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Complementary Therapies in Medicine (2010) 18, 8794

available at www.sciencedirect.com

journal homepage: www.elsevierhealth.com/journals/ctim

The sociology of Qi Gong: A qualitative study


Paul Posadzki

University of East Anglia, School of Medicine, Health Policy and Practice, NR4 7TJ Norwich, Norfolk, United Kingdom
Available online 2 April 2010

KEYWORDS Summary This paper presents an in-depth, idiographic study of how individuals experience
others during Qi Gong practice. Semi-structured interviews were conducted with three Qi Gong
Qi Gong;
groups to collect research data. These data were transcribed verbatim and subjected to content
Sociology;
and thematic analysis across and within groups. The analysis indicates extraordinary experi-
Interpersonal
ences of Qi Gong practitioners at various levels of their social functioning. Qi Gong inuences
relationships;
their social health in complex and \dimensional ways. The author compares and contrasts his
Health
results with those of recent research. Implications for practice are briey outlined and possible
strategies for future research are presented.
2010 Elsevier Ltd. All rights reserved.

Introduction ful side effects of conventional, allopathic treatment and


overall dissatisfaction with the way that modern healthcare
According to Chinese Medicine, Qi is the energy that simulta- systems function have contributed to the attraction of Qi
neously pervades the macro-cosmosthe Universe and the Gong exercises.
micro-cosmosthe human body. Practitioners of Qi Gong There were several logical reasons for undertaking this
believe that Qi energy ows along channels in the human study. Firstly, it is hoped that these results will improve
body called meridians. Gong may be translated as a way understanding of practitioners social perceptions of Qi Gong
of development, enhancement and improvement. As such, and contribute to the existing body of knowledge. Sec-
Qi Gong means a way of development, enhancement and ondly, the rationale for this survey was to indicate new
improvement of the bodys energy. Qi Gong exercises have pathways for future research from the qualitative, socio-
been used and developed for thousands of years to optimise, logical perspective. Thirdly, and perhaps most importantly,
control and mobilise this energy within the body as a whole.1 yet another logical reason for this survey was to combine
Qi Gong is a combination of meditation, postures and move- the authors previous qualitative studies with more empiri-
ments designed to improve holistic health and to facilitate cal dataclearly, this study has emerged from the authors
mindbody integration.2,3 It is also a form of complementary earlier research interests which are summarised in the next
therapy and a way to promote health that is both efcient paragraph.
and effective.4,5 There is a growing body of evidence of the The main purpose of the authors previous concep-
usefulness of Qi Gong as a complementary and alternative tual syntheses was to combine evidence from Qi Gong,
medicine therapy.6,7 Individuals concerns about the harm- movement therapies, preventive medicine, humanistic and
Gestalt psychology and investigate the congruence of their
essence.912 It has been asserted that the essence of Qi
Gong exercises is an increased sense of control. It can
Tel.: +44 01603 591223. promote self-discovery and enhance well-being, with practi-
E-mail addresses: P.Posadzki@uea.ac.uk, tioners developing more exibility and adaptability in their
pawel.posadzki@hotmail.com. thoughts, emotions and behaviors; enhance the minds self-

0965-2299/$ see front matter 2010 Elsevier Ltd. All rights reserved.
doi:10.1016/j.ctim.2009.12.002
88 P. Posadzki

regulatory processes; prevent mental health disorders; and Table 1 Socio-demographic data.
relieve stress, uncertainty, anxiety and depression.9 The
authors further papers have explored how the somatic reed- Group I Group II Group III
ucation techniques, namely Alexander technique (AT) and
the Feldenkrais method (FM) can be used in Qi Gong exer- Total Total Total
cises and how these modalities can be nourished due (n = 7) (n = 8) (n = 7)
to their suggested correspondences.10,11 In particular, the Age group
author has claimed that incorporation of AT into Qi Gong 1929 years 1 1 0
exercises could enable a better understanding of Qi Gong 2939 years 1 3 1
movements through learning and meta-learning processes. 3949 years 2 0 2
Furthermore, both AT and Qi Gong practitioners may become 4959 years 1 2 2
more aware of their own movements in a functional and 5969 years 2 2 1
kinesthetic way, improve their posture and liberate muscle >69 years 0 0 1
tension, resulting in positive emotional states such as joy
and happiness and efciency and uency in performance of Sex
the movements.11 Males 3 4 4
Posadzki et al.10 have also suggested that constant devel- Females 4 4 3
opment through movement and persistent self-exploration Ethnic origin
in the direction of enhanced self-organisation at the level European Caucasian 7 8 7
of personality characteristics can be achieved through the
Marital status
practice of Qi Gong. Together, Qi Gong, FM, Gestalt and
Married 5 6 6
humanistic psychology could be considered a broader con-
Not married 2 2 1
ceptual eld that promotes awareness mechanisms such as
communication between thought and movement and emo- Occupation
tions and movement; relaxation of the whole body; and University students 3 1 1
effortless concentration in the here and now to facilitate Doctors 1 1 0
personal growth, self-actualisation and self-realisation. Lawyers 0 2 0
It has been suggested that Qi Gong and educational Nurses 1 2 1
kinesiology (EK) share a number of basic underlying prin- Psychologists 0 0 3
ciples. For instance, Qi Gong, like EK, can be used as a Retired 1 1 1
form of brain gymnastics insofar as concentration on the Accountant 1 0 0
specic movements embodied by the techniques may facil- Businessman 0 1 1
itate neuroplasticity through lateralisation, concentration
Duration of QG practice
or focusing and centering.12 In all of these studies the
35 years 4 4 3
author has suggested potential social benets of Qi Gong
57 years 2 1 2
practice and recommended future research to verify these
710 years 1 2 1
claims.
>10 years 0 1 1
Therefore the aim of this study is to explore the social
perceptions of Qi Gong practitioners from an idiographic,
hermeneutical perspective dedicated to fore-grounding the
related to this method of self-healing while also being use-
subjective feelings of the participants. Within the scope of
ful to Qi Gong practitioners sense of self, autonomy and
this study, the concept of social perception is dened as
identity.
the process by which Qi Gong practitioners perceive one
another, and is an impression or a sense, or both, of the per-
sonalities and social traits of others based on their behavior Methods
(movement exercises).13 The purpose of phenomenologi-
cal research is to describe experiences or phenomena as This qualitative research has been conducted in April 2009.
they are lived; in phenomenological terms, to capture the Since qualitative design emphasises the analysis of each case
essence of lived experience of study participants,14 and Qi there is no requisite number of participants for a qualitative
Gong practitioners perceptions of others, group dynamics study, and hence the sample size is usually small.17 Three
and interpersonal relationships are investigated from this Qi Gong groups with a total of 22 participants (n = 22) par-
perspective here. The research is grounded in the qualita- ticipated in this survey (see Table 1). In all three groups,
tive approaches, thus offering a range of epistemological, men and women aged 1874 who were able to complete
theoretical and methodological possibilities for knowledge the interview in English were eligible to participate. The
building that can be unique in content, focus, and form.15 It selection criteria included those 18 years or/and above.
has been suggested that a qualitative design is most appro- The practitioners had been practicing Qi Gong for at least
priate for such studies because it examines the effects of 3 years in the UK and were all European-Caucasian. Prior
Qi Gong as a mindfulness practice in an unlimited way to the research a formal invitation letter has been sent
and elicits a wide variety of responses from participants.16 and subsequently the author contacted the group lead-
Furthermore, incorporating these sociological insights in the ers/teachers by telephone for permission to proceed with
readers perceptions and understanding of Qi Gong practi- the study. The groups were approached by the author imme-
tioners style will enable her/him to recognise the nuances diately after their Qi Gong class, informed about the study
The sociology of Qi Gong: A qualitative study 89

Table 2 sociodemographic characteristics.

and asked whether they would consider taking part in the nised and validated by research staff at the University of
research. The sampling area was Greater London (UK), East Anglia. Topics included practitioners social percep-
and it can therefore be suggested that from a qualitative tions of others and interpersonal and group relations within
methodological standpoint the groups represented a reason- their Qi Gong group. The practitioners were also asked to
ably homogenous and purposive sample.15,18,19 This sampling express and explore in depth their lived experience during
method was selected because the author believed that the Qi Gong exercises, and were surveyed on emerging topics.
interviewees would possess the necessary knowledge and The interviews were continued until theoretical saturation
experience of the Qi Gong; provide meaningful answers was reached, which in all three groups was approximately
to the questions; and have the capability to reect and 35 min from the start. To maintain accuracy in data collec-
articulate.20 The author decided to use this sampling method tion, the author digitally recorded them using an iPod. For
because Qi Gong practitioners are experts in the eld of reliability, eld notes and personal observations and feel-
social perceptions of this form of exercise and the inten- ings were also recorded after each interview. On the day of
sity of social processes in this particular group had been each interview verbatim transcriptions were uploaded to a
presumed.21 computer and transferred from WAV to MP3 format to serve
The phenomenological approach was chosen because the as raw data for the study.
social perceptions of Qi Gong practitioners are dynamic,
contextual and subjective, and have been relatively under-
studied. By focusing in depth on the explicit experiences Data analysis
of Qi Gong practitioners this study builds upon the authors
sociological insights to reveal the underlying phenomena. The data were analysed using inductive content and the-
With this approach, truth and meaning emerge through matic analysis across and within groups. In this process the
individuals interactions between multiple constructions of author generated nine code categories directly from the
reality and need to be understood within their social situa- transcript that were subsequently redened and resulted
tional context.22 in twelve categories and created new understandings of Qi
Gong practice with varied levels of specicity, and then the
topics were examined in relation to the their literal and the-
Ethical considerations oretical replications.15,23 According to Krippendorff24 , this
may ensure formalisation and so the ndings can be easier
Ethical approval was obtained from the Faculty of Health to replicate and/or validate. Finally, connections were made
Research Ethics Committee. All names have been changed between responses where the level of abstraction was com-
to protect condentiality. All three groups agreed to par- parable. This resulted in a list of themes on similar levels of
ticipate, and all Qi Gong practitioners in the three groups abstraction and supporting statements regarding social per-
consented to participating. There was no nancial reward ceptions of Qi Gong, perception of others and individual and
for participants. group relations that can be found in the transcript within
the text. No computer software has been used to analyse
Data collection the data.

Prior to the interview, participants were asked to complete


a questionnaire which collected their demographic data (see Results
Table 2). In order to collect qualitative research data semi-
structured group interviews were held. The semi-structured Qi Gong, interpersonal relationships and health
focus group interview has the characteristics of a discussion
as well as of an interview and thus allows interviewees a It has been suggested that evaluation of the rigor of a
partial degree of exibility. It is currently a very popular qualitative study is based, in part, on the logic of the
method of data collection in many elds of applied social emerging theory and the clarity with which it sheds light
research.17 When asking questions, the researcher kept to on the studied phenomenon.14 Therefore to ensure scien-
a semi-structured questionnaire with open-ended questions tic rigor and the reliability of the research outcomes while
(see Appendix A). Content validity was achieved in the way analysing the research data, the author openly and scrupu-
that the structure and content of the questions were scruti- lously adhered to the philosophical perspective; existential
90 P. Posadzki

phenomenology.2528 Also, with the intention of investigat- Very sympathetic. . .I always like to exercise with this
ing what is like to be a Qi Gong practitioner within this group because they are all kind and sympathetic. . .we
social group, the author analysed the essence of the partic- all know one another. . .and relationships between us are
ipants social perceptions only as a separate and distinctive nice. . .When the group is nice it is wonderful to prac-
phenomenon embodied in the nature of these exercises. Par- tice.
ticipants claims regarding other experiences or phenomena
She can easily label these relationships as positive and
were not included in the data analysis. During this pro-
see them as benecial. She is keen on exercising with this
cess common themes emerged from the responses, and the
particular group and admires the social dimension of Qi
author noticed that from the phenomenological perspec-
Gong. The quality, strength and dynamics of the social rela-
tive it was relatively simple to categorise the participants
tionships may simply encourage a layperson to exercise.
interpretations into similar domains of social experience
However, Kate adds:
reecting the ontological richness of these classications.
Thus the author rst presents an overview of opinions about But during seminars there were students from diverse
the perception of others during Qi Gong exercises. A highly backgrounds. . .and the presence of other people some-
sophisticated multiplicity and diversity of social experiences times disturbs. . .one cannot always feel good.
are presented below.
When group members were asked about their per- This may be related to the specicity of the energy
ception of others during Qi training Agnes responded present in such a diverse group during seminars and the fact
rst: that the group dynamic is weak: people simply do not know
one another. To some extent, this is in line with Agnes, who
It is hard to do not feel it [laugh]. It means that I exactly says:
know that somebody else exercises next to me, but I am
ok with that, right. . . Sometimes somebody can distract you. . .when I see that a
friend does wrongly, she distracts me. . .[the whole group
Sandra perceives energy as a vital force moving in her laughs] I simply see this movement goes uently. . .so that
body and when asked about her perception of others during it is better to exercise when somebody is skilled.
Qi training she responded:
This is a generally observable trend; the perception of
. . .not only can I feel that somebody else exercises next to others during Qi Gong exercises is also related to the level
me and some energy is close to me but also I feel every- of ones own and others mastery. Olga says:
bodys energy slightly differently. . .Someones stronger
than the others. I could feel these people and it was a Only if I cannot do something I look at others. . .[laughs]
very specic energy. but generally no such a feeling.

She recognises the others energy and probably uses This is further supported by Brigitte, who states:
extrasensory perception rather than traditional senses.
No, absolutely! Everyone practices by her own, internally
Her level of sophistication allows her to detect the diversity
focused.
and intensity of others energy. Her feelings and affects can
in turn inuence others and their perception of group29,30 It is a truism, but as the reader will have noticed, exer-
when she further declares: cising in such a group may be benecial from the learning
perspective. Qi Gong exercises are complicated sequences
I think that it works that I am able to inuence myself but
of sometimes hundreds of movements that may be more
also other people with energy. . .at least my experiences
easily memorised thanks to others presence or help. In con-
seems to support this.
trast, Qi Gong practitioners very often have to concentrate
With a similar level of perception Samantha added: on their own self/state of mind and for a while may forget
that others are present.
If you can feel your own and surrounding energies you
can feel yourself as a part of the bigger whole [. . .] The
surrounding environment is important. . . Qi Gong, group relationships and health
What is remarkable is the sophistication and depth of The increasing interaction with the peer group provides
the participants understanding of Qi Gong and their percep- interpersonal contact and plays an important role in the
tion of others. They intentionally feel that they can transmit practitioners psychosocial development.31,32 These inter-
their own feelings such as joy and happiness to others and actions within the Qi Gong group contribute towards the
inuence their moods, feelings and emotional states. There satisfaction of the practitioners needs and provide an
is also a sense of interconnectedness within the group and opportunity for socialisation. Michael, who states this in a
between members. meaningful way, supports it:
Kate emphasises:
Its like in old good family. . .In the positive sense [laughs].
Everything depends on people you are practicing
with. . .everyone has its own unique energ. . . interper- Ed adds:
sonal relationships.
Not necessarily a family. . .It is hard to name it. . .It is
In a similar tone she encapsulates the essence of her something like a goodness. . .it manifests in such a huge
excitement: goodness.
The sociology of Qi Gong: A qualitative study 91

Qi Gong exercises are accompanied by positive experi- Discussion


ences and emotions and it seems that the group is keen to
meet once a week to practice movement forms together. Ed Overall, the participants experiences seem to reinforce and
also enjoys practicing in the group: experientially illuminate recent work by US researchers.16
Theres a difference when you exercise in the group or This study offers a useful tool for looking at some social
alone. . .theres a different atmosphere, and apart from effects of Qi Gong practice. For instance, practitioners afl-
that it is always the time that is designated to exercises, iation, self-esteem, success, and altruism needs can be met
at that time is sacred. by Qi Gong training. Secondly, Qi Gong may lead to vari-
ous interpersonal relationships within this particular social
The practitioners emphasised both the pluses and group and clearly this is in congruence with Argyle.33 Previ-
minuses of practicing alone or with the group, but it seems ous research has indicated that the better the interpersonal
that they share a diversity of mutual experiences that are relationships, the more engaged individuals are in enhanc-
embodied in the structure of social reality. ing their health and the better their prospects for future
The participants all experience the others presence as wellness and psychological health,3436 and to some extent
something pleasant related both to the characteristics of similar conclusions were made within the scope of this study.
individual group members and the exercises themselves. The author suggests that a positive interpersonal relation-
These benecial, positive social experiences may in turn ship exists between individuals in the Qi Gong group which
strengthen the physiological effects of Qi Gong exercises. can further affect the interpersonal perception of friendli-
Other experiences related to sociological processes are pre- ness, sympathy and empathy, acceptance, warmth, regard,
sented below. Their level of sophistication is common among and genuineness.37,38
presented cases. Tsang et al.39,40 performed semi-structured interviews
with Qi Gong practitioners to obtain qualitative data. They
found that Qi Gong exercises improve activities of daily
Masterstudent relationships living (ADL), social interactions and the quality of interper-
sonal relations in elderly patients,39 and therefore various
There is a sense of mutual respect and appreciation when groups of therapists may use this social component of Qi
one of the instructors claims: Gong exercises to mobilise patients pro-social behaviors.41
I think about my group exercising well. It also improves the practitioners self-identity, social well-
being and social dimension of QOL,39,40 and to some extent
In this particular instance one may notice that the a similar effect was detected in the present study. Tsang
Master empathically wants to share his or her knowledge et al.s Qigong intervention resulted in signicant changes
with others to their best advantage. The Master does not in the following subscales of quality of life: social activity,
want to hide the secrets of Qi Gong. Rather she/he cares and social limitation due to health problems in comparison
about the students performance, supports them and offers to the control.42,44 These ndings cannot be compared to
a helpful hand. The practitioners also acknowledge their the results of the present research due to methodological
instructor/Master. Agnes expresses her enthusiasm when she differences, but evidence suggests that the benets of Qi
admits: Gong exercise on personal well-being can be explained using
the social interaction theory.45 Tsang et al. also claim that
I do care about Sifu [Master] looking at me. to date this theory has been employed only rarely to anal-
The Qi Gong practitioners relationships are almost yse the benets of these mindful exercises. Earlier research
always based on trust, respect and mutual understand- by the same authors has indicated that after 8 weeks of
ing. The Master/instructor is considered the main source of Qi Gong practice the intervention group participants out-
knowledge and a moral authority within the Qi Gong group. stripped themselves in improvement in physical and social
Qi Gong group hierarchy is similar to that of the family. domains of self-efcacy compared with the control group.40
During this study the author had a sense of the groups admi- In the context of Banduras Social Learning Theory a devel-
ration of their Masters. They all looked at him or her while opment of the perception of individuals self-agency was
practicing sequences of movement and Kate captured how: also observed.46 Other studies have indicated that a Qi
Gong exercise intervention programme may improve social
During seminars I look at the Master. . .I am focused on support.4749 Analogically, quantitative methodology, dif-
him totally. . . ferent epistemological context and research tools prevent
the extrapolation and comparison of studies on social sup-
She seems to want to catch every possible detail of the
port, perceptions of individuals agency and self-efcacy
form being taught. As mentioned earlier, the Master is con-
beliefs with the results of Tsang et als study, and vice
sidered the main source of the skill, i.e. the movement
versa. However, qualitative research methods using partici-
form that he or she teaches. The practitioners role in this
pant observation have been utilised to show how Qi Gong
instance is to memorise every possible detail of such a form.
may enable individuals to overcome social stigmatisation
On the other hand the research manager observed that
and discrimination,50 which is not dissimilar to the results
sometimes the presence of the Master may interfere with
obtained by the author of the present paper.
participants responses. For instance, the author had the
Some Qi Gong practitioners in the groups surveyed had
impression that participants were impeded by a feeling that
practiced with one another for a number of years and knew
the Master was judging them, and sometimes this feeling
each other very well. There was also sense of group cohe-
was accompanied by their silence.
92 P. Posadzki

sion and solidarity. Brennan would suggest that there was Future research
a good chemistry or atmosphere in the groups interviewed,
as many statements were accompanied with laughter and More research is needed on the social dimensions of Qi
relaxation.29 It can be suggested that these social expe- Gong exercises. Mixed method approaches and in-depth
riences have been developing over the time within these interviews can reveal the complexity of Qi Gong and
specic groups and their current dynamics depend on practitioners social perceptions. Further conceptual devel-
members social competencies in areas such as commu- opments such as clinical trials investigating combinations of
nication, being friendly and polite, taking care of others Qi Gong, yoga, FM, AT and EK on low back pain or emotional
and helping them, looking for mutual similarities, assertive- wellness, for example, can be considered. Longitudinal stud-
ness and empathy. Qi Gong exercises may also lead to ies, including on cost effectiveness, may also be taken
enhanced social skills and a friendly attitude through pos- into account. Other methods of data analysis such as inter-
itive social comparisons and associated emotions, feelings pretative phenomenological analysis, meta-ethnography or
and thoughts. the grounded theory approach can be utilised and meta-
Generally, awareness of others energy and its unique- syntheses performed.
ness and diversity in terms of strength and intensity,
positive values, shared passion and positive interper-
sonal relationships is similar to the results obtained by Strengths and limitations
Chrisman and his colleagues,16 who noticed that experi-
ences of interconnectedness and interdependence during The quantitative research methods used in the majority of
Qi Gong practice may ameliorate the individualism and studies reected in Discussion section and the absence
social isolation16,51 that can lead to decreased physi- of investigation of the social dimensions of Qi Gong exer-
cal and mental health.51 Similarly, identication with the cises using qualitative methodologies limit the potential
Qi Gong community along with the exercises themselves value of this study. Also, personal subjectivism and inter-
may be holistically benecial to the health of those est in the topic(s) may have shaped some of the arguments
involved. presented. However, according to Glaser, each single case
presented within the scope of this paper can dialectically
be understood as both individual and universal, theoretically
Implications for practice saturated and representative in its data and ndings.54 The
discussion has been opened, and these concepts might and
It is worth emphasizing that Qi Gong can be performed should be part of future debate that lls existing knowledge
almost anywhere: in the patients room or ward or in specic gaps.
facilities such as a physiotherapy room or rehabilitation gym.
Individual or group sessions can be run depending on patient Conclusions
or group preference and the availability of the clinician or
Master.52
This study explores and reveals the social perceptions of Qi
When performing a group session the Master or clinician
Gong practitioners from an idiographic, phenomenological
must consider the plethora of conditions such as individuals
perspective using content and thematic analysis across and
expectations, differences in individuals cognitive abilities,
within groups. Perceptions of others during Qi Gong practice
reactivity, psychomotor skills, psycho-emotional states and
and interpersonal relationships as social phenomena can be
the dynamics within the group. The therapists capacity to
the most appropriate for encouraging social organisation,
educate his/her students and explain the essence of Qi Gong
social and intellectual progress within Qi Gong group. Also,
is also of great importance.
the dynamics of Qi Gong groups may inuence their mem-
At the end of this article the reader is also asked to
bers health and wellness indirectly, so Qi Gong classes could
form his or her own individual opinion of Qi Gongs social
increase psychological wellbeing and physical, i.e. immune
qualities, attributes and mechanisms beyond the descrip-
function, and reduce distress and disease.
tion provided and to ask why, how and on what level
it works and what effects can be expected as a result.
The inspirational answers to these questions may enhance Appendix A. The interview schedule
self-education, self-knowledge and understanding of Qi
Gongs social phenomena. One may therefore choose an Questions for the semi-structured interview of Qi Gong prac-
appropriate Qi Gong teacher and consider Masterstudent titioners
relationships; acknowledge and develop interpersonal rela-
tionships within this social group; persevere in the training 1. How long do you practice Qi Gong?
regimen and adjust and/or modify expectations to the 2. Could you please describe your experiences during Qi
actual effects.5 Gong practice?
Physiotherapists, occupational therapists, rehabilitants, 3. What do you think of other Qi Gong practitioners?
osteopaths, chiropractors, naturopathic medicine practi- 4. Do you think others can inuence on your Qi Gong per-
tioners and nurses may consider Qi Gong exercises a useful formance?
adjunct to their treatment of various groups of compromised 5. Could you please describe relationships within this Qi
patients; however it may be necessary to employ differen- Gong group?
tial diagnosis, and indications and contraindications should 6. Are you aware of any changes in health before and after
always be taken into account.53 Qi Gong practice?
The sociology of Qi Gong: A qualitative study 93

7. Can you feel the presence of others during Qi Gong exer- 22. Yin RK. Case study research: design and methods. 3rd ed. Thou-
cises? sand Oaks, CA: Sage; 2009.
23. Guba EG, Lincoln YS. Competing paradigms in qualitative
research: theories and issues. In: Denzin NK, Lincoln YS, edi-
a. Do you see/feel/perceive yourself differently? tors. The landscape of qualitative research: theories and
b. What/how does it feel like? issues. Thousand Oaks, CA: Sage; 1998.
c. Can anybody improve/compromise your Qi Gong perfor- 24. Krippendorff K. Content analysis: an introduction to its
mance? methodology. Thousand Oaks, CA: Sage; 2004.
25. Heidegger M. Being and time. Oxford: Blackwell; 2003.
26. Meinong A. On objects of higher order and Husserls phe-
nomenology. The Hague/Boston: Martinus Nijhoff; 1978.
References 27. Merleau-Ponty M. Texts and dialogues. London: Humanities
Press; 1992.
1. Litscher G, Wenzel G, Niederwieser G, Schwarz G. Effects of 28. Sartre JP. Truth and existence. Chicago: University of Chicago
QiGong on brain function. Neurol Res 2001;23(July (5)):5015. Press; 1992.
2. Jones BM. Changes in cytokine production in healthy sub- 29. Brennan T. The transmission of affect. Ithaca and London: Cor-
jects practicing Guolin Qigong: a pilot study. BMC Complement nell University Press; 2004.
Altern Med 2001;1(8) [Epub 18.10.2001]. 30. Posadzki P. The transmission of affect: the compassionate love
3. McCaffrey R, Fowler NL. Qigong practice: a pathway to in clinical and educational settings. Integr Med A Clin J; in
health and healing. Holist Nurs Pract 2003;17(MarchApril press.
(2)):1106. 31. Louw DA. Human development. South Africa: Pearson; 2002.
4. Sancier KM. Electrodermal measurements for monitoring the 32. Mossholder KW, Bedeian AG, Armenakis AA. Group process-
effects of a qigong workshop. J Altern Complement Med work outcome relationships: a note on the moderating impact
2003;9(April (2)):23541. of self-esteem. Acad Manage J 1982;25(3):57585.
5. Sancier KM. Therapeutic benets of qigong exercises in com- 33. Argyle M. Social skills and health, vol. 1. Taylor & Francis; 1981.
bination with drugs. J Altern Complement Med 1999;5(August 34. Auerbach SM, Clore JN, Kiesler DJ, Orr T, Pegg PO, Quick
(4)):3839. BG, et al. Relation of diabetic patients health-related con-
6. Lee MS, Pittler MH, Guo R, Ernst E. Qi Gong for hypertension: trol appraisals and physicianpatient interpersonal impacts to
a systematic review of randomized clinical trials. J Hypertens patients metabolic control and satisfaction with treatment. J
2007;25(August (8)):152532. Behav Med 2002;25(February (1)):1731.
7. Xin L, Miller YD, Brown WJ. A qualitative review of the role of 35. Fisher L, Weihs KL. Can addressing family relationships improve
qigong in the management of diabetes. J Altern Complement outcomes in chronic disease? Report of the National Working
Med 2007;13(May (4)):42733. Group on family-based interventions in chronic disease. J Fam
9. Posadzki P, Parekh S, Glass N. Yoga and Qi Gong in the psy- Pract 2000;49(June (6)):5616.
chological prevention of mental health disorders: a conceptual 36. Shefeld M, Carey J, Patenaude W, Lambert MJ. An explo-
synthesis. Chin J Integr Med; in press (corrected proof). ration of the relationship between interpersonal problems and
10. Posadzki P, Stockl A, Mucha D. Qi Gong exercises and psychological health. Psychol Rep 1995;76(3 Pt 1):94756.
Feldenkrais method from the perspective of Gestalt concept 37. Janowsky DS. Depression and dysphoria effects on the inter-
and humanistic psychology. J Bodywork Movement Ther; in personal perception of negative and positive moods and
press (corrected proof). caring relationships: effects of antidepressants, amphetamine,
11. Posadzki P. Qi Gong exercises through the lens of Alexan- and methylphenidate. Curr Psychiatry Rep 2003;5(December
der technique: a conceptual congruence. Eur J Integr Med (6)):4519.
2009;1(2):8792. 38. Kennedy S, Kiecolt-Glaser JK, Glaser R. Immunological con-
12. Posadzki P, Parekh S, ODriscoll ML, Mucha D. Qi Gongs rela- sequences of acute and chronic stressors: mediating role of
tionship to educational kinesiology: a qualitative approach. J interpersonal relationships. Br J Med Psychol 1988;61:7785.
Bodywork Movement Ther 2010;14(1):739. 39. Tsang HW, Fung KM, Chan AS, Lee G, Chan F. Effect of a qigong
13. Roeckelein JE. Social perception and the social class-mental exercise programme on elderly with depression. Int J Geriatr
illness relationship: new research or beating a dead horse? In: Psychiatry 2006;21(September (9)):8907.
Zebrowski JA, editor. New research on social perception. Nova 40. Tsang HW, Mok CK, Au Yeung YT, Chan SY. The effect of Qigong
Science Publishers, Inc.; 2007. on general and psychosocial health of elderly with chronic
14. Burns N, Grove SK. The practice of nursing research: con- physical illnesses: a randomized clinical trial. Int J Geriatr
duct, critique, and utilization. Philadelphia: Elsevier Health Psychiatry 2003;18(May (5)):4419.
Sciences; 2005. 41. Witt C, Becker M, Bandelin K, Soellner R, Willich SN. Qigong
15. Hesse-Biber SN, Leavy P. The practice of qualitative research. for schoolchildren: a pilot study. J Altern Complement Med
London: Sage; 2006. 2005;11(February (1)):417.
16. Chrisman AJ, Christopher JC, Lichtenstein SJ. Qigong as a mind- 42. Cheung BM, Lo JL, Fong DY, Chan MY, Wong SH, Wong VC, et al.
fulness practice for counselling students: qualitative study. J Randomised controlled trial of qigong in the treatment of mild
Hum Psychol 2009;49(2):23657. essential hypertension. J Hum Hypertens 2005;19(September
17. Robson C. Real world research. Oxford: Blackwell Publishing; (9)):697704.
2002. 44. Grifth JM, Hasley JP, Liu H, Severn DG, Conner LH, Adler LE.
18. Silverman D. Doing qualitative research: a practical handbook. Qigong stress reduction in hospital staff. J Altern Complement
London, Thousand Oaks, CA: Sage Publications; 2005. Med 2008;14(October (8)):93945.
19. Silverman D. Interpreting qualitative data: methods for ana- 45. Chow YW, Tsang HW. Biopsychosocial effects of qigong as a
lyzing talk, text, and interaction. London: Sage; 2006. mindful exercise for people with anxiety disorders: a spec-
20. Morse JM. Determining sample size. Qual Health Res ulative review. J Altern Complement Med 2007;13(October
2000;10(1):35. (8)):8319.
21. Patton MQ. Qualitative evaluation and research methods. 3rd 46. Lee MS, Lim HJ, Lee MS. Impact of qigong exercise on
ed. Thousand Oaks, CA: Sage; 2002. self-efcacy and other cognitive perceptual variables in
94 P. Posadzki

patients with essential hypertension. J Altern Complement 52. Posadzki P. Soft and hard Qi Gong: a review of similarities,
Med 2004;10(August (4)):67580. differences and underlying principles. Integr Med: A Clin J; in
47. Blake H, Batson M. Exercise intervention in brain injury: a pilot press.
randomized study of Tai Chi Qigong. Clin Rehabil 2009 February 53. Posadzki P. Qi Gong and physiotherapy: a narrative review and
23. conceptual synthesis. Eur J Integr Med 2009;1(3):13944.
48. Luskin FM, Newell KA, Grifth M, Holmes M, Telles S, DiN- 54. Glaser B. Theoretical sensitivity. Mill Valley, CA: Sociology
ucci E, et al. A review of mind/body therapies in the Press; 1978.
treatment of musculoskeletal disorders with implications for
the elderly. Altern Ther Health Med 2000;6(March (2)):46
56.
Further reading
49. Mannerkorpi K. Exercise in bromyalgia. Curr Opin Rheumatol
2005;17(March (2)):1904. 8. Giddens A, Grifths S. Sociology. Oxford: Blackwell Publishers;
50. Siu JY, Sung HC, Lee WL. Qigong practice among chronically ill 2006.
patients during the SARS outbreak. J Clin Nurs 2007;16(April 43. Craske NJ, Turner W, Zammit-Maempe J, Lee MS. Qigong ame-
(4)):76976. liorates symptoms of chronic fatigue: a pilot uncontrolled study.
51. DeAngelis T. America: a toxic lifestyle? Monit Psychol Evid Based Complement Altern Med 2008 July 15.
2007;38:502.

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