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Language of pain

Episode
9 of 16
Published
Feb 7th, 2018
Run Time
3m 31s
Topic
A practical guide to persistent pain therapy
Your Instructor
Mike Stewart
Mike Stewart
Mike is a physiotherapist and visiting university lecturer with twenty years of experience managing complex, p...

Episode Summary

Explore how people often treat pain like an attacking enemy—and why fighting harder can keep them stuck. Through playful role play and vivid metaphors, learners discover new ways to shift fear, rethink pain, and open the door to meaningful change.

Pain is explored as something many people in Western cultures experience as an external threat, and this belief can shape unhelpful reactions. A role-play using a Chinese finger trap introduces the idea that struggling harder does not always solve the problem. Instead, people are encouraged to become more flexible, playful, and creative in how they respond, often leading to changes in daily life after reflecting on the exercise. The explanation then turns to pain language and imagery. Patients are often asked to draw their pain, and many describe it as a monster, demon, or attacking force. This reflects a common assumption that pain and injury are always directly linked, which can lead people either to avoid movement out of fear or to fight aggressively to eliminate pain. The main concepts include how metaphors and language influence behavior, why people may become stuck in avoidance or struggle, and how these patterns affect rehabilitation. It also introduces an acceptance and commitment therapy approach, including a “dark corner” thought experiment, to help identify how someone relates to pain and which rehabilitation direction may suit them.
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Roleplay 5 - Dark corner

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