‘It was hard but you did it’: the co-production of ‘work’ in a clinical setting among spinal cord injured adults and their physical therapists

‘It was hard but you did it’: the co-production of ‘work’ in a clinical setting among spinal cord injured adults and their physical therapists
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“这很难,但你做到了”:脊髓损伤成年人及其物理治疗师在临床环境中共同制作“工作”

DOI:
10.1080/09638280701336306
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发表时间:
2008
影响因子:
2.2
通讯作者:
C. Papadimitriou
C. Papadimitriou
中科院分区:
医学3区
文献类型:
--
作者:
C. Papadimitriou

文献摘要

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目的.本文重点介绍了脊髓损伤(SCI)成人康复过程中发生的事情。它分析了主要的康复任务,即将新受伤的成年人的妥协、有限和受伤的身体类型(最好的描述是现象学上的“我不能做”或“我不再能”)转化为一种新的体现方式,即“我新有能力”。这种转变不是一种被动的、投降的经历。相反,正如举报人一再指出的那样,“康复是一项艰苦的工作”。本文将探讨这一“工作”。法本文从观察和访谈数据收集了18个月的时间在美国中西部的一个大都市康复中心。它提出了一个临床环境的典范案例,即物理治疗师和她的SCI客户之间的案例。结果阐述了临床相遇的介入性和意义建构性,揭示了康复工作的协作性和情境性构成。结论.近的经验,现象学的知情,研究被证明是一个有价值的方式了解康复的做法,以及他们如何可能会影响住院病人和工作人员。
Purpose. This paper focuses on what takes place during the rehabilitation of spinal cord injured (SCI) adults. It analyses the cardinal rehabilitation task of transforming the compromised, limited and injured corporeal style of newly injured adults (best described phenomenologically as an ‘I cannot do’ or ‘ I no longer can’) into a new style of embodiment, one in which ‘I am newly abled’. This transformation is not a passive, surrendering experience. Rather, as informants repeatedly noted, ‘rehabilitation is hard work’. This paper examines that ‘work’. Method. This paper draws from observational and interview data collected over an 18-month period in a metropolitan rehabilitation centre in the Midwestern United States. It presents an exemplar case of a clinical setting, that between a physical therapist and her SCI client. Results. The interactional and meaning-making nature of clinical encounters are explicated, revealing the collaborative and situational constitution of rehabilitation work. Conclusions. Experience-near, phenomenologically informed, research is shown to be a valuable way of understanding rehabilitation practices and how they might affect inpatients and staff.