Posted on October 28, 2009 by adiemusfree
Let’s explore the proposed mechanisms in hypnosis as I wander through the subject this week.
According to some researchers, response expectancies, or ‘the expectation of one’s own non-volitional reactions to situational cues’ are thought to play a major part in both hypnosis and placebo responding. Let’s translate that: a person’s belief that they will respond to [...]
Filed under: Cognitive behavioral therapy, Coping Skills, health, pain, psychology, research | Tagged: health, Chronic pain, research, pain, psychology, hypnosis, science, placebo, cognitive behavioural therapy, coping strategies, pain relief, analgesia, expectancies | 1 Comment »
Posted on October 27, 2009 by adiemusfree
After briefly looking at hypnosis yesterday, I found this lovely case study written by Leora Kuttner of an 11 year old girl with problems going off to sleep, including tummy pain and anxiety.
The girl had been through CBT, and introduced to the idea that she had a ‘worry bug’, and that the way to rid [...]
Filed under: Chronic pain, Coping Skills, Relaxation, Resilience, health, pain, psychology | Tagged: acceptance, Chronic pain, cognitive behavioural therapy, health, hypnosis, mindfulness, pain management, psychology, relaxation, therapy, treatment | 4 Comments »
Posted on October 26, 2009 by adiemusfree
There are plenty of people who look at me as if I’m stepping right into woowoo when I start to talk about hypnosis for managing chronic pain. I’m happy to say that science has provided some good evidence that not only does hypnosis have a neurophysiological basis, but it also has some good effect.
What [...]
Filed under: Biofeedback, Chronic pain, Coping Skills, health, pain, psychology, research | Tagged: biopsychosocial, Chronic pain, coping strategies, health, healthcare, hypnosis, mindfulness, neurophysiology, psychology, research, supraspinal neurophysiology, therapy | 3 Comments »
Posted on October 22, 2009 by adiemusfree
After writing about teams and models and the distinct possibility of talking past each other, I had a very quick search for a paper on teamwork and models this morning, and came across this one by a group of Canadian researchers. It is, like many of these pieces of research into the messy and [...]
Filed under: Chronic pain, Clinical reasoning, Groupwork, Return to Work, health, occupational therapy, pain, psychology, research, therapy | Tagged: Clinical reasoning, health, healthcare, occupational therapy, pain, pain management, physiotherapy, psychology, rehabilitation, research, Return to Work, RTW, teamwork, therapy, treatment, values | Leave a Comment »
Posted on October 12, 2009 by adiemusfree
It’s a truism that no-one really wants to have pain (and if they do, we probably need to ‘talk’!). Accepting pain may be equated with ‘giving up hope’ or ‘giving in’ – perhaps acceptance is thought to be about resignation rather than acknowledgement. In any event, very few of the people I work with seem [...]
Filed under: Chronic pain, Low back pain, Resilience, health, pain, psychology, research, therapy | Tagged: acceptance, biopsychosocial, Chronic pain, cognitive behavioural therapy, coping strategies, function, health, mindfulness, Motivation, pain, pain management, psychology, research, Resources, therapy | Leave a Comment »
Posted on September 30, 2009 by adiemusfree
NB: this post is opinionated. It represents my own opinions and not those of my employer, my colleagues, my family or my dog. It’s mine all mine.
If there is something that gets me really riled up, it’s bullying. Maybe I had too much bullying when I was a kid, maybe I just believe in [...]
Filed under: Chronic pain, health, therapy | Tagged: bullying, Chronic pain, ethics, FCE, functional capacity evaluation, health, healthcare, occupational therapy, physiotherapy, psychology, reports, therapy | 4 Comments »
Posted on August 25, 2009 by adiemusfree
NB: The following rant does not reflect the opinions of my employers, colleagues, family or pets! It is MY opinion!
I feel rather weary today, having come to a realisation that although pain management as a field of work has become much more recognised, there are some serious differences of opinion around approach and priorities between [...]
Filed under: 'Pacing' or Quota, Chronic pain, Coping Skills, cognitive behavioural therapy, health, pain, psychology, therapy | Tagged: biopsychosocial, CBT, Chronic pain, Clinical reasoning, cognitive behavioural therapy, function, health, healthcare, occupational therapy, pain management, physiotherapy, psychology, self management, therapy, treatment | 4 Comments »
Posted on August 25, 2009 by adiemusfree
Let me start by saying this post is conjecture, but based both on observing patients, and after reading an interesting paper on ’subtle avoidance and safety behaviours relevant to social anxiety’.
First some definitions: I hope you’re all familiar with the term ‘kinesiophobia’, or ‘fear of movement’ – it’s the fear and avoidance of movements that [...]
Filed under: Chronic pain, Coping Skills, Low back pain, assessment, back pain, pain, psychology, research, therapy | Tagged: activity, anxiety, assessment, avoidance, Chronic pain, coping strategies, disability, fearf, health, kinesiophobia, Low back pain, occupational therapy, pain, pain management, pain-related anxiety and avoidance, physiotherapy, psychology, research, therapy | 1 Comment »
Posted on August 19, 2009 by adiemusfree
I have a bit of a theme happening – health care interactions. I think it’s because this week I’ve been talking about this with patients, and it seems to be something that either raises the hackles or fills them with gratitude! Anyway, I was glad to find this paper the other day on [...]
Filed under: Chronic pain, Cognitive behavioral therapy, Education/CME, health, pain, research | Tagged: change, Chronic pain, Clinical reasoning, communication, empathy, health, occupational therapy, pain, patient-clinician interaction, physiotherapy, psychology, rehabilitation, research, therapy | 4 Comments »
Posted on August 10, 2009 by adiemusfree
For a long time I thought everyone thought about what they think about, how they think about it, and what their thinking concluded – now I know that some people never do this and live on simply following the rules (and probably having a fun and relaxed time of it!). I, on the other hand, [...]
Filed under: Chronic pain, Clinical reasoning, Cognitive behavioral therapy, Cognitive skills, health, pain, psychology, therapy | Tagged: health, methodology, models, pain management, peer review, psychology, science, supervision, theory, therapy | Leave a Comment »