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Cited by 30Musculoskeletal pain and rehabilitationMindfulness and Compassion InterventionsMedicine, History, and Philosophy

Meanings of "acceptance" for patients with long-term pain when starting rehabilitation

Biguet, Gabriele, Nilsson Wikmar, Lena, Bullington, Jennifer, Flink, Berit, Löfgren, Monika·2016·Disability and Rehabilitation
DOI 10.3109/09638288.2015.1076529
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Abstract

Purpose The study aimed to elucidate the meaning of acceptance in relation to the lived body and sense of self when entering a pain rehabilitation programme. Methods Six women and three men with long-term pain were interviewed. The interviews were analysed according to interpretative phenomenological analysis. Results The analysis revealed three different meaning structures, first: acceptance as a process of personal empowerment, "the only way forward". Here, the individuals expressed that the body felt integrated: a trusting cooperation between self and body gave rise to hope. Second: acceptance as an equivocal project, a possible but challenging way forward. The hopeful insight was there, acknowledging that acceptance was the way to move forward, but there was also uncertainty and doubt about one's ability with a body ambiguous and confusing, difficult but important to understand. Third, in acceptance as a threat and a personal failure, "no way forward" the integration of the aching body in sense of self was impossible and pain was incomprehensible, unacceptable and unfair. Pain was the cause of feeling stuck in the body, affecting the sense of self and the person's entire life. Conclusions The meaning of acceptance was related to acceptance of the persistency of pain, to how the individual related to the lived body and the need for changes in core aspects of self, and to the issue of whether to include others in the struggle of learning to move on with a meaningful life. I…

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  • It is a particular problem of some experimental therapies that the primary outcome is a psychological abstraction that characterises presumed process rather than outcome (such as 'acceptance'); these abstractions are variably understood or misunderstood by patients (Biguet 2016) and are hard to translate into metrics of clinical benefits (Morley 2008).

    “It is a particular problem of some experimental therapies that the primary outcome is a psychological abstraction that characterises presumed process rather than outcome (such as 'acceptance'); these abstractions are variably understood or misunderstood by patients (Biguet 2016). They are also hard to translate into metrics of clinical benefits (Morley 2008).”

    From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Biguet 2016

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Authors
Biguet, G., Nilsson Wikmar, L., Bullington, J., Flink, B., & Löfgren, M.
Affiliations
  • Karolinska Institutet (SE)
  • ,
  • Marie Cederschiöld University (SE)
  • Danderyds sjukhus (SE)
Corresponding author
Biguet, Gabriele
ORCID
Venue
Disability and Rehabilitation
Publisher
Informa UK Limited
Published
2015-08-25
Volume
38
Issue
13
Pages
1257-1267
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
DOI
10.3109/09638288.2015.1076529
OpenAlex
W2138464283
Cited by
30
References
48
Citations by year
2026: 1 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 1
FWCI
0.96
Type
journal article
Language
en
Open access
closed
Locations
  • Disability and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
Keywords
acceptance, chronic pain, pain rehabilitation, lived body, selfhood, embodiment, self-empowerment, hope, embodied learning, patient experience
MeSH terms
Self-Control, Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Pain Measurement, Psychophysiology, Rehabilitation, Self Concept, Time, Chronic Pain, Pain Management

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