A Journey with Chronic Pain: Self-Directed Learning as Survival.

Over the past 20 years in the USA, increased insurance control of healthcare decisions, litigation and regulations, have contributed to a dramatic shift in the doctor-patient relationship and respective responsibilities. This paper presents an autoethnographic study of the self-directed learning (SDL) strategies and patterns used by an individual navigating the complexities of not only chronic pain, but also healthcare decision making over ten years. The study and discussion examine the experience within the lens of SDL (Self Directed Learning) and demonstrate its power to transform passive patient behavior to proactive responsibility. This study specifically reveals SDL strategies used in a chronic pain healthcare journey including, self-planned learning, inquiry methods, self-education, self-instruction, self-teaching, and self-study. My travels through urgent and confounding situations were propelled by healthcare processes that failed. The paradigm of self-directed learning holds promise for mainstream recognition in personal healthcare.