|25-04-2012, 09:28 PM||#1|
Join Date: Oct 2006
Thanked 693 Times in 252 Posts
Output = Defense ?
Forgive me for mumbling:
Hope I'm not stating the trite, but could we for the sake of conceptualizing parts of the deep model with our patients and colleagues put an equals sign in between Melzack's concept of "outputs" and Evolutionary Medicine's "defenses"?
When I'm talking to those of my colleagues who is actually a bit interested or at least is looking for new ways of reasoning about our patients problems and how we might go about them, it might be more intuitive for a non-neuro-nerd to grasp the concept of a "defense" instead of an "output". Not all might be familiar with cybernetics and control theory.
That means that the ultimate (in evolutionary terms) key principle behind all types of our interventions will be to "chill the defense" by directly using the patients sensory and cognitive systems which in turn we hope will influence the endocrine, motor and affective systems in a more "stabilising" way.
"Anyone in pain is locked in a struggle for relief. The rest of us have the option of approach or retreat." P. Wall
|25-04-2012, 10:07 PM||#2|
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I think that would make sense. It might not overlap exactly, but there would certainly be enough overlap that it could work.
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|26-04-2012, 04:07 AM||#3|
Join Date: Dec 2005
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"That means that the ultimate (in evolutionary terms) key principle behind all types of our interventions will be to "chill the defense"
I wouldn't have a problem with replacing output with defense if we can accept that a defense is a perfectly normal response. "Chilling the defense" would make no sense at all. The problem as I see it comes when the patient inhibits the process. I understand we could be splitting hairs here, but when it comes to the component of output we define here as ideomotion, nothing bad will occur with its expression.
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