1. October 5, 2013
    9th Annual National Conference for TNA The Facial Pain Association
    San Diego, California
    ------------------------
    Living with Pain
    Existential Pain Management
    ------------------------
    Leesa Morrow, PhD, JD, LP
    ------------------------
    • Research that looks at the formation of personality as an inherited trait and how that might affects your personal experience with pain.
    • Symptoms and data associated with depression
    • Chronic pain: It's all in your head after all. Mind-Body Monism: "The doctrine that mind and matter are formed from, or reducible to, the same ultimate substance or principle of being."
    • Chronic pain is unavoidably meaningful.
    • fMRI studies confirm that pain is created in the brain.
    • Portions of the brain register the somatic signals that arise in injured or diseased flesh.
    • Other portions of the brain add emotion and meaning.
    • Pain is constructed within a biological and relational matrix – we call this suffering.
    • Suffering originates in the uniqueness of the self in relationship to the other.
    • Synaptic Pruning
    • Research reveals that there is synaptic pruning during childhood.
    • More than half of the synapses present at birth are pruned before puberty.
    • Both animal and human studies show evidence for developmental synaptic pruning.
    • Pruning is a function of our genetic blueprint and experience.

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    # vimeo.com/76745073 Uploaded
  2. October 5, 2013
    9th Annual National Conference for TNA The Facial Pain Association
    San Diego, California
    Find more content on the conference page here: facepainhelp.com/page/2013-nat-l-conference
    ------------------------
    Living with Pain
    Existential Pain Management
    ------------------------
    Leesa Morrow, PhD, JD, LP
    ------------------------
    • Personality forms in the context of the early childhood environment
    • C.R. Cloninger's biopsychosocial model of personality
    • Four inherited temperament traits: harm avoidance, novelty seeking, reward dependence, persistence

    ------------------------
    Find more content on the conference page here: facepainhelp.com/page/2013-nat-l-conference

    # vimeo.com/76745299 Uploaded
  3. October 5, 2013
    9th Annual National Conference for TNA The Facial Pain Association
    San Diego, California
    Find more content on the conference page here: facepainhelp.com/page/2013-nat-l-conference
    ------------------------
    Living with Pain
    Existential Pain Management
    ------------------------
    Leesa Morrow, PhD, JD, LP
    ------------------------
    • Four inherited temperament traits: harm avoidance, novelty seeking, reward dependence, persistence
    • How this affects patient care, caregivers. How do these traits affect the way patients handle chronic pain like trigeminal neuralgia?
    • Self and other
    • Self is constructed of some part objective reality and some part perception. The Other emerges out of Self.
    • Self and Other seed in childhood and grow within a bio-experiential matrix for as long as we live.
    • Self and Other braid themselves together in the brain.
    • They are alive as one conscious experience.
    • Consciousness is itself an act of creation.
    • Unconscious chronic pain is self-invasive: it is relational cancer
    • I am a Mother/Father; Sister/Brother; Wife/Husband/Partner; Friend; Employee/Employer who suffers in pain.
    I am not what I used to be.
    Uncontrollable circumstances have changed me.
    I did not choose this; therefore, I am helpless in the face of it.
    I depend upon those who care.
    Those who care, see my pain.
    I am invisible to those who do not see my pain.
    Those who do not see my pain are invisible to me.
    I am my pain.
    • Chronic Pain Is Being Held Captive In A Nightmare of Distortion
    • Major Depression in Normal Population
    • Lifetime risk: 10 – 25 % for women, 5 – 12% for men
    • Course of Illness: “Rule of Thirds”
    • Three times higher risk among first-degree biological relatives
    • Evidence of a genetic link between depression and alcoholism for a subset of patients
    • Up to 15% depressed persons die by suicide
    • Major Depression in Chronic Pain
    • Current Major Depression at time of CP Dx. = 30%- 54% (Compared to general population = 5% - 17% males and females combined; compared to non-CP females = 10% - 25%)
    • Decreases pain threshold and tolerance
    • DSM-IV-TR: Major Depression
    • Five or more of the following symptoms have been present during the same two-week period and represent a change from previous functioning;
    At least one of the symptoms is (1) depressed mood or (2) loss of interest or pleasure
    Depressed mood most of the day, nearly every day, as indicated by subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). NOTE: in children and adolescents, can be irritable mood.
    Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day. (NOTE: Affect on self-care and treatment compliance)
    Significant appetite change from baseline with either unintended weight gain or loss
    Insomnia or Hypersomnia nearly every day

    ------------------------
    Find more content on the conference page here: facepainhelp.com/page/2013-nat-l-conference

    # vimeo.com/77048098 Uploaded

November Meeting

Rachel Principato Goodman

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