Presentation on theme: "The Brady Institute for Health Florida Hospital Celebration"— Presentation transcript:
1 The Brady Institute for Health Florida Hospital Celebration Dr. Scott BradyThe Brady Institute for HealthFlorida Hospital Celebration
2 The EPIDEMICAn August 2003 survey by The Florida Pain Initiative (FPI), confirmed that Florida has a pain epidemic, with four out of five Florida households containing at least one member who experienced at least monthly pain.57 percent of Americans suffer from chronic pain or recurrent pain saying they suffer pain on at least a monthly basis in survey results released by Research America in September 2003
3 CHRONIC PAIN EPIDEMIC Philosophical Problems “The fundamental difficulties in treating disabling chronic pain lie in the philosophical and structural underpinnings of medicine. Cartesian dualism and notions of the ‘body as machine’ permeate the culture of contemporary medicine.”Jacobson and MarianoConsiderations of Chronic Pain, p.242Textbook of Pain, 2000
4 Renes Descartes ( )A French mathematician, philosopher and anatomist, Descartes is considered the founder of modern philosophy.Descartes mode of thinking is called Cartesian. This proposes a basic division between mind and matter. "There has to be a rational explanation for this!"
5 The Cartesian “Split” (Philosophical underpinnings of modern-day Body Medicine) MindBODYThe PsychologistSpiritThe DOCTORThe Pastor
6 The MIND-BODY Connection (Thoughts and Emotions) (Physical Symptoms)Family Death (GRIEF) Stomach AcheLoss of AppetiteWork Stress (ANXIETY) Tight ShouldersTension HeadacheMarital issue (ANGER) Migraine HeadacheBowel’s Cramp
8 Mind-Body Health Issues SkinG.I.HeartMusclesImmune SystemNeuroPsychMortality
9 HEART Depression & Heart Disease Study: 7,893 people for 10 yearsThis study found that depressed women faced a 73% higher heart disease risk than non-depressed women. Depressed men had a 71% higher heart-disease risk and were 2.3x more likely to die than non-depressed men.Archives of Internal MedicineMay 2000
10 HEART Anger and Heart Attacks Study: 13,000 adults for 6 yearsPeople who are anger-prone are nearly three times as likely to have a heart attack. The connection between anger and heart attacks held true even after researchers took into account other major risk factors such as HTN, High Cholesterol, Smoking and Obesity….Federichi, WilliamsCirculation 2000
11 Mind-Body Health Issues SkinG.I.HeartMusclesImmune SystemNeuroPsychMortality
12 SKINIt is only recently that Western physicians are rediscovering the link between thought and health…. Most of the common SKIN problems such as adult acne, rosacea, eczema, psoriasis… may be directly influenced by the patients thoughts and emotions. Mind-body interventions can improve SKIN conditions and, in most cases, quality of life.Arch Deratol. 1998
13 Mind-Body Health Issues SkinG.I.HeartMusclesImmune SystemNeuroPsychMortality
14 PsychoNeuroImmunology (PNI) Studies the influence of psychological factors(esp. STRESS) on many conditions:Immune System FunctionCancersRheumatologic conditionsCardiovascular diseaseArthritisInfections
15 Mind-Body Health Issues SkinG.I.HeartMusclesImmune SystemNeuroPsychMortality
16 Optimists vs. Pessimists Life-ExpectancyOptimists vs. Pessimists(Survival Rate over 30 years)“A pessimistic explanatory style, as measured by the Optimism-Pessimism scale of the MMPI, is significantly (19% increase) associated with mortality”Mayo Clinic Proc. 2/2000
18 MIND-BODY-SPIRIT CONNECTION Medical Studies show that “Spiritual Health” impacts…Blood Pressure ReductionHeart Attack recoveryImmune System functionDepression recoveryChronic Pain recoveryArthritis recovery
19 Physical Health & Spiritual Health An Additional 350 studies have examined religious involvement and health. The majority of these have found that religious people are physically healthier, lead healthier lifestyles, and require fewer health services … adding 7-14 years to life.JAMA 10 / 2000
20 The Problem with BODY MEDICINE Back Pain > 30 days MillionChronic Lower Back Pain MillionChronic Upper Back Pain (Neck & Shoulder)Sciatic nerve PainFibromyalgia MillionMigraine Headaches MillionTension Headaches MillionIrritable Bowel Syndrome MillionInsomnia Million??? WHERE’S THE CURE ???
21 MY Story Lower Back Pain Buttocks/Hip Pain Heart Burn Abdominal Cramps Insomnia
22 Multiple diagnoses & Rx (but no CURE) Degenerative Disk Disease (DDD)ScoliosisSciatic Nerve PainGastritisIrritable Bowel SyndromeInsomniaEarly Fibromyalgia
28 Autonomic Overload Syndrome Autonomic – The Autonomic Nervous System (ANS) is the main driver of the symptomsOverload- A build-up of Stress, Repressed Emotions, Pressure & Responsibility “Overload” the ANSSyndrome - When this happens, you can get many different symptoms.
29 *AOS Definition*Autonomic Overload Syndrome is a group of chronic pains and other symptoms caused by harmful levels of stress, pressure, and repressed strong negative emotions that have built up in the subconscious mind.
30 The AOS Pain Catalogue Lower Back Pain Upper Back Pain (Neck & Shoulder)Sciatic nerve PainFibromyalgiaMigraine or Tension HeadachesIrritable Bowel Syndrome (IBS)Myofascial Pain SyndromePlantar FasciitisAchilles tendonitisTennis ElbowPsoriasis and other skin conditionsInsomniaHeartburn or reflux
37 Unmasking Your Pain-Prone Personality Are you a Perfectionist?Are you a People Pleaser?Are you a Legalist?Are you a Stoic?Are you a Fear Prone?
38 PERFECTIONIST Driven , Highly Motivated, Self Critical Responsible , conscientious, guilt-ladenSet “impossible” standards and goalsHates being wrong or correctedAll or NothingA CONTINUOUS SOURCE OF ANGER SINCE WE AND OTHERS CAN NEVER REACH IT … AND IF WE DO, WE MUST DO IT AGAIN TOMORROW!!!
39 The Perfectionist Motto I must be perfect and right … I refuse to be average.Others should watch what I do and say – and then follow my leadThere are two ways of doing things in life: my way and the wrong way.If I do fail, I’ll just try harder … I hate it when I make mistakes.I cover up my faults, my failures, and my inadequacies.Life is hard, my lists are long, and I live with constant pressure.Life is fun when I can get everything done – the right way.
40 People Pleaser The need to be “good”, liked by everyone Helpful, sacrifices own needs for othersDoesn’t like stress in relationshipsUsually Happy, Sweet, non-confrontationalA CONTINUOUS SOURCE OF ANGER; TAKES ENERGY TO BE NICE, MUST REPRESS “UGLY” THOUGHTS... RELATIONSHIPS INVOLVE CONFLICT, STRESS, AND DISAPPOINTMENTS.
41 People Pleaser MottoI must be good, and nice … I’m not a bad or selfish person.I will be happy, pleasant, and liked by everyone.Whatever you do, please don’t reject me.I will put others before myself, because that’s the good thing to do.Of course, it takes a lot of energy to smile and be nice all the time, but I can usually swallow my anger and or bad thoughts I have.Close relationships are hard for me – because I hate conflict.If I told people what I really think , they’d be shocked!
42 *5 Step Treatment Plan* Make the Mind-Body Connection (5 min) Take Control over your subconscious mind (5 min)Depth Journaling (20 min)Prayer and Meditation (daily)Physical Activity (resume)
43 1. Make the Mind-Body Connection Acknowledge the Psychological causeClose the door to the Physical explanationsOpen the door to the PsychologicalThink of your symptoms in terms of your Repressed Emotions ONLYTake your “Mind’s eye” and look DOWN
45 3. Write About Your Emotions Depth-Journaling - Focus your attention ENTIRELY on Repressed Negative Emotions buried in your subconscious mindAnger / Irritation / Frustration / Anxiety / Fear / GuiltWhat Pressure do I feel?What Responsibility do I feel?Do I feel out of Control?
47 THE PRESENT Life’s outside Pressures Negative AND Positive pressuresWorkFamily - Being the perfect parent / spouseMoney Issues , DebtIllnessTaking care of family membersAging , your own mortalityANY changes - GOOD OR BADNot being IN CONTROL !!!
49 Whatever is Good and Lovely and excellent and 4. Prayer and MeditationHow is my Spiritual Health?Father, what’s in my Heart?Meditation: What do you think about when you’re not thinking about anything?Whatever is Good and Lovely and excellent andWorthy of Praise.
50 Spiritual Health:A Connectedness and trust in God that involves confession, forgiveness, and belief – and results in a pervasive sense of hope, peace, comfort, meaning, and release from guilt, fear, and pressure.
51 Spiritual Distress Guilt - Shame Anxiety - Condemnation King David: Psalm 38“My guilt has overwhelmed me … my wounds fester … my back is filled with searing pain. There is no health in my body … My strength fails; even the light has gone from my eyes …. My pain is ever with me ….. I am troubled by my sin….”Spiritual DistressGuilt - ShameAnxiety - Condemnation
52 “What happened to all your joy?” Spiritual HealthLegalism vs Grace“You who are trying to be justified by law have been alienated from Christ; you have fallen away from grace.”Galatians 5:4, NIV“What happened to all your joy?”Galatians 4:15, NIV
53 *Benefits of Spiritual Health * With Healthy Spirituality:Fear is replaced with HOPE.Condemnation is replaced with LOVE.Anxiety is replaced with INNER PEACE.Inner turmoil is replaced with COMFORT.Isolation and loneliness is replaced with CONNECTION WITH GOD.Meaningless is replaced with MEANING IN LIFE.Doubt and uncertainty are replaced with assurance about YOUR LIFE.Koenig. Duke University