Back to basics about psychosocial factors and pain – iv

Part of the definition of pain is that it is “a sensory and emotional experience” – in other words, emotions of the negative kind are integral to the experience of pain. Is it any wonder that poets and authors have written so eloquently about the anguish of unrelieved pain? As I write this, I’ve been pondering the way “psychosocial” has been used when discussing pain, as if those factors aren’t experienced by “normal” people, as if the way we feel about pain and the way people who struggle with their pain feel are two entirely different things. Chris Eccleston, someone I admire very much, writes about a “normal psychology of chronic pain” and makes some incredibly useful points: that pain is a normal feature of human life. Pain is an everyday occurrence (watch kids playing in a playground – every 20 minutes kids communicate about pain, Fearon et al, 1996). In New Zealand one in five people report experiencing pain lasting six months or longer. Pain really is all around us – and it’s normal and indeed part of the experience itself, to feel negative emotions such as fear, anger, sadness, anxiety, and such when we’re sore. So why have emotions been lumped in with “other factors” as part of the negative way psychosocial factors are interpreted today? I personally think it’s partly a hangover, in NZ at least, from the way our stoic forebears viewed “weakness”. T...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice Therapeutic approaches biopsychosocial Clinical rea Source Type: blogs

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Publication date: Available online 15 January 2020Source: Neuroscience &Biobehavioral ReviewsAuthor(s): Kim Fricke, Susanne VogelAbstractFRICKE, K. and S. Vogel. How interindividual differences shape approach-avoidance behavior: Relating self-report and diagnostic measures of interindividual differences to behavioral measurements of approach and avoidance. NEUROSCI BIOBEHAV REV XX(X) XXX-XXX, XXXX. -Responding to stimuli in ambiguous environments is partially governed by approach-avoidance tendencies. Imbalances in these approach-avoidance behaviors are implicated in many mental disorders including anxiety disorders, p...
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General surgery residents encounter frequent mistreatment by patients as well as attending physicians that leads to burnout and suicidal thoughts. This is the finding of a cross-sectional national survey of general surgery residents, which found that more than 50% of general surgery residents report some form of mistreatment (N Engl J Med. 2019;381:1741-1752). Mistreatment included […]
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When you have eliminated wheat and grains from your life, odd things happen when you get re-exposed. First of all, you’ve lost the partial–partial, never total–tolerance to some of the adverse effects of wheat and grains, and they come back with a vengeance upon re-exposure. And it’s not just due to the “gluten.” Those of you hanging around here understand that there is far more to wheat and grains than gluten, such as reactions to the bowel toxicity of wheat germ agglutinin, or the mind “fog” of gliadin-derived opiate peptides, or allergic reactions to alpha amylase inhibito...
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“Bernard also laughed; after two grams of soma the joke seemed, for some reason, good. Laughed and then, almost immediately, dropped off to sleep.” — Aldous Huxley, Brave New World It’s been a tough few years for benzodiazepines, the pharmaceutical industry’s top-selling family of prescription drugs. Tough in every way, that is, except sales: Xanax remains the world’s most popular pill, and U.S. prescriptions for it and other benzos grow by 12 percent every year. It’s their reputation, long enjoyed, as harmless and effective medicines that’s taking a flurry of hits — so...
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