Communication strategies in psychologically informed osteopathic practice: A case report

Abbey, H (2022) Communication strategies in psychologically informed osteopathic practice: A case report. International Journal of Osteopathic Medicine. ISSN 1746-0689

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Introduction: This paper presents qualitative data from communication between an osteopath and patient participating in a research study to develop a new psychologically informed pain management course. Presentation: ‘Adam’, aged 49, presented with persistent pain and multiple health problems including HIV and depression. His aim in joining the study was to find ways to stay independent. Evaluation: Existing osteopathic evaluations of musculoskeletal dysfunction were supported by psychological assessments of health beliefs and coping strategies. Intervention: Psychological and mindfulness exercises were integrated into six osteopathic treatment sessions to support symptom relief, patient learning and self-management. Data analysis: Audio-recordings were analysed qualitatively using Linguistic Ethnography. Outcomes: Communication moved from ‘mechanistic’ pain discourses about diagnosis and structural damage towards ‘facilitative’ narratives involving shared sense-making about broader embodied experiences. Physical outcomes were similar to previous osteopathic treatment but with longer lasting effects due to more effective self-management, decreased fear-avoidance and increased physical activity. Conclusion: This patient reported that a psychological and mindfulness informed pain management course increased his body awareness and ability to live well despite pain. Individual case findings are not generalisable, but the data appear to support an ecologicalenactive model of osteopathic practice and suggest promising directions for future research.

Item Type: Article
Depositing User: Wahida Jebi
Date Deposited: 11 Nov 2022 17:10
Last Modified: 11 Nov 2022 17:10

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