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Somatic practice, chronic pain and self-care technology: inhabiting the lived and contextual body

躯体实践、慢性疼痛和自我保健技术：居住在有生命和情境的身体中

基本信息

批准号：
AH/S003495/1
负责人：
Emma Meehan
金额：
$ 3.94万
依托单位：
Coventry University
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2019
资助国家：
英国
起止时间：
2019 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=AH%2FS003495%2F1
关键词：
Somatic practice chronic pain self

项目摘要

This network brings together experts from dance and somatic practices, health and digital design to explore the living, sensate and subjectively experienced body in context as a means of understanding chronic pain and self-care strategies. Current pain management programmes offer layered treatments, covering physiotherapy, occupational therapy, psychology and medical procedures. Somatic practices have been used in treating pain in private sessions and occasionally in health care contexts (hospital/GP surgery), but are not widespread in being acknowledged as a source of support for those experiencing chronic pain. Somatic practices offer body-mind reflective tools that support taking ownership of one's own bodily experience and finding ways of living with complex conditions. The network seeks to stimulate a dialogue between arts based (dance, media, design) and science based (physiotherapy, occupational therapy, nursing) experts who are both practitioners and academics to explore innovative and transdisciplinary methods for understanding multi-dimensional pain experience in relation to sense-perception and environmental factors. Current pain assessment is often of value in measuring a range of objective outcomes such as increased mobility but is limited in assessing, exploring and understanding the shifting lived experience of those suffering from pain. The lens of assessment also rarely incorporates the layers of knowledge gathered by practitioners (e.g., physiotherapists) or carers (e.g., parents, spouse) through their extended periods of contact with the person experiencing pain. Further, the language of self-care in somatics or self-management in health can have different affects and motivations ranging from more person-centred to more societal ones; for example returning 'expertise' to those with chronic pain, or moving financial and social responsibility from the state to the individual in neo-liberal economies. Notwithstanding the issues of self management, the representation of lived experience through digital tools can offer methods for recording and analysing disparate layers of experience - visualising personal narratives of pain, sharing health care and somatic perspectives on pain and gathering an array of techniques for living with chronic pain. Somatic practices offer methods for observing and communicating subjective experiences of pain through moving, speaking, writing, and drawing which can be captured using audio-visual means, offering ways of articulating experiences arising from sensation, emotion, thoughts, images, narrative, and so on. Attention to somatic experience also brings with it an awareness of the body in context, revealing the embodiment of social, cultural, economic and political factors. In relation to pain, a sample of these factors include access to care related to gender, race, education and social status; stigmatisation surrounding 'invisible' chronic health problems; and differing beliefs surrounding pain by patients, family members, and healthcare professionals. Somatic approaches offer a means for those experiencing and treating pain to understand better how contextual factors manifest in bodily experience (e.g. what is the somatic experience of not being able to articulate pain or not feeling believed about pain experiences) and to see how socio-cultural issues impact on pain perception, experience and expression.

该网络汇集了来自舞蹈和躯体实践、健康和数字设计的专家，在背景下探索活生生的、感觉的和主观体验的身体，作为理解慢性疼痛和自我护理策略的一种手段。目前的疼痛管理项目提供分层治疗，涵盖物理治疗、职业治疗、心理学和医疗程序。躯体疗法已被用于在私人治疗中治疗疼痛，偶尔也用于医疗保健环境（医院/全科医生手术），但并没有广泛被认为是对那些经历慢性疼痛的人的支持来源。躯体实践提供了身心反思工具，支持掌握自己的身体体验并找到在复杂条件下生存的方式。该网络旨在促进艺术（舞蹈、媒体、设计）和科学（物理治疗、职业治疗、护理）专家之间的对话，这些专家既是从业者也是学者，探索创新和跨学科的方法来理解与感觉知觉和环境因素相关的多维疼痛体验。目前的疼痛评估通常在衡量一系列客观结果（例如活动能力的增加）方面具有价值，但在评估、探索和理解疼痛患者不断变化的生活经历方面却受到限制。评估的视角也很少包含从业者（例如物理治疗师）或护理人员（例如父母、配偶）通过与经历疼痛的人长时间接触而收集的知识层次。此外，躯体学中的自我保健或健康中的自我管理的语言可能会产生不同的影响和动机，从更以人为中心到更社会化；例如，将“专业知识”返还给那些患有慢性疼痛的人，或者在新自由主义经济中将财政和社会责任从国家转移到个人。尽管存在自我管理的问题，但通过数字工具呈现生活经验可以提供记录和分析不同层次经验的方法——可视化个人的疼痛叙述，分享医疗保健和对疼痛的躯体观点，并收集一系列应对慢性疼痛的技巧。躯体实践提供了通过移动、说话、写作和绘画来观察和交流疼痛主观体验的方法，这些体验可以使用视听手段捕捉，提供表达由感觉、情感、思想、图像、叙述等产生的体验的方法。对身体体验的关注也带来了对身体背景的认识，揭示了社会、文化、经济和政治因素的体现。就疼痛而言，这些因素包括获得与性别、种族、教育和社会地位相关的护理；围绕“看不见的”慢性健康问题的污名化；以及患者、家庭成员和医疗保健专业人员对疼痛的不同看法。躯体方法为那些经历和治疗疼痛的人提供了一种方法，可以更好地理解情境因素在身体体验中的表现（例如，无法表达疼痛或不相信疼痛经历的躯体体验是什么），并了解社会文化问题如何影响疼痛感知、体验和表达。