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Roleplay 5 - Dark corner

Episode
10 of 16
Published
Feb 7th, 2018
Run Time
3m 8s
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

Discover a powerful mental exercise that shows why rushing to escape pain and distress can leave you feeling stuck, discouraged, and hurt again. Learn how small, steady steps can build confidence, reduce overwhelm, and guide you toward real progress.

A practical analogy is used to explain how people respond to distress, pain, and rehabilitation. The speaker introduces a “dark corner experiment,” asking the patient to imagine being trapped in a dark, obstacle-filled room with only one exit. Through this example, the discussion shows three common responses to difficult situations. The first is rushing forward in panic, trying to force a way out. That approach often leads to repeated setbacks, more pain, frustration, and discouragement. The second is giving up completely and staying still, which reflects hopelessness and avoidance. The third, presented as the most helpful option, is a careful and gradual approach: moving step by step, feeling for obstacles, and adjusting as needed. This is linked to the idea of graded exposure or a graded approach in rehabilitation. Learners can expect a clear explanation of why pushing too hard can make things worse, while doing nothing can keep someone stuck. The main lesson is that steady, manageable progress within a person’s confidence level is often the safest and most effective way forward.
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Pain as a threat response

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