Sociocultural beliefs and paradigms about chronic pain

"I can discard what is not appropriate, and keep whatever, invent something new for what you have ruled out. I can see, listen, feel, think, say and do .. . I belong to me and I can build myself". Virginia Satir

When the doctor has explained that some condition with which he has comorbidity is chronic and degenerative, Having hope has positive effects on health, Especially when it motivates the person to make the relevant adaptations in his life to face the situation of convenient ways, otherwise the body can become a jail, instead of a vehicle for the development of the person, in the different spheres in which he works.

Content

• Hope in Auschwitz
  • The importance of parental protection
  •  "Divinum Opus Sedare Pazem Est"
• Emotional psychoeducation
  • Conclusion
  • Links

Hope in Auschwitz

 "When one faces an inevitable, unavoidable situation, one always has to face his destiny that is impossible to change, for example, an incurable disease, a cancer that cannot be operated, precisely then the person is presented to the opportunity to perform the opportunity to perform the supreme value, to fulfill the deepest meaning, what is suffering. Because What matters most of all is the attitude we take towards suffering". Viktor e. Frankl

The doctor. Viktor Emil Frankl, founder of the logotherapy, said that "tension is an indispensable requirement of mental health," captive lived in Auschwitz concentration camps during World War II (SGM), his bright mind and noble heart were lighthouse that He guided many prisoners who suffered ominous and ineffable pain, Viktor Frankl wondered: “How can one arouse in a patient the feeling that he has the responsibility of living, no matter how adverse the circles are presented?”(Gordon W. Allport).

Frankl He knew the body's ability to keep immune, repeatedly observed that when the human being loses hope and value, this can cause death. Moshe Szyf, a professor at the McGill Medicine Faculty, said: "Our findings highlight the devastating impact of chronic pain in other important parts of the body, such as the immune system".

Epigenetics can approach a better step to better chronic pain treatments, it can reschedu That chronic pain changes the way DNA is marked not only in the brain but also in T cells, a type of white blood cells essential for immunity ".

The hope of many of those who were in Auschwitz, resided in the illusion of being able to see their loved ones again: “Love transcends the natural person of being loved and finds its deepest meaning in their own spirit, in their intimate self ”Said Viktor Frankl, the one who were living, present or absent, did not prevent them from having that Mental representation of them in their mind and their "heart".

People who suffered post traumatic stress disorder (PTSP), keep these experiences as memories of pain in their bodies and can subsequently manifest it in other stages of their life.

When there is chronic pain for a long time, filters that process painful information in our body, begin to function differently, modify the shape and functions of the nervous system (SN), stress, catastrophic thoughts, anxiety, cultural factors, Beliefs linked to the autocastigo and guilt, those who adopt a "mortifying" paradigm before life, the cognitions that are about pain and beliefs in general, play an important role in maintenance of pain.

The importance of parental protection

Has correlated the Victims of physical and sexual abuse during childhood And to the people who suffered Post traumatic stress disorder with chronic pain. The importance of protecting children, who are being martyrs from social violence due to sociocultural factors is necessary, as certain migratory policies that undermine their integral well -being. When something so important to someone in a violent and traumatic way, especially in early stages of development, this can help develop other physical and psychological conditions, as history has taught us.

The most representative organization of Mexican psychologists, the National Federation of Colleges, Societies and Associations of Psychologists in Mexico, to. C. (Fenapsime), the American Association of Psychology (APA) and many professionals of human behavior in the world, we agree on what they manifest, since as they point out: “A terrible experience like that has an extremely negative impact on who lives it, In this case, children, but also in their parents and other relatives who are very emotionally relative to both ”(June, 2018).

In the families concentration fields were separated, parents of children, affecting in every way their development and violating their rights, leaving pains of pain that endured stored in their little and innocent bodies, Care and psychoeducation for the management of emotions in childhood is vital, parents' love is an irreplaceable treasure, the quality of time with children is essential for their proper development, Growing surrounded by love contributes to the sense of relevance and intervenes in the development of their potentialities, then:

When minors are separated from their parents abruptly, to Lacking parental care, they are more vulnerable and exposed to other potential hazards for their optimal development, They can be easy prey of other psychosocial problems.

 "Divinum Opus Sedare Pazem Est"

"Calming pain is a divine task" (Hippocrates), medicines can relieve certain types of pain, not emotional suffering, because they do not necessarily modify emotions, neither thoughts, nor beliefs, it is necessary to work on them, to have A better pain management adopting active and adaptive coping strategies. There is an organizing principle within our own body, therefore it is possible to build a better reality.

"Not all emotional suffering should be medicalized, biopsychosocial aspects can be initiated for better handling and adjustment in pain paintings"

Many people died amid chronic pain due to various conditions between confusion and hopelessness. Those who live in different "captivity" at the physical, mental and/or spiritual level, for my warrior brothers of chronic and degenerative diseases that fight every day to stand up, I want to remind you that no matter how difficult the situations that you have , it is possible to modify your perception, there is hope for many, because at present, science offers us great promises, I hope they continue fighting every day, because research shows that by the hand of a multidisciplinary team of professionals and Treating chronic pain disease as a biopsychosocial condition, it is possible to reduce discomfort.

Pain can be a very cruel teacher, however, using adaptive and functional coping strategies even before adverse conditions, it is possible to contribute to the general welfare of the individual. For many it represents a tortuous load, but you don't have to take it alone -or who suffers from it -, psychologists can help you.

Is it used to use "faith" to relieve pain? The investigations show that it has a good effect for the hopeful element that can be, a certain degree of anxiety can be released, however, poor results are shown when it is not combined with the appropriate actions to seek health, such as Follow medical recommendations, as simple belief without actions can be detrimental, You can encourage in the person the idea that it will be cured even if you do not improve your lifestyle, it also happens with positive statements without behaviors aimed at well -being.  Frankl said: "The will to mean for many people is a matter of facts, not of faith".

The challenges, the adversities and the challenges that life present us often imply a certain degree of stress, when it is maintained at optimal levels it can be beneficial, the eustress can provide us with that extra energy to perform our activities, as Yerkes' law affirms -Dodson, you can force you to leave the comfort zone, strive and fight for a better quality of life as much as possible.

The neurologist Arturo Goicoechea (2018) said: "The individual although it is not consitant of it, collaborates with his beliefs and expectations, to keep in force the neuronal connectivity that supports his pain," ie. treatment represents a right (World Health Organization, 2017), experts They suggest that the intervention is multidisciplinary, because when contemplating biopsychosocial aspects, the patient can seek better quality of life.

Emotional psychoeducation

Can the pain from parents be transmitted to children? The "Modeling"Or social learning in chronic pediatric pain, observing high incidence of allegations in your parents. The Espejo neurons They are also involved, the child “reproduces” and learns the pains of some authority figure such as parents or grandparents and can appear in an adult stage, when the brain learns to respond in a certain way to painful stimuli and automate that answer. What memories do we want our children to keep?

"Teaching children to manage their emotions from early development stages, can represent a protective factor in the face of many challenges that they will have to face in life, contribute to their physical well -being and
psychological".

Conclusion

Many times the pain is something that we have to deal with every day, but it does not mean that you have to suffer more. The avoidance strategies of coping can contribute to the person to fall into conformism, some have the firm belief that because they can no longer carry out the same activities as before or are limited in some aspects, they must resign themselves to a life full of Emotional suffering and discomfort, however, It is possible to find new ways to build, if the old paradigms that govern your life are no longer useful and generate more pain, it is necessary to modify them.

Links

• https: // arturogoicoechea.com/
• https: // www.NCBI.NLM.NIH.GOV/Pubmed/15162342
• http: // www.Redalyc.org/html/970/97017363002/
• https: // www.Nature.com/articles/s41467-018-04309-2
• https: // mh.BMJ.com/content/43/3/155
• https: // linkinghub.Elsevier.com/retrieve/pii/s1526590004006650
• https: // www.JPain.ORG/ARTICLE/S1526-5900 (04) 00665-0/FULLTEXT
• https: // neurosciencenews.com/dbs-vta-pain-3967/
• DOI: 10.1038/SREP19615
• DOI: 10.5665/Sleep.5158