Fra kvalme til grensesetting. En videoanalyse om selvhjelpsprinsippet i psykomotorisk fysioterapi

Abstract

Background Demographic development and increasing long time sick leave is arousing concern. Many people experience musculoscelatal problems or mental disorders, and the tendency of medicalizing is debated. Many patients with these problems get help through Norwegian Psychomotor Physiotherapy (NPMP). This study aims to enlighten the priciple of self-help in NPMP by a movie and relevant theory. Method and material Observation is the chosen method and the material is a NPMP treatment movie. The movie is roughly transcribed and four sequences deeply analyzed. The attention has been on how bodily exeriences is described in relation to emotional and existential aspects, and concretized. Results - What the therapist notices is important, but by emphasizing the patient’s experiences and inputs, important information arrives. - What the patient notices bodyly is contextualized by what is important in life. - In different situations the therapist promotes her actions to do something about the experienced discomfort. Conclusion How the physiotherapist and the patient interrelate is crucial for the patients body to function as source of insight. How the physiotherapist fills the leader role influences how far the patient can participate activly. Through observation of the patient the physioterapist can get information about what touches and is important to the patient.