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Therapist- Patient- Relationship in Osteopathy

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2007/10, Pages: 121, type of study: qualitative study

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2982)

Keywords:

attachment theory [2]
body schema [1]
developmental psychology [2]
psychotherapy [6]
therapist-patient-relationship [1]
WSO [433]

Abstract:

In the paper at hand the therapist-patient-relationship in osteopathy was explored. Thereby it was examined whether findings from depth psychology, neurobiology, developmental psychology and psychotherapy found their way into osteopathic literature. By means of a qualitative study, based on guideline-oriented, problem-centred interviews with five osteopaths, it was investigated how osteopaths form the relationship to their patients and if findings from adjoining sciences are reflected in the osteopaths’ actions. The individual interviews were elaborated by means of content analysis and afterwards connected with each other. Thereby the following categories were built: relationship formation, interaction/conflict management, demarcation and self-conception of osteopaths. Results: Aspects of attachment theory (Holding/Containment) have found their way into the osteopathic literature. These are also reflected in the relationship formation of the interviewees. The significance of willingness for therapy, autonomy on part of the patients and responsibility on part of the osteopaths, respectively, depends on the osteopaths’ selfconception (companion or mediator). The neurobiological realisations of mirror neurons are reflected in the osteopathic literature, as well as in the concrete action of osteopaths. Thereby the significance of a balance between intuition, mentalising and language becomes apparent. Developmental psychological findings from body schema research concerning development and susceptibility for disorder of body experience are hardly reflected in the osteopathic literature. The consequent question of regression and demarcation on part of the patients is brought forward by only one interviewee. Empathy and compassion, transference and countertransference and the interaction processes in the osteopathic treatment are illuminated in the osteopathic literature. In the interviews these transference and countertransference phenomena are reflected as well, although only little awareness for the mutuality in the therapeutic process is expressed. The consequent question of power and responsibility towards patients is raised by only one interviewee. In the paper at hand it became apparent that the integration of adjoining sciences, such as psychology and psychotherapy, into osteopathy could be helpful to do justice to ethic-moral questions and the demand for holism.


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