Comments on: Enhancing the ‘meaning effect’ of back surgery http://bodyinmind.org/enhancing-the-meaning-effect-of-back-surgery/ Research into the role of the brain in chronic pain Tue, 07 Feb 2012 09:36:16 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: admin http://bodyinmind.org/enhancing-the-meaning-effect-of-back-surgery/#comment-27 admin Fri, 18 Sep 2009 08:01:11 +0000 http://www.bodyinmind.com.au/?p=979#comment-27 Thanks for commenting Ian - I agree that Dan Moerman's stuff is pretty cool and has important implications for how we think of pain and the effects of treatments. Thanks for commenting Ian – I agree that Dan Moerman’s stuff is pretty cool and has important implications for how we think of pain and the effects of treatments.

]]> By: ian stevens http://bodyinmind.org/enhancing-the-meaning-effect-of-back-surgery/#comment-25 ian stevens Thu, 17 Sep 2009 20:09:37 +0000 http://www.bodyinmind.com.au/?p=979#comment-25 Yes , read all of Dan Moerman's work --it's great and the example of blue pills that work for different reasons between the sexes in Italy for an example is fascinating......I like the meaning response instead of the usual remarks made in the context of placebo......This may relate to your post re the NICE guidelines too.......Meaning is enhanced by prestige ,cost and the social construction of the clinic, so if a pain clinic is staffed by people of a certain calibre who inject things into people proves to be no different to a shaman putting hot bandages what are we to do??! I personally think there is no difference between the two types of practitioner in relation to back pain management just different cultural interpretations of what needs to be done (usually too much for the wrong reasons). The arthroscocpic knee 'lavage study was an interesting example of meaning too ......(has not altered how many are performed) same as evidence of ineffectiveness of many pain intervention treatments . I think the exploration of meaning ,vested interests, politics and belief all merge and 'prove' that medicine is seldom a 'neutral' scientific discipline. Per Fuegeli a great medical writer suggested that medicine is biology times culture times politics squared .......often the biology alone is not enough to explain much of what goes on in the clinic (a lot of it would make good drama) ian Yes , read all of Dan Moerman’s work –it’s great and the example of blue pills that work for different reasons between the sexes in Italy for an example is fascinating……I like the meaning response instead of the usual remarks made in the context of placebo……This may relate to your post re the NICE guidelines too…….Meaning is enhanced by prestige ,cost and the social construction of the clinic, so if a pain clinic is staffed by people of a certain calibre who inject things into people proves to be no different to a shaman putting hot bandages what are we to do??! I personally think there is no difference between the two types of practitioner in relation to back pain management just different cultural interpretations of what needs to be done (usually too much for the wrong reasons).
The arthroscocpic knee ‘lavage study was an interesting example of meaning too ……(has not altered how many are performed) same as evidence of ineffectiveness of many pain intervention treatments . I think the exploration of meaning ,vested interests, politics and belief all merge and ‘prove’ that medicine is seldom a ‘neutral’ scientific discipline. Per Fuegeli a great medical writer suggested that medicine is biology times culture times politics squared …….often the biology alone is not enough to explain much of what goes on in the clinic (a lot of it would make good drama)

ian

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