Pain Catastrophizing and its Domains Significantly Impact Rheumatoid Arthritis Disease Activity, 2025, Currado et al

[rvallee]

Can this be called an objective test?

With all those feelings words isn't that putting words in the patients mouth?

"I keep thinking how much it hurts"
"I anxiously want the pain to go away.

Has anyone of you ever used a sentence like this?

Imaginary dialogues are a core feature of psychosomatic ideology. This is just an expansion.

Early Wessely was pretty big on this, crafted all those imaginary internal dialogues that none of us have, things no one ever said to them. Not because those scenarios are real, simply because they are necessary to their models. Those dialogues are ridiculous, but to someone who is primed to believe them, they sound convincing. Doesn't matter that they're total fiction, that's not relevant.

Exact same thing as what they did with deconditioning, which Wessely was pretty big on. They make up those scenarios of being bed-bound for weeks with severe illness, leaving us weak as newborn lambs. It doesn't matter that the vast majority had no such thing, or that most people recover from that without much fuss.

They simply consider that it proves their point since if the illness was just mild, then it can't be significant, and thus simply something patients latch on as some trigger event. To "save face", as Wessely loves to put it. Long Covid completely debunked this, but the harm has been done and there is too much resistance against the implications of admitting it was always a bunch of cheap bullshit.

None of is comes organically out of things patients tell them. They invent those things in roughly the same process as colonizers would describe the people in some faraway land as brutal savages because x, y and z. Anything that's different from their own culture, basically. Doesn't matter that it's contrived and far-fetched, they're nothing but rationalizations for their own choices and behaviour. All of which they then project onto us, simply because, like colonizers with a massive technological advantage, they can easily get away with it.

 

[Sean]

So here we have this roundabout problem where medicine forces a change in behaviour in patients for the worse, making them adapt their behaviours because physicians' emotions have to be managed very carefully, which they then evaluate, which in turn cause more changes in behaviours, all of which it seems eventually end up being asserted to be wrong. It's frankly a lot like dealing with a short-tempered boss or abusive spouse.

That is exactly what it is. Patients having to manage emotionally stunted clinicians, simply to survive the clinical encounter with these snowflakes.

Imaginary dialogues are a core feature of psychosomatic ideology. This is just an expansion.

Early Wessely was pretty big on this, crafted all those imaginary internal dialogues that none of us have, things no one ever said to them. Not because those scenarios are real, simply because they are necessary to their models. Those dialogues are ridiculous, but to someone who is primed to believe them, they sound convincing. Doesn't matter that they're total fiction, that's not relevant.

Exact same thing as what they did with deconditioning, which Wessely was pretty big on. They make up those scenarios of being bed-bound for weeks with severe illness, leaving us weak as newborn lambs. It doesn't matter that the vast majority had no such thing, or that most people recover from that without much fuss.

They simply consider that it proves their point since if the illness was just mild, then it can't be significant, and thus simply something patients latch on as some trigger event. To "save face", as Wessely loves to put it. Long Covid completely debunked this, but the harm has been done and there is too much resistance against the implications of admitting it was always a bunch of cheap bullshit.

None of is comes organically out of things patients tell them. They invent those things in roughly the same process as colonizers would describe the people in some faraway land as brutal savages because x, y and z. Anything that's different from their own culture, basically. Doesn't matter that it's contrived and far-fetched, they're nothing but rationalizations for their own choices and behaviour. All of which they then project onto us, simply because, like colonizers with a massive technological advantage, they can easily get away with it.

Yep. Worth repeating in full.

I think he is projection personified, par excellence one might even say. Everything he attributes to patients is actually his own psychological and moral failings, not ours. Along with many of his like-minded colleagues.

Anybody who thinks we are being hard on Wessely simply has no idea of his history and profoundly destructive and still very active influence on this world.