WHY PAIN? Notes on Pain, Awareness & Denial --
Aspects in Developing a Practical Approach with Compassion
© Chris Pringer '93-'98
A Quick Note on Pain Desensitization:
Just in case you came here hoping for pain-desensitization methodology, This writing is not about how to make pain go away (even if that is one great benefit of massage therapy). Pain is the primary mechanism in our bodies that tells us that something is wrong and/or that something needs be corrected or changed in some way. Besides, there are many qualified experts and techniques available pain control elsewhere. I may provide a method of variable regulation for pain (applicable by hynotherapy or autohypnosis) to those who request it.
On the other hand, neither is this writing for the purpose of creating Over-Sensitization, since that would just be the opposite extreme. I do not consider healthy awareness to include being "sensitive" to the point of not being able to function in the society one must live in. On the other hand, I am thankful for the clarity and insights of those who chose to be hyper-aware while living away from the noise of "civilization."
Considerations About Pain Addressed Here To One Degree Or Another Include:
*) Pain Desensitization Control: advantages and disadvantages
*) Pain Variable Regulation Control: how, when, why, how much, mechanisms
*) Physical Pain, Emotional Pain; Societal Pain, Spiritual Pain
*) Ramifications of overuse of pain avoidance - individually and societally
*) Ramifications of overuse of physical or emotional sensitivity - individually and societally
*) "Psychophysiology" - the field most commonly known as "Bio-Feedback" - and pain regulation.
A few sections here can be somewhat technical in nature, although I try to make the terms and concepts understandable to the average self-help oriented/ experienced person. I very much appreciate feedback from experts and laypersons alike.
Later in this collection of notes, I strongly suggest -- based on my belief that such factors, to the degree they are valid -- that pain is rarely a uni-dimensional experience (as in only physical or emotional or mental, etc). Also... that Pain is one internal, subjective "reality." What one percieves as pain, as well as what one percieves to be the cause of it -- consciously or unconsciously -- is relative to that individual.
First to follow are some factors that effect how, whether, and why we perceive pain on various levels and presents this to conscious self and/or to others.
A LIST of FACTORS in the PERCEPTION of PAIN
More on REFERRAL of PAIN:
As a massage therapist, I have a good idea that there is some degree of pain referral going on when 1) I see/feel contracted muscle but pain isn’t there, and then I find nearby healthfully textured muscle and pain is there, or 2) when I find the pain-complaining area not in the most contracted areas of a muscle but in a fairly textured area of that same muscle. In general people tend to be much more body-aware in the upper and frontal areas of their body vrs the lower and rear areas. The upper back and neck can be quite "awake" relative to the lower back, and especially the buttocks. Referred pain is affected by one’s "awareness predisposition."
A few of the considerations in regard to this aspect are noted in the section on "Pain Factors in Perception." Is the pain felt only where we are used to looking and feeling? This "looking and feeling" refers also to what kind of awareness we regard an area with (e.g.: with varying degrees of acceptance or liking), relative to other areas of the body. How does one relate to the areas referring pain compared to how one relates to the areas to where pain is referred? If one tends to look and hear in certain directions, then the most effective way to communicate with him/her is to present information in the places s/he looks and hears. Likewise, the area in pain needs to get attention, and if it can’t get it directly, it uses another area to communicate for it.
This is especially so when the 1st area has been trained (associated with strong positive or negative incentive) not to complain, and when the 2nd area is generally given permission to do so. The body-mind will do its best to get important messages across (e.g.: "we need your attention here in order to maintain equilibrium/homeostasis"), and it is up to the person to listen. The fact that we can sometimes observe and feel signs and textures in another’s body better than in our own, speaks to me of the lack of objectivity in and the interdependence of people. At our best, we keep each other awake to reality or at least to the most pertinent reality for the moment at hand.
DELAYED HEALING
It is not uncommon that with traumatic pain certain nervous and/or proprioreceptor systems in areas of the body specific to the event in question become "switched off" by the brain. This may happen when one decides -- usually unconsciously -- that one doesn’t want to be aware of what’s happening in a specific muscle area or in any number and size of body areas. The muscle(s) then go into a "holding pattern." [from
As muscles or muscle groups heal, they and their component systems recover awareness and then assume new positions, functions, and working relationships with other parts/systems of the body. The person may eventually drop the physical and other related habit patterns. Notice any analogy(s) between the concept of muscles "waking up" and "re-organizing" and the concepts pointed out in the essay, "Seven Phases of Personal Growth," and
"The Body Pattern Assessment/Reading and Understanding the Pattern Triad"WHY DEEP MASSAGE/BODYWORK?
The following reasons may explain why Deep Tissue Work is often desired:
Any of the above may or may not be known by the person consciously. The third reason can be due to masochistic tendencies or to proving one’s ability to take pain. It can also result from abandonment -- or lack of early childhood bonding or its healthy completion -- and the desire to feel understood at intimate levels, along with ignorance about any other way to go about getting that need met safely.
No, except to the degree that you feel you need to feel it in order to release tension. What : ? Really—many people seem to actually need to feel pain to some degree for effective release. "Feel-good-pain" is what a lot of people call it when they feel tension releasing from the body with massage. There is, however, the "old school" of practitioners, especially in Shiatsu, Reflexology, and Rolfing - who will claim that time is wasting unless you (as client) are practically clamping the sides of the table and biting wood!"
I’ve found that many (other) therapists look for a certain zone in the outer layers enveloping the body, wherein is located (what I call) "The Wall." The Wall is located by feel and pressure. (You might have guessed.) It is differently located for each individual with respect to depth into the tissues, and the depth may even vary somewhat among muscles/groups within the same person. EG: the calves are often very sensitive to the same pressure that feels great to the mid-back. In any case the "wall" is relatively easy to recognise since going beyond it causes the client’s muscles to contract and protect, and this negates the purpose of the massage. An experienced massage therapist will usually kinesthetically and/or intuitively sense this reaction is close to happening before the client will feel threatened enough to begin the actual muscle contraction-protection."
And yet the pain gradient is not directly tied to where the wall is. (Uh oh! I thought you said ...) Some patients actually demand a certain amount of pain in order to feel anything is happening. Others are totally the opposite."
The common denominator has to do with what the individual does and needs for Balance with respect to where s/he is (in life) and where s/he feels and/or thinks s/he is going. "The only constant in the Universe is change," it is said, and pain is what we experience when we feel forced in ways or directions we don’t feel are appropriate at that time (or ever). . This is true for any boundary we have. The subjective aspect of the experience of the recipient is paramount in these considerations, whether or not any stated rule or guideline has been abridged.
So, should a massage be painful? Only to the degree it feels (to the recipient) appropriate at the time, such that it is part of the healing process and no more (and perhaps no less). It is important that to the degree that you are unfamiliar with this variable within yourself, you communicate with the practitioner what feels good and what doesn’t. It’s not a difficult thing to learn so long as there is communication to facilitate respect of needs and boundaries. If the client is "into Sadism & Masochism," then there may be different considerations, but about those I don’t feel capable to answer at this writing. And if the client came to receive relief from pain, then we’re pretty much back to the original considerations anyway. And if, for various reasons the client tends to attract/create victimizing experiences, then we can at least hope that this is communicated (or somehow "picked-up on" by the therapist) before the client opens inappropriately to pressures that are not healthful. NOTE: That was one of many statements here that might be applied to psycho-emotional level (or even spiritual) interaction as well as to physical level interaction."
NOTES ON PAIN FROM GESTALT PERSPECTIVE
Put in personal growth terms, a person may feel dis-connected and without a role separated from love and acceptance. It’s easy sometimes to feel that some parts of us certain recurring thoughts or feelings just don’t belong in us. In that case it’s not uncommon to want to separate such parts of ourselves dis-own them. Just having this experience creates pain, and we may believe that cutting out the thought or feeling will heal the condition. Pain is one (part of an) experience that we may not want to believe has a place in the gestalt puzzle. Pain results from feeling separated from (whom one feels is) one’s source of love and acceptance. The core of the pain may have originated in his/her infancy, when the child felt cut-off in certain situations from his/her parents’ needed attention. Feeling separate results from feeling judged as unwanted, undeserving, not enough, etc. From this particular gestalt perspective, physical pain (whether from a fall, a blow, or a disease) is a result of not paying attention some need to do something physically different, and/or to some pain, inconsistency, and/or disconnectedness that exists on the mental or emotional level. But then one usually doesn’t just start out in life with the abilities ready at hand to do that unless one is quite unusually evolved.
The belief that "everything has its place in the world" is probably the basis for Gestalt Psychology. Among other things, that says that a newborn baby seeks only to love and be loved. That is its total underlying intention and motivation for coming into and staying in the world. I do not believe in the (puritanical) idea that underneath all the stuff of a person is a sinful being that needs to be forced into submission by a "vengeful God" and his "fearful servants". I do believe that all we have ever experienced has a purpose in our lives, regardless of how little we would want some of it repeated by anyone. [from essay, "A Gestalt Perspective," , by the author ]
INTERNAL SEPARATION AND HEALING
Beliefs about pain can unconsciously mislead us. Many of us are taught unintentionally to believe that pain is bad because it is "a punishment from God" (or via the Law of Karma) for wrong deeds or wrong thoughts. This may lead us to perceive parts of ourselves that are in pain as separate from our "acceptable" self. It’s difficult for me to imagine one doing that without imagining one also developing a belief (perhaps unconsciously) that one is less acceptable, less lovable, even shameful. I believe that this makes the hurting part of the body the bad guy as well as the victim. Hence one part is separate, and another part (by believing it) of is making it so. It’s like there is both victim & victimizer components residing internally. In acute phase (during and relatively soon after injury) the body attends to itself as best it can under the physical conditions and according to one’s beliefs about pain, separation, and healing.
To the degree one believes in the above noted kind of separation, the injured area may be left unhealed without the body-mind attending to it, de-prioritized or on "semi-permanent" hold. This then becomes a "chronic" condition. The area will wait for the mind to "re-member" it, acknowledge it as worthy, and resume the attending/healing process. I want to clarify also that I do not believe that all pain or injury, or the lack of proper healing, is a result of the kinds of "un-whole" beliefs exampled here. But I do believe that a great many people are effected to some degree, depending on many factors, by beliefs similar to them.
According to the beliefs of the average Buddhist or mystic:
Find more on Motivation in the essay,
"Emotion & motivation on the Path and in Healing"
...The information here wasn't part of any class when I went to massage school, and pain is one of the things that massage clients (who consider deep massage/bodywork) often ask about. For this essay I draw primarily on my experience as a professional massage therapist (since '84), counselor (since '89), and Reiki practitioner (since '91). I have had a relatively modest amount of formal training in Psychotherapy, including my training in hypnotherapy (100 hrs '89) and body-centered psychotherapy (62 hrs '90-'91), and an extensive apprenticeship (100+ hrs) and formal classes (60 hrs) with psychotherapist and gifted healer/teacher, Robert Mitra ('85-'86). For Details on my background and training you may see My Professional Counseling Practice Brochure
Essay Links Mentioned in Text:
Body-Mind Integration in the Personal Growth Process,
A Semi-Technical Treatise on the Storage & Release of Tension, including The Basic How's And Why's Of Psycho- Emotional Storage In The Body-Mind,
published in Massage Magazine, July-August 1992
*
A Gestalt Perspective
Seven Phases of Personal Growth
The Body Pattern Assessment/Reading and Understanding the Pattern TriadMind-Body Relationships and one's Path. This is based on how the body responds to experience as evidenced in holding and movement patterns, and related to the *coping mechanisms, *challenges, and *gifts, all to be understood, emotionally cleared, and then employed as mental/emotional assets and guidance towards determining and accomplishing life goals.
Victims, Compassion, & Responsibility -
Notes on The Emotional-Body, Denial of Pain, & Easy Answers (not)
Emotion & motivation on the Path and in Healing
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Author / Artist / Editor Information
(c) 1997 to Present, Chris Pringer |