e-journal
The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis
Objectives. Chronic low back pain is a major health problem and one where pain,
physical impairment and biological pathology are only very loosely correlated). It is
considered that the experience of pain, its distress and disability is mediated by its
meaning to the sufferer. The intention of this study was to explore the sufferers’ personal
experience of their pain.
Design. Qualitative research is often recommended to complement the quantitative
work on chronic pain that has been published to date. Interpretative phenomenological
analysis was employed in an in-depth study of a small sample of chronic pain
patients.
Method. Semi-structured interviews were carried out with nine women pain patients.
The verbatim transcripts of those interviews served as the data for an interpretative
phenomenological analysis.
Results. Four themes emerged which are described under the broad headings:
searching for an explanation; comparing this self with other selves; not being believed;
and withdrawing from others.
Conclusions. The participants shared an inability to explain the persistent presence
of their pain or to reconstruct any contemporary self-regard. While they used social
comparisons to try and help them make sense of their situation, these comparisons
proved equivocal in their outcome. Participants were unable to establish the legitimacy
of the chronic nature of their pain and in certain situations felt obliged to appear ill to
conform to the expectations of others. By default, participants treated their own pain as
a stigma and tended to withdraw from social contact. They felt confused, afraid for their
future and vulnerable to shame.
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