Self regulation – what it is and what to do

So, if self regulation is about exerting control over thoughts, feelings, actions and physiology, how does it work?
When I skipped through some Google references last night (o font of all knowledge!) I found a good number of sites referring to self regulation and children – but not nearly as many relating to adults, or the [...]

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 [...]

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 [...]

That old mind-body thing again…

Editor’s Selection IconI am not a philosopher.  Neither am I very conversant in the arguments around consciousness.  But working in pain management means the mind-body debate is something I run into now and again.  Is pain all about the body? Is pain all about the mind? Or is it both?  Which influences the other?
This debate [...]

Feeling the pain: distraction/relaxation or exposure

It’s not the pain, it’s the judgement of the pain that makes it so distressing – or at least, that’s how the cognitive behavioural model of pain views our experience of pain. As a result, most pain management therapies working to help people manage when their pain can’t be removed involves reviewing how people [...]

ACT – some evidence for acceptance & commitment therapy in chronic pain

For a relatively young therapy, ACT has a lot of research to support its use in chronic pain. A very quick search through PsychInfo located 51 studies since 2002 with the keyword ‘acceptance’, and the majority of these (I didn’t count them up!) were related to ACT studies.
I’m not intending to run through a [...]

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 [...]

What is an acceptable outcome?

Recently I’ve been doing some content analysis of the responses people entering our service have to the question ‘What is your goal for pain management?’ The question is designed to find out what it is that people want so that in some way we can work to meet their expectations.
Along similar lines I’ve been [...]

Self-care or medical care for low back pain: what patients want

For a while I’ve been asking what constitutes ’self management’ for chronic pain. On the one hand there are a group of people who firmly believe that regular medical treatment (including injections every three months or so) is a perfectly legitimate way to maintain a normal life. On the other hand there are people [...]