Semantic differential techniques in the identification of individuals assessment of health state: A case study of a patient within a homoeopathic regime

A retrospective study of patients (n = 166) on a wheat free diet showed improvements in patients diagnosed as wheat sensitive over patients not so diagnosed (p = 0.05). Clinical history indicated marked differences between these groups in perceptions of health. Individual follow up studies indicated that a Semantic Differential grid, derived from a patient group (n = 20) through semantic and repertory techniques, was a good indicator of these clinical perceptions. The results of one patient in this group are presented and show the typical results obtained by principal component analysis of the semantic grid administered over two visits to the hospital. Patient perception of well being shown by the grid analysis was confirmed by clinical history. The implications of this semantic approach for patient self reporting and clinical counselling are discussed. Larger scale studies are currently being planned on wheat sensitivity and associated psychological effects, using a variety of psychological measures, in a large range of patient groups (including Myalgic Encephalomyelitis, Multiple Sclerosis and Rheumatoid Arthritis).