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Barrett Dorko
07-10-2007, 03:57 PM
It’s been a quiet week in Cuyahoga Falls…

I watched The Sopranos ( http://en.wikipedia.org/wiki/The_Sopranos) faithfully for years, and thought of this while on my way to the Newark airport last Tuesday. According to my television set, things are different in New Jersey and I felt I needed to reign in my Ohioness in order to get along. After all, the people who populate the world of The Sopranos demand some respect – or else.

Early this year I wrote about the significance of context here ( http://www.somasimple.com/forums/showthread.php?t=3651) and find that I’m emphasizing this more these days as I teach. It has actually replaced several other things I once tried to convey about therapeutic presence and handling. Now when I speak of how powerfully our surroundings affect our perceptions and behavior therapists readily relate. I can see that they’re thinking about the clinic they work in and how its atmosphere drives the way their patients behave and the things everybody chooses to notice.

I’ve read that the most popular episode of The Sopranos was Pine Barrens ( http://en.wikipedia.org/wiki/Pine_Barrens_(The_Sopranos_episode)) and it was certainly one of mine. In this, two powerful and competent men are exposed as helpless once they step outside their familiar surroundings. My favorite exchange: Pauly whines, “How could we get lost in New Jersey? Christopher replies ruefully, “South Jersey.”

True story. I stepped out of my room on the eighth floor of The Resorts Casino Hotel on Friday morning at 5:15 AM on my way to the thirteenth floor where the workshop was to be held. I wanted to drop off some course manuals before I went to breakfast. Directly across the hall a man lay on the floor, his head propped against a door and his legs splayed out in my direction. He was dressed quite nicely and held a cell phone in his left hand, opened and still on. When my door closed heavily behind me he didn’t budge.

I surveyed this scene for a moment, took care not to trip over him and made my way to the elevator. As I ascended past the tenth floor it occurred to me that I had just done a very strange thing. I thought some more about this as I proceeded to stack my supplies in the room, take the elevator back down to the lobby and walk casually toward the front desk. “There’s somebody lying in the hallway on the eighth floor,” I said. “Against room 849.” I felt further description would be unnecessary.

While eating my omelet I thought a little more about how I would have reacted to the prostrate man if I’d been in another city or state. Had I seen this in Springfield Missouri I might have even taken his pulse or helped him to his feet. But I was in a casino, in South Jersey no less, and I behaved in a fashion I felt was reasonable, responsible, appropriate and safe for me.

Context. It drives everything.

Especially when you don’t notice it.

Diane
07-10-2007, 06:27 PM
Yikes. Especially when said man is lying in the hallway just opposite your own hotel room door.

Barrett Dorko
08-10-2007, 03:02 PM
Here’s an interesting thing to do while waiting endlessly during various stages of travel. (Something I do regularly, so that’s what comes to mind)

Watch someone moving with difficulty and imagine all of the possible responses to this movement you might generate in a variety of contexts. Imagine them in a grocery store, in front of your home, in your department, in a casino, at a concert or as an opponent on the ball field or in a boxing ring.

I think you’ll find that you not only respond to them differently in a physical sense – you feel differently about their plight as well.

And it’s all context that drives it.

BB
08-10-2007, 10:02 PM
Latest from Moseley:

Pain. 2007 Apr 19
The context of a noxious stimulus affects the pain it evokes.
Moseley GL, Arntz A.

Department of Physiology, Anatomy & Genetics & fMRIB Centre, Le Gros Clark Building, Oxford University, South Parks Road, Oxford OX1 3QX, United Kingdom.

The influence of contextual factors on the pain evoked by a noxious stimulus is not well defined. In this study, a -20 degrees C rod was placed on one hand for 500ms while we manipulated the evaluative context (or 'meaning') of, warning about, and visual attention to, the stimulus. For meaning, a red (hot, more tissue damaging) or blue (cold, less tissue damaging) visual cue was used. For warning, the stimulus occurred after the cue or they occurred together. For visual attention, subjects looked towards the stimulus or away from it. Repeated measures ANCOVA was significant (alpha=0.0125). Stimuli associated with a red cue were rated as hot, with the blue cue as cold (difference on an 11 point scale approximately 5.5). The red cue also meant the pain was rated as more unpleasant (difference approximately 3.5) and more intense (difference approximately 3). For stimuli associated with the red cue only, the pain was more unpleasant when the stimulus occurred after the cue than when it didn't (difference approximately 1.1). Pain was rated as more intense, and the stimulus as hotter, when subjects looked at the red-cued stimulus than when they didn't (difference approximately 0.9 for pain intensity and approximately 2 for temperature). We conclude that meaning affects the experience a noxious stimulus evokes, and that warning and visual attention moderate the effects of meaning when the meaning is associated with tissue-damage. Different dimensions of the stimulus' context can have differential effects on sensory-discriminative and affective-emotional components of pain.

Barrett Dorko
09-10-2007, 04:32 AM
Cory,

Thanks for that. Again, it's clear that we don't just speculate here, we talk about the same things the researchers are interested in.

The things that distract us with greatest ease are probably connected to context and its effect. This study draws a distinction between the timing of visual stimuli. I was at PGA event earlier this year where it was clear that the players were able to "turn off their eyes" and seemed not to notice the crowds, but they can't (or don't) "turn off their ears." There's no sound whatsoever when it was time to hit.

They've created a context within we they have the best chance of behaving as they wish.