Dr Sarno was often dismissed for not doing randomized control trials of his work. Data only has value if we make sense of it. We can also make sense of the data and evidence that exists. rumur.com/if-stress-is-t…
When we observe patterns, like the idea that unaddressed trauma from childhood has negative health impacts, we can work to address that trauma to reduce those impacts. If addressing that trauma leads to alleviation of illness we can build our understanding. Dr Sarno did this.
He saw profound results. In our film “All The Rage” we looked at patterns of wealth disparity and saw that it rose at a rate similar to the rise in the pain epidemic. This fact does not “prove” a connection between pain and inequality but it does indicate it should be looked at.
When we combine that data with the data compiled in the ACE study the story gets more complex. If wealth inequality leads to the kind of stresses that lead to adverse childhood events; divorce, abuse, a parent in prison, death of a parent, the link becomes more clear.
If we add in awareness that our sense of our place, and our own value, in the world we can see how expectation might play a role- the expectation that we do a little better than our parents. If economic circumstances make that less likely and we need more support it can impact
Our sense of our well being. This can be especially true if that sense of not doing well enough has negative impacts on our core relationships. If we are blind to those impacts, that in itself can be somewhat traumatic. To hold a view that we are failing at life is stressful
As Dr Sarno realized, the stresses and strains of life can be severely impactful especially if we put unreasonable pressures on ourselves to perform or “succeed”. Some of this pressure often forms due to expectations established in childhood, some due to trauma.
Those expectations come to feel like “who we are”. To fail is to experience a sense of danger which puts the body into fight or flight- and when we fail to differentiate between a physical and emotional threat we can get our foot stuck on the gas petal of fear.
In the post that starts this tweet there’s an examination of stats related to Lupus. Women get it 2x men, Asian women 2x white women, Latinx women 3x, Black women 4x. That’s a chart of relative privilege = relative demand for repression in order to avoid conflict.
If there another explanation I’d love to see it. The same website states that stress can’t cause Lupus - but that it exacerbates it. @DrGaborMate makes the connection between stress/denial of one’s authentic self with auto immune diseases.
All of the auto immune diseases have no clear cause, however all the “experts” agree that stress can’t “cause” them. Correlation is not causation. However, the mind body interaction is a complex issue. Causation may be much more multi-factorial than we want to believe.
In 2005 I almost died from an MRSA infection. This is a multi resistant bacteria infection. These bacteria can be a big problem in hospitals where people have compromised immune systems. I thought I might have gotten it when I was with my wife after a procedure for a miscarriage.
I made a video about that experience. It was only later that I realized I very likely got it because my immune system was compromised by grief from the loss of the miscarriage. I’m not do good at grief. vimeo.com/193208231
When scientists are trained to look for singular causes that can be isolated in randomized control trials that don’t examine emotional/ economic / social factors- that data may have a patina of clarity. Still data that doesn’t factor in emotions is thin if emotions are a factor.
If we are only looking for a gene, a parasite, an abnormality, a virus/bacteria- and are ignoring social, economic, cultural, and mental health aspects then we aren’t practicing “health care”. Our minds are not separate from our bodies, or our social/family situation.

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More from @TheStoryOfPain

24 Jun
Yesterday we shared this thread that made the point that Dr sarno was working in a trauma informed manner 40 years before the concept was articulated. Since his work was not understood by colleagues it was dismissed as “woo”, or not grounded in science.
In our film “All The Rage” we also made the connection between the rapid rise in the wealth gap and the rise in chronic pain. Some viewers were angry with this because they felt it made the film political. However, the film also makes it clear that…
poverty, and the stress of not having the resources to take care of one’s family has both social and emotional impacts. @DrBurkeHarris recognized this connection when she opened a clinic in an impoverished area of Oakland. She realized she was mostly seeing symptoms of stress.
Read 12 tweets
23 Jun
4 years ago today my partners and I released a film, "All The Rage", that we had made about Dr John Sarno. It was also a very personal film. Unbeknownst to us he had passed away the previous day. We also had not realized that the day it opened would have been his 94th birthday.
The film took nearly 15 years to make because we couldn't find any support for the production, and we also couldn't figure out how to tell the story. Early in his career Dr Sarno became frustrated by the practices he had been taught for treating structural issues and pain.
When he looked for data and studies that supported these practices he found nothing compelling. He then examined his patients charts and found that 80% had a history of other ailments that were thought to have a mind body component (gut issues, skin issues, ulcers, and migraines)
Read 24 tweets
15 Jan
1/I’m going to do a thread about the connection between Dr Sarno and the films Chinatown and Midnight Run. Further, I’ll make a connection between these stories and the import of cultural context, which shapes, and is shaped by media, as wee as how we interact with that media.
2/The other night we watched the film Chinatown with our 18-year-old daughter. One of her favorite films is Midnight Run. The two films share some similarities. Both feature an ex cop who was pushed out of service for challenging corruption. Both leads can be combative if pushed.
3/ both characters have stayed tenuously connected to policing by working as private detectives or bounty hunters. This leaves them in a kind of a purgatory of waiting. They both appear disillusioned, but still committed to justice. Yet, their work leaves them feeling incomplete
Read 25 tweets
1 Jan
Happy New Year-
Let's start the new year right
The last line of our film about Dr. Sarno (who pioneered a mindbody approach to pain) is, "All of this because of one one simple idea, the fact that the mind and the body are intimately connected. That's it that's the whole story."
This concept is central to all mind body related work. The physical and the emotional are not separate. They are inextricably linked. If we understand that this is true, then we can agree that health care needs to address both emotional and physical processes.
This idea is often met with the confused resistance, hearing that physical symptoms are being dismissed as "all in one's head". This is not the case. However, it does mean that we can't ignore the powerful role of emotions in regards to our physical being.
Read 34 tweets

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