目的:子宫内膜异位症是一种慢性疾病,其中类似子宫内膜的组织在子宫外生长,导致严重的慢性疼痛。研究表明,身体,情绪和生活质量对子宫内膜异位症患者的影响,但是据报道疼痛很难沟通,导致更长的诊断。这项工作旨在通过心理和语言/社会符号学方法的新颖协同作用,深入了解图像制作作为疼痛交流策略的价值。
方法:定性,多模态,参与者生成的图像研究。
方法:使用解释现象学分析(IPA)和概念隐喻和转喻分析来检查子宫内膜异位症疼痛的视觉表现。数据收集在两个焦点小组中,分别有4名和6名女性,分别诊断为子宫内膜异位症,年龄25-40岁(M=34.5,SD=4.2),平均诊断延迟8.4年(SD=3.6)。
结果:视觉表现的首要主题是“痛苦作为身体暴力”和“颜色作为情感表现”,“质地作为感官品质”和“材料作为感觉”作为子主题。这些是通过视觉表示以及过程中伴随的语言表示中的隐喻和转喻关系来实现的。
结论:这项研究证明了创造性的混合方法论方法的价值,以捕捉疼痛的经验方面及其影响,而不是仅在语言账户中用言语表达。这可以促进对一个人的痛苦有更深刻的理解,作为治疗调整发生的媒介,同时促进围绕疼痛的有效和同情的患者-专业对话。
OBJECTIVE: Endometriosis is a chronic condition in which tissue resembling the endometrium grows outside of the womb, causing severe chronic pain. Research demonstrates the physical, emotional and quality of life impact on people with endometriosis, but pain is reportedly difficult to communicate, resulting in lengthier diagnosis. This work aimed to gain insight into the value of imagery production as a pain communication strategy through a novel synergy of psychological and linguistic/socio-semiotic approaches.
METHODS: A qualitative, multimodal, participant-generated imagery study.
METHODS: Interpretative phenomenological analysis (IPA) and conceptual metaphor and metonymy analysis were utilized to examine visual representations of endometriosis pain. Data were collected in two focus groups with four and six women, respectively; all with a diagnosis of endometriosis, aged 25-40 years old (M = 34.5, SD = 4.2) and a mean diagnosis delay of 8.4 years (SD = 3.6).
RESULTS: The overarching theme across visual representations was \'Pain as Physical Violence\' with \'colour as emotional representation\', \'texture as sensory qualities\' and \'materials as sensation\' as sub-themes. These are realized through metaphorical and metonymical relations in both the visual representations as well as the accompanying linguistic representation of the process.
CONCLUSIONS: This study demonstrates the value of a creative mixed-methodologies approach to capture experiential aspects of pain and its impact that are not verbalized in linguistic accounts alone. This can facilitate a deeper understanding of one\'s pain, acting as a medium for therapeutic adjustment to occur, while facilitating effective and empathic patient-professional conversations surrounding pain.