Understanding and Living Well with Chronic Pain Pierre Morin, MD, PhD. Basel. Medical Models. Bio-medical model Social determinant model Bio-psycho-social model Psychodynamic model Positive psychology (Seligman), Positive health model (Antonovsky) Indigenous model
Diseases are influenced and caused by social processes: Social status, Rank, Social dynamics of prejudice and marginalization based on gender, race, sexual orientation etc… create ongoing stress which cause disease.
Illness and disease have an adaptive function. They are meaningful processes that are embedded in a person’s individual and collective life and environment. They are the best solution so far and promote healing and growth. Physiologic states are metaphors for individual and social processes.
What prevents us from getting ill physically and mentally? What are the characteristics of people who stay healthy despite adverse circumstances? What are the strengths and virtues that act as buffers against illness? How do we amplify and foster these strengths and virtues? Instead of focusing on curing/treating pathologies positive psychology/health sees health as a continuum and is interested in the factors (resilience, sense of coherence, meaningfulness) that give our lives purpose, allow us to stay healthy and cope with our limited health.
Recovery is an individual’s journey of healing and transformation to live a meaningful life in a community of his or her choice while striving to achieve maximum human potential.
Amplified Musculoskeletal Pain, Reflex Neurovascular Dystrophy, Reflex Sympathetic Dystrophy, Sympathetically Maintained Pain, Fibromyalgia, Algodystrophy, Complex Regional Pain Syndrome Types I and II, Causalgia, Sudeck’s Atrophy, Shoulder-Hand Syndrome, Repetitive Strain Injury, Plantar Fasciitis, Localized or Diffuse Idiopathic Musculoskeletal Pain, Neuropathic Pain, Central Pain, Psychogenic Pain, Psychosomatic Pain
Depends on one’s position in regard to mainstream values in the areas of socio-cultural influence like gender, sexual orientation, age, class, health/disability, religion, ethnic identity/race etc…
Includes self-love, self-confidence and self-knowledge. It also stresses good relationships skills, high in-group status, and a loving support network.
Reflects one’s sense of connectedness with something spiritual and divine or with something greater than yourself (e.g. God, Nature).
Derives from one’s momentary roles in a given situation: as a teacher, health care provider, parent, bank teller etc...
An attitude of: