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Title: Negotiating the management of chronic non-malignant pain : the perspectives of general practitioners and patients
Author: Hopton, Jane L.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2000
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This thesis presents a study of the views and experiences of general practitioners and patients of the management of chronic non-malignant pain. The study used qualitative methods, based on initial and follow-up semi-structured interviews with general practitioners (n=29) and patients (n=60) recruited through general practices and through specialist pain centres in the local area. The aim of the study was to incorporate general practitioners and patients views in the development of local services. The methodology of the study was based on the ethnomethodological and grounded theory traditions of sociological research. Data analysis was inductive, with analyses of initial interviews informing the topic guide for the follow-up interviews. The overall approach to the data was substantially informed by the phenomenology of Schutz, though within this broad understanding of the data other theoretical positions emerged as offering relevant interpretations. The analysis of the interviews with general practitioners and of patients were carried out separately and are presented as such. The analysis of the interview with general practitioners produced a heuristic model of their accounts of their work which revealed that this was inherently problematic, comprising a number of conflicting tasks. The analysis uses Schutz's description of practical knowledge and the importance of considering motives, means and ends as a basis for elucidating the limitations of formal knowledge and the nature of 'hidden' work of clinical practice. The analysis of the interviews with patients emphasised the fundamental difficulties of establishing the legitimacy of their experience of pain in the context of everyday life and in the context of health services. The analysis used theories of intersubjectivity, self and threatened identity from social psychology and sociology in order to interpret their accounts of their experiences.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available