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Struggling on My Own: A Cognitive Perspective on Frequent Attenders' Perceptions of LIfe and Their Interaction with the Health Care System
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0002-9714-577X
2013 (English)In: Psychiatry Journal, ISSN 2314-4335Article in journal (Refereed) Published
Abstract [en]

Different studies reveal that a large percentage of people frequently attending healthcare not only suffer from diffuse somatic symptoms but also from psychological distress and difficulties in dealing with everyday life. Even though they are not always diagnosed with psychiatric disease, questions arise about their mental health. The study aims at describing frequent attenders’ conceptions of life, and as a result their health, from a cognitive perspective. A qualitative content analysis of in-depth interviews was carried out with nine service users in primary healthcare. The findings reveal that participants experience themselves as inadequate and as being a burden for others, by whom they experience rejection, in different ways. In order to take part in community with others the person develops compensatory strategies that aim at concealing their inadequacies, thus also preventing them from sharing their suffering with others. The consequence is that the persons become even more alienated as they start to relate to others through a façade and furthermore are unable to either improve their health or obtain adequate care. It can be concluded that these patients need to be taken seriously in order to prevent further psychological suffering

Place, publisher, year, edition, pages
2013.
Keywords [en]
Frequent attenders, primary health care, qualitative content analysis
National Category
Medical and Health Sciences
Research subject
Care Sciences within Health and Welfare
Identifiers
URN: urn:nbn:se:mdh:diva-19067DOI: 10.1155/2013/580175OAI: oai:DiVA.org:mdh-19067DiVA, id: diva2:623995
Available from: 2013-05-29 Created: 2013-05-29 Last updated: 2014-01-27Bibliographically approved

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Wiklund Gustin, Lena
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