Chronic headache : an ecosystemic exploration

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Authors

Rawsthorne, Julie Karen

Issue Date

1998-12

Type

Dissertation

Language

en

Keywords

Chronic headache , Tension headache , Migraine , Somatic symptoms , Social context , Context , Ecosystemic epistemology , Constructivism , Second-order cybernetics , Co-created realities , Qualitative research

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Abstract

Chronic headache may be the most frequently reported somatic symptom, yet it puzzles health experts and poses a considerable treatment challenge. It was suggested that this is because conventional views of headache, adhering to a Newtonian-Cartesian epistemology, focus almost exclusively on intrapsychic factors ignoring the wider social context in which the problem is embedded. An overview of the existing body of knowledge on the most widely researched headache conditions was presented, and it was argued that a conceptual shift is required to achieve a more comprehensive understanding of the problem. This study was conducted within an holistic, ecosystemic epistemology. A qualitative approach employing a case study method was adopted to provide rich descriptions of the contexts in which two chronic headache sufferers' symptoms were embedded. The case study presentations also illustrated the attempts that were made to intervene into the headache contexts from a second-order cybernetics stance.

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Rawsthorne, Julie Karen (1998) Chronic headache : an ecosystemic exploration, University of South Africa, Pretoria, <http://hdl.handle.net/10500/17602>

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