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Always Alert for the Unpredictable: Experiencing and Treating Migraine1 1 Paper deriving from the master’s thesis of the first author, under the advice of the second author, and co-advised by the fourth author, defended in the Post-Graduate Program of Psychology at Universidade Federal do Rio Grande do Sul. Support: National Council of Scientific and Technological Development (CNPq, Grant # 483702/2013-7).

Sempre Alerta para o Imprevisível: Experiência e Tratamento da Enxaqueca

Siempre Atento a lo Impredecible: Experiencia e Tratamiento de la Jaqueca

Abstract:

Migraine is a disease with serious impacts on quality of life. We conducted a phenomenological qualitative inquiry in order to understand how 10 female patients with migraine dealt with their disease and its treatment, at a headache unit of a reference hospital. Through a phenomenological analysis, we highlighted seven themes that connected participants’ experiences to those reported in the previous literature. We noticed that participants recurrently described their migraine experiences through metaphors. The communicative metaphors indicated an overarching theme of constant vigilance for the unpredictable. Participants felt lack of empathy from others during headache episodes, and showed ambivalence about several aspects of treatment. Our interpretation is that addressing to how patients communicate about their illness might help health professionals to establish stronger therapeutic alliances based on empathy and respect. Professionals’ communication skills are the primordial resource to facilitate adherence to treatment and its success.

Keywords:
migraine headache; phenomenology; health psychology

Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br