{"id":218850,"date":"2010-01-19T03:00:00","date_gmt":"2010-01-19T08:00:00","guid":{"rendered":"tag:www.mindhacks.com:\/\/a93ec03f8a47c8590ef9ce1ef11a8fc0"},"modified":"2010-01-19T03:00:00","modified_gmt":"2010-01-19T08:00:00","slug":"hard-as-nails","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/218850","title":{"rendered":"Hard as nails"},"content":{"rendered":"

Tom<\/a> alerted me to this fantastic brief case<\/a> published in the British Medical Journal<\/i> where a builder is admitted to hospital in great pain after a nail penetrated all the way through his boot. But it turned out that the pain was entirely psychological, as the nail had missed his foot by sliding between his toes.<\/p>\n

\n

A builder aged 29 came to the accident and emergency department having jumped down on to a 15 cm nail. As the smallest movement of the nail was painful he was sedated with fentanyl and midazolam. The nail was then pulled out from below. When his boot was removed a miraculous cure appeared to have taken place. Despite entering proximal to the steel toecap the nail had penetrated between the toes: the foot was entirely uninjured.\n<\/p><\/blockquote>\n

As Tom mentioned “One of the things I love about it is that the builder had no incentive to ‘fake’. He knew he should have acted tough so we know that the pain he felt wasn’t over-acting. It was imaginary pain, but it was real imaginary pain!”<\/p>\n

This isn’t really the nocebo effect<\/a>, where ‘side-effects’ appear after having taken nothing but a placebo, but more similar to what doctors might describe in its persistent form as somatisation disorder<\/a> where physical symptoms appear that aren’t explained by tissue damage.<\/p>\n

However, both are similar in that real pain arises from beliefs, expectations and perceptions. We now know that all pain has a significant mental component and, consequently, psychological therapy is an effective<\/a> treatment<\/a> for chronic pain.<\/p>\n

It’s no coincidence that Tom picked up this snippet in a talk by psychologist Stuart Derbyshire<\/a> who has done some fantastic studies<\/a> on the neural basis of psychologically controlled and induced pain by using hypnosis in fMRI scanners.<\/p>\n

\nLink<\/a> to brief piece in the BMJ<\/i>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tom alerted me to this fantastic brief case published in the British Medical Journal where a builder is admitted to hospital in great pain after a nail penetrated all the way through his boot. But it turned out that the pain was entirely psychological, as the nail had missed his foot by sliding between his […]<\/p>\n","protected":false},"author":4209,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-218850","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/218850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/4209"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=218850"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/218850\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=218850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=218850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=218850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}