When an individual’s identity and belief about who they are is based around their capacity to be active and athletic, we can predict his or her fears. So what happens when chronic pain no longer permits an active lifestyle?
What happens next is an internal dialog of perception and meaning begin to take root… and how well one can direct their own thoughts, beliefs, emotions and assumptions becomes significant.
Compartmentalization is an unconscious psychological defense mechanism used to avoid cognitive dissonance..
The question then becomes “what is Cognitive Dissonance ?”and how does chronic pain fit into the equation?
Cognitive Dissonance “is the mental stress or discomfort experienced by an individual who holds two or more contradictory beliefs, ideas, or values at the same time, or is confronted by new information that conflicts with existing beliefs, ideas, or values.”
For example, no matter how much an individual may believe… if they’re heading east looking for a sunset, that idea and belief will inevitably run up against irrefutable evidence. This naturally will manifest an internal conflict.
In the context of chronic pain, wanting to go to the mountains for an afternoon of skiing with friends & family may be high on an individuals values list. But a belief that skiing will lead to further knee damage or an increase in pain will surely create a conflict. These psychological inconsistencies (dissonance) and the inherent uncertainty they bring can become difficult to manage – overwhelming for many.
Conflicting beliefs and values evenutally feed into an individuals psyche’, establishing negative neuro-associations based around the context of pain that can contribute to the overall pain experience.
What’s more, physical and emotional pain can negatively influence an individuals’ thoughts, feelings and beliefs regarding movement and exercise, inhibiting one’s capacity to remain consistent with how they define themselves – known as their identity.
Our role as movement professionals and coaches is NOT to change an individuals identity or belief structure, but rather create an environment to EXPAND their capacity to understand what pain is and what purpose it serves.
Arming each client with insight and knowledge into the latest in pain science can help them consciously direct their own thoughts, emotions, assumptions and beliefs regarding chronic pain, which can establish constructive psychological associations and increase their ability to effectively compartmentalize chronic pain.
Question: What’s your strategy when a client’s belief around movement & exercise is their pain will worsen? Please share your insights. You can leave a comment by clicking here.
Movement Masterminds – CEO
Function First – Director of Education