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Healing journey: a qualitative analysis of the healing experiences of Americans suffering from trauma and illness

2017; BMJ; Volume: 7; Issue: 8 Linguagem: Inglês

10.1136/bmjopen-2017-016771

2044-6055

John Glenn Scott, Sara Warber, Paul Dieppe, David Jones, Kurt C. Stange,

Pain Management and Placebo Effect

To elucidate pathways to healing for people having suffered injury to the integrity of their function as a human being.A team of physician-analysts conducted thematic analyses of in-depth interviews of 23 patients who experienced healing, as identified by six primary care physicians purposefully selected as exemplary healers.People in the sample experienced healing journeys that spanned a spectrum from overcoming unspeakable trauma and then becoming healers themselves to everyday heroes functioning well despite ongoing serious health challenges.The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships.In the healing journey, bridges from suffering are developed to healing resources/skills and connections to helpers outside themselves. These bridges often evolve in fits and starts and involve persistence and developing a sense of safety and trust.From the iteration between suffering and developing resources and connections, a new state emerges that involves hope, self-acceptance and helping others. Over time, this leads to healing that includes a sense of integrity and flourishing in the pursuit of meaningful goals and purpose.Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond.