Background: Some feelings elicited by acupuncture-type interventions are “nonspecific”, interpretable as resulting from the placebo effect, our own self-healing capacities—or, indeed, the flow of qi. Expectation is thought to contribute to these nonspecific effects. Here we describe the use of two innovative 20-item questionnaires (EXPre20 and EXPost20) in a teaching situation. Methods: Respondents were acupuncture students or practitioners on electroacupuncture (EA) training courses (N = 68). EXPre20 and EXPost20 questionnaires were completed before and after receiving individualised treatment administered by colleagues. Respondents were also asked about their prior experience of EA or transcutaneous electroacupuncture stimulation (TEAS). Results: Respondents expected significantly more items to change than not to change, but significantly fewer were experienced as changing. Increases in given questionnaire items were both expected and experienced significantly more often than decreases. “Tingling”, “Relaxation”, and “Relief” or “Warmth” were most often expected to increase or were experienced as such, and “Pain” and “Tension” to decrease or experienced as decreasing. Expectations of change or no change were confirmed more often than not, particularly for “Tingling” and “Tension”. This was not the result of the personal respondent style. Cluster analysis suggested the existence of two primary feeling clusters, “Relaxation” and “Alertness”. Conclusions: Feelings experienced during or immediately after acupuncture-type interventions may depend both on prior experience and expectation.
Background: Previous research has considered the impact of personal and situational factors on treatment responses. This article documents the first phase of a four-stage project on patient characteristics that may influence responsiveness to acupuncture treatment, reporting results from an exploratory practitioner survey. Methods: Acupuncture practitioners from various medical professions were recruited through professional organisations to complete an online survey about their demographics and attitudes as well as 60 questions on specific factors that might influence treatment. They gave categorical (“Yes”, “No”, and “Don’t know”) and free-text responses. Quantitative and qualitative (thematic) analyses were then conducted. Results: There were more affirmative than negative or uncertain responses overall. Certain characteristics, including ability to relax, exercise and diet, were most often considered relevant. Younger and male practitioners were more likely to respond negatively. Limited support was found for groupings between characteristics. Qualitative data provide explanatory depth. Response fatigue was evident over the course of the survey. Conclusions: Targeting and reminders may benefit uptake when conducting survey research. Practitioner characteristics influence their appreciation of patient characteristics. Factors consistently viewed as important included ability to relax, exercise and diet. Acupuncture practitioners may benefit from additional training in certain areas. Surveys may produce more informative results if reduced in length and complexity.
Home is one of the most emotive words in any language but our experience of being at home is historically and culturally specific. This article reviews a range of recent scholarship on the later medieval English urban household in the disciplines of History, Literary criticism and Archaeology. It has been composed collaboratively by the members of the York Medieval Household Research Group. After an introduction tracing the wider context in which all histories of domesticity are located, we focus in on our particular period through a close study of contemporary later medieval vocabularies of homeliness. This is followed by a sequence of short thematic sections addressing the historiography of different aspects the demographic structure, ideological construction and daily and emotional life of the household as reflected in the current interests of members of the group.
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