The use of Complementary and Alternative Medicine (CAM) is now widespread and endeavours are increasingly being made to incorporate CAM into conventional healthcare and move towards Integrative Medicine (IM). To date research has primarily focused on the prevalence of use, and safety and efficacy of CAM; less is known about patients' experiences of and reasons for using specific therapies. While therapeutically diverse, it has been suggested that many CAM modalities share mutually referential ideologies and that people who use them may be motivated to do so by specific health beliefs. This study focuses on traditional acupuncture in a New Zealand context and investigates users' experiences and perceptions of the therapy, and discusses how personal health beliefs influence usage. A systematic review of relevant international qualitative research informed the main study, which was carried out using an interpretive phenomenological methodology (Heidegger's approach). Data was gathered from interviews with 12 participants who had recently received treatment from traditionally trained (non-biomedical) acupuncturists. Thematic analysis suggested that acupuncture was often sought for health conditions (typically of a chronic and benign nature) that are difficult to treat conventionally. Whereas initial access was primarily motivated by ineffective biomedical treatment, personal health beliefs-particularly subscription to holistic and vitalistic ideologies-often inspired more extensive and ongoing use. The therapeutic encounter was interpreted to contain many elements-other than needling-integral to treatment. Outcomes were perceived to be wide ranging, personal and necessarily subjective, and included the relief of symptoms, increased well-being, and changes to understandings and health behaviours. It is concluded that the attraction of acupuncture for patients and many of its perceived benefits lie in therapeutic components that are ultimately embedded in Chinese medicine (holistic) theories of health. A more pluralistic schema for assessing evidence may be necessary to acknowledge treatment outcomes that are meaningful to patients, and to accommodate the divergent ontologies and practice models of acupuncture, other CAMs and biomedicine. Increased interdisciplinary cooperation and communication is suggested as a means to improve patient safety and satisfaction and as a scenario for moving forward with IM.

Thesis (M.CM)--Hong Kong Baptist University, 2006. / Dissertation submitted to the School of Chinese Medicine. Includes bibliographical references (leaves 22-23).

Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2006. / Härtill 4 uppsatser.

Thesis (doctoral)--University of Göteborg, 1993. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (doctoral)--University of Göteborg, 1993. / Added t.p. with thesis statement inserted. Includes bibliographical references.

No description available.

Includes bibliographical references.

Includes bibliographical references and index.

Palavras-chave retiradas da vers?o impressa do trabalho. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-09-19T20:33:45Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) anna_catharina_vieira_armond.pdf: 3140231 bytes, checksum: a3da3d5012b8c5145f53d838686f0611 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-10-09T13:25:52Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) anna_catharina_vieira_armond.pdf: 3140231 bytes, checksum: a3da3d5012b8c5145f53d838686f0611 (MD5) / Made available in DSpace on 2017-10-09T13:25:52Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) anna_catharina_vieira_armond.pdf: 3140231 bytes, checksum: a3da3d5012b8c5145f53d838686f0611 (MD5) Previous issue date: 2017 / O objetivo deste estudo foi avaliar a efic?cia da acupuntura no controle de dor, edema e trismo ap?s exodontia de terceiros molares e controle da ansiedade pr?-operat?ria comparada ? acupuntura placebo. Para isso, um ensaio cl?nico randomizado, controlado, triplo-cego, no formato boca dividida, foi realizado. Dezesseis pacientes com m?dia de idade de 22,5 (?3,45) anos foram submetidos ? remo??o dos dois terceiros molares inferiores em momentos diferentes e receberam quatro sess?es de acupuntura, uma anterior ? cirurgia e outras nos momentos 24, 48 e 72 horas ap?s. Nos momentos do baseline, 24, 48, 72 horas e 7 dias ap?s a cirurgia, foram feitas avalia??es de edema, atrav?s das medidas da face e trismo, pela abertura m?xima bucal. A dor foi avaliada pela escala visual anal?gica nos momentos 24, 48 e 72 horas e a ansiedade foi avaliada pelo question?rio STAI (State-Trate Anxiety Inventory) e pela escala visual anal?gica nos momentos baseline e antes e depois da acupuntura no dia da cirurgia. A an?lise estat?stica foi feita pelo teste T pareado e Wilcoxon. A acupuntura obteve melhor desempenho no controle de edema nos momentos 48 horas (p=0,026), 72 horas (p=0,046) e 7 dias (p=0,040) quando comparada ao placebo. N?o houve diferen?a estat?stica no controle de dor, trismo e ansiedade entre os grupos. Em conclus?o, o uso da acupuntura apresentou melhores resultados no controle de edema ap?s exodontia de terceiros molares quando comparada ? acupuntura placebo. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / The objective of this study was to evaluate the efficacy of acupuncture in the control of pain, edema and trismus after third molar extraction and control of preoperative anxiety compared to placebo acupuncture. Thus, a randomized, controlled, triple-blind, split-mouth clinical trial was performed Sixteen patients with a mean age of 22.5 (?3,45) underwent removal of the two lower third molars at different times and received four acupuncture sessions, one prior to surgery and others at moments 24, 48 and 72 hours after. Edema evaluations were made through the measurements of the face and trismus by maximum buccal opening at the baseline and 24, 48, 72 hours and 7 days after surgery. The pain was evaluated by the visual analogue scale at moments 24, 48 and 72 hours and the anxiety was evaluated by the STAI questionnaire and the visual analogue scale at baseline and before and after acupuncture on the day of surgery. Statistical analysis was performed using the paired T test and Wilcoxon. Acupuncture showed better performance in the control of edema at 48 hours (p=0.026), 72 hours (p=0.046) and 7 days (p=0.040) when compared to placebo. There was no statistical difference in the control of pain, trismus and anxiety between the groups. In conclusion, the use of acupuncture showed better results on edema control after third molar extraction when compared to pacebo.

Made available in DSpace on 2015-07-22T20:49:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-02-24 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O presente estudo buscou compreender como profissionais de saúde e pacientes do Centro de Saúde Escola Samuel B. Pessoa/ Butantã (CSEB), localizado no município de São Paulo, percebem o corpo a partir do contato a Medicina Tradicional Chinesa (MTC) que se configura como uma racionalidade médica diferente da Biomedicina. Assim, a hipótese inicial era a de que no contato com técnicas da MTC podem ser apreendidas novas formas de se pensar o corpo, a saúde e a doença. A investigação foi desenvolvida por meio de uma aproximação etnográfica no ambulatório de Acupuntura do CSEB, entre os meses de Setembro de 2008 e Abril de 2009. As observações apontaram para um grupo heterogêneo tanto de profissionais, como de pacientes (quanto à idade, gênero, religião e origem territorial) em contato com a MTC. A maioria dos relatos revela que o contato com a MTC se deu por causa de experiências pessoais como incômodo, dor e sofrimento incidindo sobre seus corpos, recorrendo à Acupuntura como recurso e, posteriormente, buscando seus fundamentos. Foram identificadas diversas maneiras de pensar a saúde e a doença e de usar o corpo, sempre sustentadas por duas dimensões opostas, porém complementares: a do saudável e a do não-saudável. E foram identificadas três formas de perceber o corpo: Noções de Corpo, Reações e Técnicas Corporais. A partir dessa experiência com a MTC, as pessoas conheceram uma concepção de corpo que considera a dimensão energética e invisível como antecessora da matéria orgânica, diferente da concepção biomédica vigente. Contam também que, com isso, mudaram alguns de seus hábitos diários e maneiras de usar o corpo relacionados a prática da Meditação, aos Exercícios e a Alimentação. Pautadas também por concepções de corpo anteriores ao tratamento, revelaram sentidos bastante distintos pela experiência de cada um. Por exemplo, o corpo foi definido como ―um santuário‖, ―uma estrutura‖, ―o veículo da alma‖, entre outros. / The present study searched to understand how health professionals and patients of the Teaching Health Center Samuel B. Pessoa/ Butantã (CSEB), in São Paulo, perceive the body in contact with Traditional Chinese Medicine (TCM) configured as a therapeutic of different medical rationality from Biomedicine. Thus, the initial hypothesis was that in the contact with acupuncture new forms of thinking the body, health and illness can be apprehended. The investigation was developed with an ethnographic approach in the clinic of acupuncture of the CSEB, from September 2008 to April 2009. The observations had revealed a heterogeneous group of professionals and patients (as to the age, gender, religion and territorial origin) in contact with the TCM. The majority of the interviews reveal that people´s contact with Traditional Chinese Medicine was given by personal experiences with distress, pain and suffering related to their bodies, having them appealed to the acupuncture as resource and, later, seeking its beddings. Diverse ways of thinking about ill / health and of using the body were identified, but always sustains by two opposites but complementary dimensions: health body and not health body. And tree forms of how to perceive the body also were identified: Ideas about the body, Reactions and Techniques of the Body. From the experience with TCM, people get in touched and embodied, partly, with a body conception that consider the energetic and invisible dimensions as formerly than the organic material. It also counts that, in this process, they had changed some daily habits and the way they perceived and used the body related with Meditation, Exercises and food provisions. Based in experiences and conceptions of body previous to the treatment, they had disclosed very distinct senses for the experience of each one. For example, the body was defined as ―a sanctuary‖, as ―a structure‖, ―the soul‘s car‖, among others. / TEDE / BV UNIFESP: Teses e dissertações