A brief ponder

Complete opinion today…!
I’m pondering why we as clinicians can be so scared about increasing our patient’s pain levels. And why patients are so fearful of increases in pain.
I spoke with a new group of people starting a pain management programme yesterday. I told them, as I tell all the new groups, that their [...]

A Prospective Analysis of Acceptance of Pain and Values-Based Action in Patients With Chronic Pain

Lance M. McCracken and Kevin E. Vowles
These two researchers have been publishing more and more on acceptance and values and Acceptance and Commitment Therapy (ACT) and Contextual Cognitive Behavioural Therapy (CCBT), and this paper is another example of the type of work being undertaken.
The objective was to ‘prospectively investigate the combined processes of acceptance of [...]

Science and therapists

I’ll admit I’ve been warped a little by psychologists. No, I haven’t learned to blame my parents for how I’ve turned out (that’s why my mother wouldn’t let me study psychology when I left school!), but psychology as a field of science has definitely made me more thoughtful and critical of how I make [...]

Accepting Low Back Pain: Is It Related to a Good Quality of Life?

Victoria L. Mason, Beth Mathias, and Suzanne M. Skevington
This study examines an area of disability ‘adjustment’ that is becoming increasingly important in to therapists and others interested in what helps someone develop readiness to adopt self management rather than an ongoing search for a ‘cure’.
Acceptance refers to ‘a willingness to have pain without [...]

The future of psychological management of chronic pain

One of my guru’s in chronic pain is Dr Lance McCracken from University of Bath.
I found this great powerpoint presentation, with his voiceover today, on the future of psychology in chronic pain. A great lecture that is well worth saving some time and listening to. Grab a couple of colleagues, a bottle of [...]

Task Persistence - the least used coping skill

Apart from pacing, there can be few coping strategies that people dislike more than task persistence.
What is task persistence and why do people dislike it?
Task persistence is about maintaining activity despite fluctuations of pain intensity - allowing pain to increase without stopping. Isn’t that pacing, you say? Well, perhaps part of pacing … [...]