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The role of high expectations of self and social desirability in emotional processing in IBS

Discussion in 'Other Health News and Research' started by Dolphin, Sep 5, 2017.

  1. Dolphin

    Dolphin Senior Member

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    (Looks like it might be annoying but I don't have time to look into it)

    Free full text: http://onlinelibrary.wiley.com/doi/10.1111/bjhp.12264/full

     
    Joh, barbc56, AndyPR and 6 others like this.
  2. Skycloud

    Skycloud Senior Member

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    Skimmed through; it is annoying*.

    annoying* - I'm expressing my emotion because, you know, I don't want to make my IBS worse.
     
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  3. Mrs Sowester

    Mrs Sowester Senior Member

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    Cows milk causes my IBS. BS like this just raise my blood pressure.

    @Skycloud you really made me laugh out loud :)
     
  4. SilverbladeTE

    SilverbladeTE Senior Member

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    The role of stupidity, selfishness and sociopathy in ignoring facts amongst psychiatrists/psychologists with Irritating Bastard Syndrome: A qualitative study

    There, fixed the title for the assholes!
    ;)

    never-argue-with-stupid-people-mark-twain.jpg
     
  5. Wonko

    Wonko Senior Member

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    The other side.
    Have they got some form of template/paper generator? Coz apart from the subject and a few numbers that obviously no one ever checks, all these papers look the same, at least to me.
     
  6. daisybell

    daisybell Senior Member

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    *#@&$€¥!
    What this study really shows...
    People with IBS have emotions too - no really, it's true, they do......
    IBS is unpleasant, and might make you feel a bit more emotional, which you might cope with in a variety of ways....no sh*t Sherlock :bang-head:
    Most researchers are quite stuck in their ways and will hold onto irrational beliefs, trying to present ongoing evidence as to why their beliefs are in fact 'the truth'!
     
  7. Hutan

    Hutan Senior Member

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    Yes, I had exactly the same thought as I realised that my response to this is the same as others I have written for other papers.

    i.e.
    What type of person with <IBS> would be in a position to, and willing to, participate in a research study? And not just any research study but one likely to suggest that the illness is related to a person's personality?

    Answer:
    * most likely women (more women diagnosed with <IBS> than men)
    * well-educated people (have the resources to seek treatment, want to contribute to science)
    * people motivated to work hard to get better
    * people open to the idea of psychosomatic illness and self-blame (more skeptical self-asured people, more certain that their personality isn't a significant factor in their illness, would tell the researchers what they could do with their patient-blaming survey)

    It's therefore not surprising that the participants were found to tend to have the following characteristics:
    * High expectations of self
    * Bottling up negative emotions for social desirability reasons

    So, this study may possibly say something accurate about the personalities of the particular participants in this study. But it doesn't move the understanding of <IBS> forward at all.
     
  8. A.B.

    A.B. Senior Member

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    This might just show the evil genius of Freud: make vague statements about emotions being the cause of the illness, and how "opening up" will bring relief, and the patients will go along with this, dutifully talking about all their repressed emotions and conflicts and how they are surely related to the illness. The patients have been told this cleansing ritual will cure them and they go along with it. Since this can lead to self blame and feelings of hopelessness when the promised improvement doesn't materialize, this is actually not harmless. Concrete proof of any such emotional causes in IBS will of course never be obtained. More indirect harm can result from biological investigation being neglected as consequence of these psychological models being promoted.

    There is nothing wrong with opening up, just don't expect it to treat your illness.
     
    Last edited: Sep 5, 2017
  9. alex3619

    alex3619 Senior Member

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    This issue also occurs with cultish positive thinking strategies.
     
  10. Mij

    Mij Senior Member

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    I don't have experience with IBS, but I have an older sister who has expressed to me that her IBS is brought on by exactly what they are referring to in that article.
     
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  11. Mij

    Mij Senior Member

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  12. Skycloud

    Skycloud Senior Member

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    I wouldn't disagree with your sister actually. She has her experience. In my case certain foods have been a factor. Going gluten free was like magic. I do have a problem with this study; perhaps I'll explain why when I have more energy.
     
  13. thijs

    thijs

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    During my childhood I had something which, if I would have pursued treatment for it, probably would have been diagnosed as IBS.
    These days I rarely notice it anymore. But if I notice it, it's usually at the same time as when I'm feeling uncomfortable. Physically (e.g. when I'm cold) but sometimes also mentally/emotionally (e.g. when doing hard math or watching a violent video). It's kind of strange. I'm not sure if this is because emotions are causing the pain, or if the pain is simply always present & in these situations I'm paying more attention to it.

    On the other hand a family member greatly improved after changing diet like @Skycloud. So I think it really differs from person to person and I don't think my experience is representative for everyone. (Also because I had a mild form.)
     
  14. thijs

    thijs

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    If they talk about "poor", then can they please clarify what "good" emotional processing looks like?
    Because this seems to be one of those subjects where the patient is always wrong. I went to a MUPS center for my CFS and I experienced it all.

    Patient expresses much emotion > therapist thinks cause = mass hysteria
    Patient expresses little emotion > therapist thinks cause = suppressed emotions
    Patient expresses mixed emotions > therapist thinks patient is too normal > cause must be burnout / stress related

    No matter how you behave, psychology is the solution.
     
    Last edited: Sep 5, 2017
  15. Snow Leopard

    Snow Leopard Hibernating

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    Exactly. It's like they wrote the manuscript before they even bothered to gather data.
     
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  16. snowathlete

    snowathlete

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    I've only read the title, that's all I think I need to read to know this is a bullshit study. Other academics must surely see the same when they catch a glimpse of stuff like this?
     
  17. alex3619

    alex3619 Senior Member

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    This is the specific reason Sir Karl Popper called psychoanalysis NONSCIENCE. If all responses have an answer, and none can be tested, its definitely not science.

    PS Much later the term pseudoscience came into vogue.
     
  18. Luther Blissett

    Luther Blissett Senior Member

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    Some people on the spectrum experience flares from anxiety etc, but the BPS crowd (as usual) are fixated on things that don't seem to have much to do with the underlying condition.

    My IBS is made worse by anxiety. My anxiety was made much worse by the hospital consultant insisting that it was a purely psychological. I'm lying in a hospital bed, losing weight rapidly and I'm told I'm doing it to myself, all the terrible pain, cramps, drastic weight loss are my fault, if only subconsciously. (And by the way, would I like to try the curry today? :bang-head:)

    I only got better when I discharged myself and went to the GP who had known me since birth. He explained the gastrocolic reflex, prescribed anti-spasmodics and gave me diet advice and where to look for further information.

    As usual there was no 'bio' in the BPS, yet amazingly, when prescribed the correct medication and given advice for the suspected physical causes I slowly improved.

    Also, in my experience IBS causes distressing emotions, and these can be an early warning sign of a flare.

    There might not be many positive tests in patients when patients doing the tests are not tested under the conditions in which the IBS occurs. Much like scanning for lower back pain does not reveal much when the symptoms occur while standing or due to posture.

    How do they expect to see the spasms that occur due to certain foods/drinks when a patient is nil by mouth 48 hours before tests? This should not be rocket science, but common sense.

    The lack of symptoms during a one off test under abnormal circumstances is taken as proof that the symptoms are caused by thoughts and feelings in normal circumstances, even when a great majority of patients can tell the examiner just what kind of foods/drinks make them worse, and how long it makes them worse in great detail.

    Helping patients deal with the anxiety IBS brings? Yes, very important in a supportive way, but ignoring well known biological processes that are most likely the cause and maintaing factor(s) is very damaging.
     
  19. AndyPandy

    AndyPandy Making the most of it

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    My IBS is made worse by certain food sensitivities and alcohol. I also have low digestive enzymes. I deal with this and manage it every day. My gastroenterologist and dietician agree that these are the causes.

    Very occasionally life events cause me stress. Sometimes this will aggravate my IBS but not always. Food and alcohol triggers always make my IBS worse.

    For me it's nothing to do with suppressed emotions, high expectations of self or social desirability.

    I find these studies hard to "digest".
     
  20. alex3619

    alex3619 Senior Member

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    BPS is claimed to be about all three, but we usually only see Ps. Insisting on mostly P is just BS.
     

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