Abstract
The aim of this chapter is to introduce the use of interpretative phenomenological analysis (IPA) in relation to understanding the subjective realities of individuals with chronic low back pain (CLBP). The chapter will begin with an overview of how phenomenological approaches may be of particular value in understanding how pain appears to a patient and ultimately the embodied nature of patients’ pain experiences. This will be followed by an introduction to IPA, its theoretical background and ontological and epistemological claims. The rationale for exploring subjective experiences of people with CLBP will be expounded and the main findings discussed in relation to clinical practice. The chapter will conclude by exploring the ways in which findings from an IPA study may contribute towards a First-Person Neuroscience of Pain.
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References
Benedetti F, Thoen W, Blanchard C, Vighetti S, Arduino C (2013) Pain as a reward: changing the meaning of pain from negative to positive co-activates opioid and cannabinoid systems. Pain 154:361–367
Berkowitz L, Harmon-Jones E (2004) Towards an understanding of the determinants of anger. Emotion 4(2):107–130
Biggerstaff DL, Thompson AR (2008) Interpretative phenomenological analysis (IPA): a qualitative methodology of choice in healthcare research. Qual Res Psychol 5:173–183
Borkan J, Reis S, Hermoni D, Biderman A (1995) Talking about the pain: a patient centered study of low back pain in primary care. Soc Sci Med 40:977–988
Brocki JM, Weardon AJ (2006) A critical evaluation of the use of interpretative phenomenological analysis (IPA) in health psychology. Psychol Health 21:87–108
Bryman A (1988) Quantity and quality in social research. Unwin Hyman, London
Busch H (2005) Appraisal and coping processes among chronic low back pain patients. Scand J Caring Sci 19(40):396–402
Caelli K (2001) Engaging with phenomenology: is it more of a challenge than it needs to be? Qual Health Res 11(2):273–281
Chadderton H (2004) Hermeneutics and nursing research. In: Rapport F (ed) New qualitative methodologies in health and social care research. London: Routledge, pp 55–79
Charalambous A, Papadopoulos R, Beadsmoore A (2008) Ricoeur’s phenomenology: an implication for nursing research. Scand J Caring Sci 9(22):637–642
Charmaz K (1983) Loss of self: a fundamental form of suffering in the chronically ill. Sociol Health Illn 5:168–195
Coyle A (2006) Discourse analysis. In: Breakwell GM, Fife-shaw CS, Hammond S, Smith JA (eds) Research methods in psychology, 3rd edn. Sage, London, pp 366–387
Crotty M (1996) Phenomenology and nursing research. Churchill Livingston, Melbourne CUP
de Vissor R, Smith JA (2006) Mister in-between: a case study of masculine identity and health-related behaviour. J Health Psychol 11:685–695
Denzin N, Lincoln Y (eds) (1994) Handbook of qualitative research. Sage Publications, Thousand Oaks
Gaskin DJ, Richard P (2011) The economic costs of pain in the United States. J Pain 13(8):715–724
Gatchel RJ (1991) Early development of physical and mental deconditioning in painful spinal disorders. In: Mayer TG, Mooney V, Gatchel RJ (eds) Contemporary conservative care for painful spinal disorders. Lea and Febiger, Philadelphia, pp 278–289
Giorgi A (2011) IPA and science: a response to Jonathan Smith. J Phenomenol Psychol 42(2):195–216
Hefferon K, Rodriguez EJ (2011) Interpretative phenomenological analysis. Psychologist 24(10):756–759
Heidegger M (1927/1962) Being and time (trans: Stambough J). State University of New York Press, New York (first published 1927)
Husserl E (1917/1981) Pure phenomenology, its method and its field of investigation Inaugural lecture at Freiburg in Breisgau. In: McCormack P, Elliston FA (eds) Husserl: shorter works (trans: Jordon RW). University of Notre Dame Press, Notre Dame, pp 1–12 (Original work published 1917)
Kugelmann R (1999) Complaining about chronic pain. Soc Sci Med 49:1663–1696
Larkin M, Watts S, Clifton E (2006) Giving voice and making sense in interpretative phenomenological analysis. Qual Res Psychol 3:102–120
Leeman J, Sandelowski M (2012) Practice-based evidence and qualitative inquiry. J Nurs Scholarsh 42(2):171–179
Mackay S (2005) Phenomenological nursing research: methods, insights derived from Heideggers phenomenology. Int J Nurs Stud 4(2):179–186
Maggs-Rapport E (2001) Best research practice: in pursuit of methodological rigour. J Adv Nurs 35(3):373–383
McCracken LM, Spertus IL, Janeck AS, Sinclair D, Wetzel FT (1999) Behavioral dimensions of adjustment in persons with chronic pain: pain-related anxiety and acceptance. Pain 80(1–2):283–289
Morley S, Williams A, Hussain S (2008) Estimating the clinical effectiveness of cognitive behavioural therapy in the clinic: evaluation of a CBT informed pain management programme. Pain 137(3):670–680
Mulhall A (1998) Nursing, research, and the evidence. Evid Based Nurs 1:4–6
Munhall P (1994) Revisioning phenomenology: nursing and health science research. NLN, NewYork
Murphy E, Dingwall R, Greatbach D, Parker S, Watson R (1998) Qualitative research methods in health technology assessment: a review of the literature. Health Technol Assess 2:916
Osborn M, Smith JA (1998) The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis. Brit J Health Psych 3:65–83
Osborn M, Smith JA (2006) Living with a body separate from the self. The experience of the pain in chronic benign low back pain: an interpretative phenomenological analysis. Scand J Caring Sci 20:216–222
Osborne JW (1994) Some similarities and differences among phenomenological and other methods of psychological qualitative research. Can Psychol 35(2):167–189
Paley J (1997) Husserl, phenomenology and nursing. J Adv Nurs 26:187–193
Paley J (2014) Heidegger, lived experience and method. J Adv Nurs 70(7):1520–1531
Phillips CJ (2009) Economic burden of pain. Expert Rev Pharmacoecon Outcomes Res 6(5):591–601
Pietkiewicz I, Smith JA (2014) Practical guide to using IPA in qualitative research psychology. J Psycho 20(1):7–14
Pincus T, Morley S (2001) Cognitive-processing bias in chronic pain: a review and integration. Psychol Bull 127:599–617
Pringle J, Drummond J, McLafferty E, Hendry C (2011) Interpretative phenomenological analysis: a discussion and critique. Nurse Res 18(3):20–24
Rafferty MN, Ryan P, Normand C, Murphy AW, de la Harper D, McGuire BE (2012) The Economic cost of chronic non cancer pain in Ireland: results from the PRIME study, Part 2. J Pain 13(2):139–145
Rapport F (ed) (2004) New qualitative methodologies in health and social care research. Routledge, New York
Rapport F, Wainwright P (2006) Phenomenology as a paradigm of movement. Nurs Inq 13(3):228–236
Reid K, Flowers P, Larkin M (2005) Exploring lived experience. Psychologist 18(1):20–23
Rickman H (ed) Trans. (1976) Introduction to Dilthey: Selected writing. p 15. Cambridge Univeristy Press, Cambridge
Robinson ME, Staud R, Price DD (2013) Pain measurement and brain activity: will neuro images replace pain ratings? J Pain 14:323–327
Roelofs J, Peters ML, Patjin J, Schouten EGW, Vlaeyen JWS (2004) Electronic diary assessment of pain-related fear, attention to pain, and pain intensity in chronic low back pain patients. Pain 112(3):335–342
Royal College of Anesthetists (2003) Pain management services. RCA Publications, London
Scarry E (1987) The body in pain: the making and unmaking of the world. New University Press, New York
Schaefer KM, Ladd EC, Lamas SE (1999) In your skin you are different: Women living with ovarian cancer during childbearing years. Qualitative Health Research 9 (2): 227–247
Schattner E, Shahar G, Mahmou SS (2008) I used to dream of Lupus as some sort of creature: Chronic illness as an internal object. Am J Orthopsychiatr 78(4):466–472
Shaw RL (2001) Why use interpretative phenomenological analysis in health psychology? Health Psychol Update 10(4):48–52
Smith JA (1991) Conceiving selves: a case study of changing identities during the transition to motherhood. J Lang Soc Psychol 10:225–243
Smith JA (1996) Beyond the divide between cognition and discourse: using interpretative phenomenological analysis in health psychology. Psychol Health 1:261–271
Smith JA (2004) Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qual Res Psychol 1:39–54
Smith JA (2010) Interpretative phenomenological analysis; a reply to Amedeo Giorgi. Existent Anal 2(2):186–192
Smith JA (2011) Evaluating the contribution of interpretative phenomenological analysis. Health Psychol Rev 5(1):9–27
Smith JA, Eatough V (2006) Interpretative phenomenological analysis. In: Breakwell GM, Hammond S, Fife-Shaw C, Smith JA (eds) Research methods in psychology, 3rd edn. Sage Publications, London, pp 323–341
Smith JA, Osborn M (2003) Interpretative phenomenological analysis. In Smith JA (ed) Qualitative Psychology: A Practical Guide To Research Methods.First edition. Sage Publications, London
Smith JA, Osborn M (2007) Pain as an assault on the self: An interpretative phenomenological analysis of the psychological impact of chronic benign low back pain. Psychology and Health 22(5):517–534
Smith JA, Osborn M (2014) Interpretative phenomenological analysis as a useful methodology for research into the lived experience of pain. Br J Pain 9(1):41–42
Smith JA, Flowers P, Larkin M (2009) Interpretative phenomenological analysis: theory, methods and research. Sage Publications, London
Snelgrove S, Liossi C (2009) An interpretative phenomenological analysis of living with chronic low back pain. Br J Pain 14(4):735–749
Snelgrove S, Edwards S, Liossi C (2011) A longitudinal study of patients’ experiences of chronic low back pain using interpretative phenomenological analysis: changes and consistencies. Psychol Health 28(1–2):121–138
Thacker MA, Moseley GL (2012) 1st person neuroscience and the understanding of pain. Med J Aust, April 2nd 196(6):410–411
Todres L (2004) The meaning of understanding and the open body: some implications for qualitative research. Existent Anal 15(1):38–54
van Manen M (2001) Professional practice and ‘doing phenomenology’. In: Toombs SK (ed) Handbook of phenomenology and medicine. Philosophy and Medicine Series Kluwer Academic Publishers, Dordrecht, pp 457–474
van Rysewyk S (2014) Objective knowledge of subjective pain? Towards a subjective-neuroscience of pain. Ngau Mamae, Spring:10–20
Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H (1995) Fear of movement/injury in chronic low back and its relation to behavioural performance. Pain 19(2):363–372
Vlaeyen JWS, Morley S, Crombez G (2016) The experimental analysis of the interruptive, interfering, and identity-distorting effects of chronic pain. Behav Res Ther. doi:10.1016/j.brat.2016.08.016
Vranken MAE (1989) Schools of thought on pain. Soc Sci Med 29(3):435–444
Warnock M (1987) Memory. Faber and Faber, London
Yardley L (2008) Demonstrating validity in qualitative psychology. In: Smith JA (ed) Qualitative psychology: a practical guide to methods, 2nd edn. Sage, London, pp 235–251
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Snelgrove, S. (2016). An Interpretative Phenomenological Analysis of Non-Malignant Chronic Low Back Pain. In: van Rysewyk, S. (eds) Meanings of Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-49022-9_8
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