223 | P a g e 25. SYNNOTT 2015 [194]: Some physiotherapists stigmatise patients whose behaviour indicates that cognitive, psychological or social factors are influencing their LBP I realise that there are many factors, cognitive, psychological and social, that influence the pain experience Some LBP patients are poorly motivated, demanding, attention-seeking and, in some cases, self- centred. They are not interested in helping themselves to recover. Some have a financial incentive. HEALTHCARE PROFESSIONALS 26. SYNNOTT 2015 [194]: Physiotherapists‘ biomedical preferences My role is to address the mechanical aspects of back pain even if it is non-specific pain. This is what I have been trained to do. I prefer to find a biomedical reason than explore the psycho-social. It might go horribly wrong if I broach the psychosocial. There may be a financial incentive that means they don’t try and get better. I prefer patients to bring it up themselves. It is easier to do it if you are used to treating this type of patient. HEALTHCARE PROFESSIONALS 27. SYNNOTT 2015 [194]: Patients‘ biomedical expectations My patients’ biomedical treatment expectations influence my treatment choices. I find it difficult to communicate with this type of patient. My default is to give in to expectations. They want you to make them better. HEALTHCARE PROFESSIONALS 28. SYNNOTT 2015 [194]: Limited role in dealing with the cognitive, psychological and social factors I don’t want to discuss psychosocial factors. I need to provide a clear and simple explanation for pain and a biomedical diagnosis offers the best framework for this. Psychosocial management is beyond my professional role and scope of practice. I don’t have the knowledge or skills. These patients are challenging and I feel pessimistic about these interactions and expected outcome. This has an effect on my job satisfaction and self-confidence. HEALTHCARE PROFESSIONALS
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