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Awful Biopsychosocial Pain Article (mentions FM/CFS/ME)

Discussion in 'Other Health News and Research' started by Old Bones, Nov 13, 2016.

  1. Old Bones

    Old Bones Senior Member

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    I wasn't sure if I should post this in "Joke of the Day", or news. Here's the link to an article called "Is your mind at fault for your chronic back pain": http://www.thesangaiexpress.com/mind-fault-chronic-back-pain/

    Replace the words "back pain" with "ME" and you'd think he was writing about us, which he actually did at one point. Here are my favourite comments:

    "This column is a kind of new prescription to rid people the heebie-jeebies of one of the greatest disabilities and socially superfluous blob of chronic back pain." What???

    "In Britain where I live with a population of 64 million and where people get paid for being off work (National Health Security Benefit) . . . While I was practising, it was very difficult to sign off anybody that he was pain free, based on the absence of physical signs. . . More men complained of back pain than women . . .Women as tougher housewives, were more mentally resolute and less weepy." Way to go, women (for a change)!

    "There is a curious disease called Fibromyalgia [Chronic Fatigue Syndrome or Myalgic Encephalomyelitis (ME)], which is more psychological than physical. I've seen a score of them. There are no physical signs. Diagnosis depends on the narrative of the patient about unexplainable pain all over the body with extreme tiredness. They are mostly women, complaining of inability to bend to do household chores." Oops, spoke too soon about those pesky housewives.

    "A study published in the British Medical Journal found that people with long term back pain showed fewer improvements after spinal fusion surgery than with "cognitive intervention" (psychological counselling) with targeted exercises. Long-standing back pain remains a cryptic genre where visceral and emotional reaction is the whole point. Here comes David Rogers (author of referenced book) with 20 years' experience and brainstorm ideas. He has done research and identified psychological and social factors including depression and anxiety that indicate how long the pain would last, and the disability would continue, though pain is nothing to do with physical factors. He believes thinking patterns affect back pain and there are different techniques that can help. His method is called "biopsychosocial". . . . Rogers is saying that chronic back pain is mostly in the mind."

    "More importantly, patients are taught to identify their thinking patterns that could be making their pain worse. Many studies of the psychology of back pain shows that 'fear of moving' in case you'll cause damage and thus losing self-confidence, causing distress with anxiety and depression, is the usual 'thinking pattern' in people with persistent back pain."

    Gee, I sure feel better educated now. Anyone wishing to respond can contact the writer at:
    irengbammmsingh@gmail.com

    But, after visiting the author's website, I'm not sure it's worth the trouble. www.drimsingh.co.uk
     
    Woolie, ScottTriGuy, leela and 4 others like this.
  2. Valentijn

    Valentijn Senior Member

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    Sounds like another prejudiced quack who can't understand disease definitions (FM is not ME/CFS), much less the research into them.
     
  3. Snowdrop

    Snowdrop Rebel without a biscuit

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    :rolleyes: Always good when the clueless out themselves.
     
  4. erin

    erin Senior Member

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    This is terrible. Truly awful.
    One of my friend forced by her GP to attend to a pain clinic, she was handled by the above sort of mentality management there. They messed her so much, both psychologically and physically she is not only ended up disabled and very depressed. She lost all her confidence, a sharp talented lady she was. Now housebound, broke and severely depressed. I am so upset for her.
    I don't know how can one deal with these fascists?
     
  5. sarah darwins

    sarah darwins I told you I was ill

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    Ah, all is clear. A few months ago he read Suzanne O'Sullivan's book:

    http://www.drimsingh.co.uk/2015/08/...physical-illness-caused-by-our-stressed-mind/

    He's a retired doctor who spent much of his career in Bradford, UK. He now seems to spend his days pontificating on everything under the sun (some of his musings are quite entertaining in a bonkers sort of way).

    He's not worth worrying about, except as an example of the damage done by O'Sullivan's brand of gosh-isn't-the-mind-an-amazing-thing-who'd-have-thought-it-where's-my-royalty-cheque brand of pop science twaddle.
     
  6. Barry53

    Barry53 Senior Member

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    upload_2016-11-13_19-6-51.png

    Where is this person ...
    upload_2016-11-13_19-8-53.png
    ... coming from?

    Cannot help laughing, it is hilarious really.
     
    Last edited: Nov 13, 2016
  7. alex3619

    alex3619 Senior Member

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    Run the wrong tests, find no problems, declare problems don't exist, this has a very long history.
     
    MEMum likes this.
  8. sarah darwins

    sarah darwins I told you I was ill

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    It's okay. He doesn't know either. In that piece triggered by the O'Sullivan book he recounts how he cured his IBS by taking a walk round a lake every evening. At least, he thinks it was IBS. He's not too clear about that, either.
     
  9. Barry53

    Barry53 Senior Member

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    IBS of the brain maybe.
     
  10. IreneF

    IreneF Senior Member

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    He's unclear on the concept of the "strength" of the immune system. If you are infected by a rhinovirus, but don't have cold symptoms, your immune system--at least the parts that are supposed to go after those viruses--is
    underactive.

    And why, why, why is fibromyalgia associated with CFS/ME?
     
    Webdog likes this.
  11. TiredSam

    TiredSam The wise nematode hibernates

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    GreyOwl, actup, AndyPandy and 11 others like this.
  12. worldbackwards

    worldbackwards A unique snowflake

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    I got that, from a psychiatrist no less. Clearly it's a dangerous business.
     
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  13. TiredSam

    TiredSam The wise nematode hibernates

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    "you think too much" does of course mean "you think more than I do, which can't be right."
     
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  14. RogerBlack

    RogerBlack Senior Member

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    Neglecting the other points, this may not be incorrect for some viruses - I have not checked for rhinos.
    In general, for viruses that do not kill cells in large numbers (most disease causing viruses that make you feel bad, but nearly all people recover from), the symptoms are not caused by the virus, but by the reaction of the immune system to the virus.
    Damping down some aspects of the immune system can, while not affecting much the eventual clearance of the virus, greatly reduce symptoms due to the immune reaction to that virus.
     
    actup likes this.
  15. worldbackwards

    worldbackwards A unique snowflake

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    He reminds me of this chap.



    I'm sure I've seen this doctor.
     
    Last edited: Nov 15, 2016
    GreyOwl, actup and erin like this.
  16. erin

    erin Senior Member

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    League of gentleman. They were bonkers. I loved it though. "You my wife!"
     
    actup likes this.

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