Hypnosis: Response expectancies?

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 [...]

It was a piece of cake! Hypnosis for sleep and tummy pain

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 [...]

Hypnosis for chronic pain management: How it works maybe?

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 [...]

It’s hard work researching teamwork

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 [...]

Acceptance in chronic pain

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 [...]

On coercion and ethics

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 [...]

Real world outcomes still matter: why medical and psychological is not enough in pain management

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 [...]

Safety behaviours – do they maintain kinesiophobia?

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 [...]

It’s not what you say, it’s the way that you say it?

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 [...]

Thinking about thinking…

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, [...]