, decisions made as well as family, work and social life.

scholarly journals Using Clinical Outcomes to Explore the Theory of Expert Practice in Physical Therapy

2003 ◽  
Vol 83 (12) ◽  
pp. 1090-1106 ◽  
Author(s):  
Linda Resnik ◽  
Gail M Jensen
Keyword(s):  
Grounded Theory ◽  
Physical Therapy ◽  
Patient Outcomes ◽  
Work Experience ◽  
Professional Growth ◽  
Physical Therapist ◽  
Patient Empowerment ◽  
Primary Role ◽  
Years Of Experience ◽  
Expert Practice

Background and Purpose. Theoretical models of physical therapist expertise have been developed through research on physical therapists sampled solely on the basis of years of experience or reputation. Expert clinicians, selected on the basis of their patients' outcomes, have not been previously studied, nor have the patient outcomes of peer-nominated experts been analyzed. The purpose of our study was to describe characteristics of therapists who were classified as expert or average therapists based on the outcomes of their patients. Subjects. Subjects were 6 therapists classified as expert and 6 therapists classified as average through retrospective analysis of an outcomes database. Methods. The study was guided by grounded theory method, using a multiple case study design. Analysis integrated data from quantitative and qualitative sources and developed a grounded theory. Results. All therapists expressed a commitment to professional growth and an ethic of caring. Therapists classified as expert were not distinguished by years of experience, but they differed in academic and work experience, utilization of colleagues, use of reflection, view of primary role, and pattern of delegation of care to support staff. Therapists classified as expert had a patient-centered approach to care, characterized by collaborative clinical reasoning and promotion of patient empowerment. Discussion and Conclusion. These findings add to the understanding of factors related to patient outcomes and build upon grounded theory for elucidating expert practice in physical therapy.

scholarly journals Cancer, Appearance, and Identity

1969 ◽  
Vol 2 (1) ◽  
Author(s):  
Christabel Homewood
Keyword(s):  
Sense Of Self ◽  
Personal Narratives ◽  
The Body ◽  
Photo Elicitation ◽  
Embodied Experience ◽  
Primary Methods ◽  
Women's Identity ◽  
Physical Impact ◽  
The Relationship

This article examines the relationship between cancer, appearance, and sense of self. Through engagement with participants who have had cancer I will explore how the physical impact of the disease and treatment on the body affects women’s identity. I utilize interviews, photo-elicitation, and personal narratives as my primary methods. This research contributes to a greater understanding of the embodied experience of cancer and the influence of bodily changes on identity.

scholarly journals A Retrospective Analysis of Ethics Knowledge in Physical Therapy (1970–2000)

2002 ◽  
Vol 82 (7) ◽  
pp. 692-706 ◽  
Author(s):  
Laura Lee Swisher
Keyword(s):  
Physical Therapy ◽  
Moral Judgment ◽  
Retrospective Analysis ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Ethical Dilemmas ◽  
The Body ◽  
Cultural Dimensions ◽  
Evolutionary Models

Abstract Background and Purpose. Purtilo, Guccione, and others have noted that increased clinical autonomy for physical therapists presents more complex ethical dilemmas. The body of literature examining physical therapy ethics, however, is relatively small and has not been analyzed. The primary purposes of this research were: (1) to use multiple perspectives to describe and analyze literature examining ethics in physical therapy from 1970 to 2000, (2) to develop a model to describe the evolution of knowledge of ethics in physical therapy during this period, and (3) to compare the proposed model with the evolutionary models proposed by Purtilo in physical therapy and by Pellegrino in bioethics. Sample. The sample consisted of peer-reviewed journal articles cited in the MEDLINE or Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases between 1970 and 2000 or referenced in Ethics in Physical Therapy. Methods. A two-phase mixed quantitative and qualitative method was used to analyze publications. In the quantitative phase, the author sorted publications into a priori categories, including approach to ethics, author, decade, country of publication, role of the physical therapist, and component of morality. During the qualitative phase of the research, the author analyzed and sorted the publications to identify common themes, patterns, similarities, and evolutionary trends. These findings were compared with the evolutionary models of Pellegrino and Purtilo. Results. The 90 publications meeting inclusion criteria were predominantly philosophical, using the “principles” perspective; focused on the patient/client management role of the physical therapist; and addressed the moral judgment component of moral behavior. As predicted by Purtilo's model, the focus of identity evolved from self-identity to patient-focused identity, with increasing representation of societal identity. Recurrent themes included the need to further identify and clarify physical therapists' ethical dilemmas, the interrelationship between clinical and ethical decision making, and the changing relationship with patients. Discussion and Conclusion. Although knowledge of ethics grew steadily between 1970 and 2000, this retrospective analysis identified gaps in our current knowledge. Further research is needed to address the unique ethical problems commonly encountered in all 5 roles of the physical therapist; patient perspectives on ethical issues in physical therapy; variety in ethical approaches; factors affecting moral judgment, sensitivity, motivation, and courage; and cultural dimensions of ethical practice in physical therapy.

The body self in women who practice aikido

2015 ◽  
Vol 13 (3) ◽  
pp. 25-40
Author(s):  
Anna Halik ◽  
Marta Kochan-Wójcik
Keyword(s):  
Grounded Theory ◽  
Research Group ◽  
The Body ◽  
Self Control ◽  
Group Affiliation ◽  
Structured Interviews ◽  
Quality Research ◽  
Functional Aspects ◽  
The Subject ◽  
Body Self

AbstractOur thesis explores the experience of corporeality by women who practice aikido. The categories used by those women to describe their body self and its functions were analyzed. In order to explore the subject, quality research was implemented in the framework of grounded theory. Five women comprised the research group, all of whom had been practicing Birankai Aikido for nine or more years. Semi-structured interviews were carried out. Each interview contained five areas referring to practicing aikido, corporality, behavior and the connection between practicing aikido and corporality. Three areas emerged referring to the corporality construct, namely the body, emotions, and interpersonal contacts. The fields of the body and emotions were dominated by a functional dimension, whereas in the field of interpersonal contacts we noted a particularly strong feeling of group affiliation. Participants also displayed a strong need for self-realization, self-control, and persistence. The data collected give sufficient grounds for arguing that women who practice aikido on a regular basis tend to focus on the functional aspects of their bodies and emotions. In so doing they seem to motivate themselves to achieving greater self-realization in the process of studying martial arts.

scholarly journals Issues Affecting the Delivery of Physical Therapy Services for Individuals With Critical Illness

2013 ◽  
Vol 93 (2) ◽  
pp. 256-265 ◽  
Author(s):  
Amy J. Pawlik ◽  
John P. Kress
Keyword(s):  
Critical Illness ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Interprofessional Collaboration ◽  
Functional Limitations ◽  
Early Mobilization ◽  
The Body ◽  
Routine Practice ◽  
Therapist Competence

Research supports the provision of physical therapy intervention and early mobilization in the management of patients with critical illness. However, the translation of care from that of well-controlled research protocols to routine practice can be challenging and warrants further study. Discussions in the critical care and physical therapy communities, as well as in the published literature, are investigating factors related to early mobilization such as transforming culture in the intensive care unit (ICU), encouraging interprofessional collaboration, coordinating sedation interruption with mobility sessions, and determining the rehabilitation modalities that will most significantly improve patient outcomes. Some variables, however, need to be investigated and addressed specifically by the physical therapy profession. They include assessing and increasing physical therapist competence managing patients with critical illness in both professional (entry-level) education programs and clinical settings, determining and providing an adequate number of physical therapists for a given ICU, evaluating methods of prioritization of patients in the acute care setting, and adding to the body of research to support specific functional outcome measures to be used with patients in the ICU. Additionally, because persistent weakness and functional limitations can exist long after the critical illness itself has resolved, there is a need for increased awareness and involvement of physical therapists in all settings of practice, including outpatient clinics. The purpose of this article is to explore the issues that the physical therapy profession needs to address as the rehabilitation management of the patient with critical illness evolves.

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