Some months ago I wrote a blog post about fibromyalgia, and mentioned that a group of clinicians seem to believe that psychosocial issues are not important when nociception can be abolished. A commentator took issue with my comment, and I very quickly amended the post. You can read the amended version here.
I also offered an invitation to the people who were offended by my statement that : if you’re able to demonstrate HOW you integrate biopsychosocial approaches in your practice, I’ll publish it.
Today, however, I found out that the AFMM has written to the University and wishes me to be censured, and that I should apologise for that blog post.
I wrote that post pointing the finger at a specific group of clinicians, and I apologise for causing them offence. I sincerely do not want to point the finger at any clinician who integrates biopsychosocial aspects of pain and pain management into their practice.
As I stated in my amendment to that post, it’s simplistic to suggest a single discipline is at fault, but any profession that does not address the person as a whole (person-in-context) and particularly the psychosocial factors (because they’re so strongly associated with longterm disability associated with pain), needs to take a good look at the broad pain literature.
The AFMM is aware that the post was immediately amended. The invitation to publish a post showing how the psychosocial factors are addressed by this group of clinicians remains open – I welcome open discussion because the practicalities of HOW to incorporate all three elements of the model needs to be discussed widely to help reduce the risk to people with pain, especially those who are at risk of developing ongoing disability associated with their pain.
That’s the beauty of social media – we can ALL contribute to the discussions, clinicians, academics and patients alike. I’ve had a wonderful response to posts I’ve written over the years I’ve been blogging (since 2007). Over 1 million hits from all around the world in that time, many from patients but even more from clinicians. I see blogging as a really useful way to extend the conversations beyond the closed doors of the clinic, and the offices in the ivory towers, and the associations and faculties and other regulatory bodies. Some people don’t like what I post, others welcome what I write – whatever reaction in response to a blog post means people are thinking about chronic pain. And that is a good thing.