Abstract
In this study, we examined extensive narratives prepared by participants who attended a chronic pain management programme where therapeutic writing was included. The aim was to explore how narrators experience the contexts in which their lives unfold following a cognitive behavioural programme. The analysis was based on a three-sphere model for context analysis, which referred to the contexts in which the narrators located their life stories: their immediate inter-subjective relationships, the collective social field, and broad cultural meaning. We identified important change processes related to adaptation. Our examination of the experience of therapeutic writing clearly indicated that therapeutic writing is helpful. We suggest that obtaining a better understanding of living with chronic pain through storytelling as part of therapeutic writing and using a three-sphere model for context analysis could improve understanding and approaches to nursing. Health carers should organize care around the experience of illness and its inter-subjective, social, and cultural consequences, which may provide a deeper understanding of identity and the core themes embedded in life stories.
Highlights
We examined extensive narratives prepared by participants who attended a chronic pain management programme where therapeutic writing was included
Health carers should organize care around the experience of illness and its inter-subjective, social, and cultural consequences, which may provide a deeper understanding of identity and the core themes embedded in life stories
We systematically explored narratives to identify how the narrators situated their stories within various contexts and to understand the experience of living with chronic pain in a modern society
Summary
We investigated the experiences of women who found themselves in this situation because they had suffered from chronic pain for a long period of time These women had received several treatments and as their situation worsened, they were offered a pain management programme based on cognitive behavioural therapy (CBT). Their experiences were described as narratives that contained different stories and perspectives regarding their life situation. To understand the patient’s perspective and health care needs, the health care worker must capture the patient’s explanatory model, which refers to the concepts held by patients regarding their illness and life circumstances Their explanations are often tacit and they may contain contradictions and shifts in content. Health carers must organize care around the experience of illness and its social and cultural consequences [4]
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