Reflections of Healing Narratives

This narrative discusses research illustrating how writing assists patients in healing from both emotional and physical pain. An English professor and physical therapist collaborated to design a survey that uses writing prompts to assess goal setting for physical therapy patients. Advice for patients, such as keeping a pain journal of symptoms to share with a medical professional, demonstrates how writing helps the healing process while leading to collaboration between a patient and the medical team.

Expressive Multilingual Writing

The purpose of this chapter reveals the healing power of writing at times of stress, turmoil, and crisis from multilingual perspectives. Writing relieves emotional chaos, stress, and even physical pain as evidenced by research. Multilingual writing is a process-based, complicated act that requires a series of intellectual stages to be developed as a skill. In parallel to this rationale, multilingual learners can generate creative spaces for their well-being and growth by using writing as a skill to express their emotions for easing feelings related to stress, turmoil, and crisis. This chapter encourages and models emotional or expressive writing as an innovative method to use in educational and health settings to allow creating novel experiences into language learning phases.

Pain Perception in Contact Sport Athletes: A Scoping Review

Contact sports athletes are regularly facing acute physical pain in part of their practice. However, the literature investigating pain perception in these athletes remains scarce. This scoping review aimed to explore the literature surrounding pain perception in contact sport athletes and to compile and understand how it is studied. The search strategy consisted of using index terms and keywords in Medline, EMBASE, Sport-Discus, Web of Science, PsycINFO, CINAHL and ProQuest Dissertations & Theses Global search engines. Results revealed that a mix of team contact sports and combat sports are studied and included under the umbrella of contact sports. These athletes are being compared to non-athletes as well as athletes from non-contact sports. The cold pressor test and the pain pressure test are the two predominant methods used to investigate physical pain. This review highlights the need to clearly define sports based on contact levels expected in play to better define the types of pain athletes are facing in their practice. Athlete’s level of play as well as years of experience should also be more rigorously reported. While contact sport athletes seem to have a higher level of pain tolerance than both active controls and non-contact athletes, the methods of pain testing are not always justified and appropriate in relation to the pain induced during contact sports. Future experimental studies should use pain testing methods relevant to the pain experienced during contact sports and better justify the rationale for the choice of these methods.

The Nexus of Physical and Psychological Pain: Consequences for Mortality and Implications for Medical Sociology

Although physical pain lies at the intersection of biology and social conditions, a sociology of pain is still in its infancy. We seek to show how physical and psychological pain are jointly parts of a common expression of despair, particularly in relation to mortality. Using the 2002–2014 National Health Interview Survey Linked Mortality Files (N = 228,098), we explore sociodemographic differences in the intersection of physical and psychological pain (referred to as the “pain–distress nexus”) and its relationship to mortality among adults ages 25 to 64. Results from regression and event history models reveal that differences are large for the combination of the two, pointing to an overlooked aspect of health disparities. The combination of both high distress and high pain is most prevalent and most strongly predictive of mortality among socioeconomically disadvantaged, non-Hispanic whites. These patterns have several implications that medical sociology is well positioned to address.

Kroppen som en plåga. Kroppen som en välsignelse. Kroppen som ett gränsland

Body as Torment. Body as Blessing. Body as borderland: The Symbolism of the Body and Illness in the Works of Tito Colliander. In my article, I examine the mental and physical illness of the body in the writing of the Finnish-Swedish writer Tito Colliander. Based on Yuri Lotman’s semiosphere theory, I show the cross-border function of the body in the text. The body suffering from a mental disorder or a physical pain is a kind of a filtering membrane that controls, filters, and adapts the external into the internal. The body can be considered as a borderland between the external and the internal, right and left, life and death, the male and the female, the upper and the lower, the spiritual and the material, heaven and earth, one’s own – alien. Based on Colliander’s writing, I show how the depiction of the body and the body’s diseases contributes to the literary representation and understanding of the fundamental oppositions of the culture.

Managing Advanced Cancer Pain Together (MACPT) conversation tool: an evaluation of use in clinical practice

Aim: To investigate use of the ‘Managing Advanced Cancer Pain Together’ conversation tool between individuals with advanced cancer and healthcare professionals (HCPs) during routine consultations. Methods: Twenty-one patients and six HCPs completed questionnaires before and after use of the tool (at their routine consultation 1 and consecutive consultation 2, respectively). Results: Patients and HCPs were satisfied with communication during both consultations. When using the tool, patients most frequently selected physical pain descriptors (95.2%), followed by emotional (81.0%), social (28.6%) and spiritual (28.6%) descriptors. Patients found the tool useful, stating that it helped them describe their pain. HCPs considered the tool difficult to incorporate into consultations. Conclusion: The study highlighted the need to consider the various aspects of cancer pain.

A Qualitative Study of Adolescents’ Experiences of Distress and Well-Being during Intensive Mindfulness Practice

ObjectivesIn recent years mindfulness has gone mainstream, reaching many adolescents through school programs and smartphone applications. Yet there is little empirical understanding of what mindfulness practice is like for adolescents. This qualitative study sought to capture adolescents’ lived experiences as they embarked on a period of intensive mindfulness practice.MethodsThis multi-method qualitative study involved 23 self-selected youth (Mage = 16.35 years, SD = 1.58, 57% girls, 52% White) who participated in a six-day residential mindfulness retreat. Participants wrote reflections about their mindfulness practice each night of the retreat and discussed their experiences in focus groups immediately after the retreat. Data were analyzed using a two-cycle coding process to categorize common patterns of adolescents’ experiences into conceptually meaningful categories. ResultsAdolescents reported an array of experiences of distress from cognitive (83% of adolescents; e.g., self-loathing and rumination), to emotional (87% of adolescents; e.g., sadness), to physical distress (44% of adolescents; e.g., physical pain) during mindfulness training. They also described a range of well-being experiences from cognitive (87% of adolescents; e.g., self-inquiry and discovery), to emotional (65% of adolescents; e.g., acceptance), to social well-being (39% of adolescents; e.g., loving-kindness and connection). Experiences of distress and well-being were relatively balanced overall, yet girls and experienced meditators reported greater distress.ConclusionsThis study paints a descriptive picture of adolescents’ experiences during mindfulness practice and suggests that their experiences during mindfulness might reflect core developmental concerns. Implications for developmental science and adolescent-informed mindfulness training programs are discussed.

Professor Xiaofeng’s Zhang Experience in Treating Postpartum Body Pain

Postpartum physical pain is common in clinic, mostly manifested in pain, numbness or weight, swelling and so on of limbs and joints during puerperium, and some of them fail to heal over the years, becoming stubborn “puerperal fever.” Mr. Zhang has been a doctor for more than 30 years. He has superb medical skills and has unique opinions on postpartum diseases. The author is lucky to follow-up. Now, his experience in syndrome differentiation and treatment of postpartum body pain is analyzed as follows, and the tested case is attached.

Empathy concerns enhance prosociality and modulate frontal theta oscillatory activity in young adults

Decision making is a process that can be strongly affected by social factors. Profuse evidence has shown how people deviate from traditional rational-choice predictions under different levels of social interactions. The emergence of prosocial decision making, defined as any action that is addressed to benefit another individual even at the expense of personal benefits, has been reported as an important example of such social influence. Furthermore, brain evidence has shown the involvement of structures such the prefrontal cortex, anterior insula and midcingulate cortex during decision settings in which a decision maker interacts with others under physical pain or distress or while being observed by others. Using a slightly modified version of the dictator game, we tested the hypothesis that the inclusion of another person into the decision setting increases prosocial decisions in young adults and that this increase is higher when the other person is associated with others in need. At the brain level, we hypothesized that the increase in prosocial decisions correlates with frontal theta activity as a marker of empathy saliency. The results showed that the inclusion of another person into the decision setting increased prosocial behavior only when this presence was associated with someone in need and that this was associated with an increase in frontocentral theta-oscillatory activity. These results suggest that the presence of someone in need enhances both empathy concerns and norm compliance, raising the participants’ prosocial decision making.