Emotions and self-regulation in chronic pain

I posted about the reciprocal effect of emotions on goal content and today I want to look a little further into this.
A profound statement in the paper by Hamilton, Karoly & Kitzman is this: ‘If emotional well-being influences the selection and the valuation of a particular goal, then it is likely that the relationship between [...]

Chronic pain management is NOT just like ‘any other chronic disease’

The other day someone said to me that managing chronic pain was just the same as managing something like diabetes, hypertension, asthma or any other chronic disease.  It irked me at the time and I couldn’t put my finger on just what it was that bothered me, but after a couple of days thinking about [...]

I’m so tired of coping: Self regulation, executive functions and chronic pain

Changes take energy – that’s nothing new, I know, but perhaps something as clinicians we might forget when we work with people who have chronic pain. I was thinking about this as I’ve had a week away from regular blogging so I could focus on writing and some self care.  Things are busy and [...]

A recording or the real thing?

I’m musing about an article I read while browsing the internet looking for information on hypnosis. It’s from the BBC – you can read it here – where it is announced that a recording of guided imagery is useful for kids with abdominal pain, saying ‘they can imagine themselves in scenarios like floating on [...]

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 [...]

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 [...]

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 [...]

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 [...]