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Acceptance and Commitment Therapy(ACT) door de bril van de chronische pijn patiënt, roze of niet?

Dursun, B. (2013) Acceptance and Commitment Therapy(ACT) door de bril van de chronische pijn patiënt, roze of niet?

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Abstract:Research is done into the perception of an ACT treatment in chronic pain patients at the Roessingh Revalidatiecentrum. Initially there is been looked at what situations / learning experiences were mentioned by the patients. A total of 16 interviews, from two chronic pain patients who followed an eight-week (group) Acceptance and commitment therapy, were analyzed and 66 situations were coded. Eleven categories are generated from these situations. These categories are: adequate handling of external stimuli, adequate handling of internal signals, taking rest, letting you know / sharing / asking for help, setting boundaries in interpersonal contacts, live according to what is important to you, be aware of current experience , room for negative feelings and thoughts, balanced physical stress, dealing with difficult situations and hinder by pain. The difference between the occurrences of the categories is not large, but the most common category is room for negative feelings and thoughts. The least mentioned category is taking rest and be aware of the current experience. It was striking that the categories found were identifiable as processes of therapy. Patients called in their own words what was covered in the treatment. Despite the fact that the treatment was based on ACT, other processes seem to play an important role too. The eleven categories that are called are housed in different subjects. These subjects are: ACT processes, pain coping, social skills and general stress coping skills. Act processes are mentioned most often by patients, the difference between certain subjects is not large. The total package, not just ACT, is what the patient seems to get along and tries to apply. The study, by category and person, looked at what situations are more successful and which ones are less successful. Both patients have the most success in the category letting you know sharing/asking for help and being aware of the current experience. The scores of the components setting limits in interpersonal contacts and dealing with difficult situation are close together with the two patients, they succeed more often than they fail. There seems no similarity in the categories that are not well succeeding, in contrast to the similarities in successful cases, these are different in both patients. If you look at the success of the subjects in general, not per patient, we see that the subject social skills is most successful. Most effort may experienced by chronic pain patients in pain coping, followed by ACT. As last the research studied the barriers and facilitators mentioned by the patients whether or not to manage a situation. There are quite a number of factors mentioned by the patients. It is remarkable that pain is not often called as a barrier, despite the patients are suffering from chronic pain. Not being in contact with your body and pleasure are by both patients called as a limiting factor in the skill(taking rest by one patient and adequate handling of internal signals in the other) that is been applied least successful. Most important in this research is that although the patients say they have learned the same, the learning process of each patient is different.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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