Type
Text
Type
Dissertation
Advisor
Feldman, Kenneth | Feldman, Kenneth A. | Marrone, Catherine | Burroway, Rebekah | Heller, Jacob.
Date
2013-12-01
Keywords
Sociology | Acupuncture, Chronic pain, Complementary and Alternative Medicine, Patient centered care, Sociology of Health and Illness, Treatment seeking
Department
Department of Sociology.
Language
en_US
Source
This work is sponsored by the Stony Brook University Graduate School in compliance with the requirements for completion of degree.
Identifier
http://hdl.handle.net/11401/76822
Publisher
The Graduate School, Stony Brook University: Stony Brook, NY.
Format
application/pdf
Abstract
The sociological literature on pain and the body largely emphasizes the social and cultural dynamics of suffering. Within this realm, the medical institution is often paramount in regulating how pain is understood and the responses that are appropriate in managing pain. Less is known about other forms of healthcare that treat pain, namely Complementary and Alternative Medicine (CAM). While most research explains the overall " who" of the population of CAM users, few studies address the " why" and the overall effects of using a nonconventional system of medicine. This research is aimed at discerning health beliefs and behaviors that are associated with engaging with a non-conventional system of healthcare and how treatment-seeking differs between patients choosing (CAM) and those choosing conventional medicine. Additionally, this study traces the trajectory of patients' treatment-seeking behavior and explores whether non-conventional treatment changes outlooks on medicine and other health-related beliefs and behaviors. A mixed method design was used to explore whether CAM users (compared with conventional medicine users) are more likely to possess beliefs associated with CAM. A survey-questionnaire was first distributed to pain patients (n=98) in two health office locations: pain management and acupuncture. Since little is known about CAM users' decision-making processes, qualitative interviews (n=20) were conducted with people using acupuncture to elaborate on the survey results. Statistically significant differences were found among pain management and acupuncture users on measures of proactivity, medication use, and patient-centered care. Additionally, qualitative findings showed that most acupuncture users were initially skeptical of this non-conventional treatment and gradually grew to use it for ailments beyond pain. At the same time, they grew to value the time and intimacy that was shared with their acupuncturist, who often engaged them in holistic approaches to health. The findings suggest strong discontent and resistance to conventional forms of treatment, which were found to be non-validating of pain experiences of patients and their desires to find non-pharmaceutical solutions for pain. This research proposes that CAM patients are demonstrating their ability to make choices on their own behalf without the approval of traditional medical experts and suggests implications for this new autonomy. | 216 pages
Recommended Citation
Curreli, Misty Amadona, "" Don't mask it, fix it" : Distinguishing Characteristics of Complementary and Alternative Medicine Patients with Chronic Pain and their Pathways toward Pain Resolution" (2013). Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions). 2698.
https://commons.library.stonybrook.edu/stony-brook-theses-and-dissertations-collection/2698