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Why the therapeutic alliance changes clinical outcomes, what an experiment manipulating it with active and sham interferential current found, and practical ways to build rapport and make reassurance believable.
What cognitive behavioral therapy is, what the evidence shows for chronic pain and low back pain, why using its structure in conversation stays within a manual therapist's scope, and how thoughts, emotions and behavior interact.
A four-step structure for working with a patient's unhelpful thoughts about pain: identifying them, teasing them out with open questions, examining them as evidence, and replacing them with more helpful ones.
A worked case of acute mechanical neck pain in a worried accountant, showing how reflective listening, past episodes and worst case questions helped replace catastrophic thoughts, plus resources for further reading.
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