washingtonpost.com/outlook/2021/1… - this post by @nfrankresearch is truly amazing to read. Yet not even he has shared it on Twitter. I went to retweet him after finding the article. The studies by @YoniAshar and @mdonnino that support Sarno mentioned here have been out for 2 weeks
Yet, this is the first article in a widely read paper that mentions the studies and I’m glad that it centers the story around Sarno’s work. When we finished our film 4 years ago we could not get anything written about him. After doing a long read on back pain -
That failed to mention Dr Sarno @voxdotcom felt it necessary to do a follow up because they got a deluge of responses about Sarno. It’s not terrible but the headline was. It read “America’s most famous back pain doctor said pain is in your head. Thousands think he’s right”
I asked them to address this because it was simply untrue and undermined him by creating a false narrative. I’ll share an image of the last paragraph as well. It dismisses his impact - not because he was wrong - but because he was seen as charismatic rather than scientific.
The article gives a lot of weight to people who disagree with him, and dismisses his insights because he didn’t do randomized control trials to “prove” what was clearly observable. The fact is there is little or no convincing research that supports standard care for back pain
This is why he came to see that emotions played a profound role in the problem. Our film does not set out to prove that Dr Sarno was right about everything- but that ignoring trauma and emotions, and tacitly dismissing them as all in one’s head - was willful blindness.
He saw that the mind and the body were not separate and to treat patients as if they are is “malpractice generally practiced.” Dr Sarno was practicing in a trauma informed way before anyone understood what that meant
We set out to make our film in 2004. At that point we didn’t have enough awareness about trauma to integrate the idea into the film. We also couldn’t get any support, or figure out how to make it. We started it due to my own personal connection -but I was not going to be in it.
7 years later when I was crippled with pain we re-started the film and I knew I had to be in it to help people understand it from an emotional perspective. We also found the ACE study and @DrGaborMate and Dr David Clarke
Gábor Mate did an amazing job of articulating the ways in which trauma response affects the nervous system in ways that impact auto immune issues. Dr Clarke discovered how our trauma stories affect our gut. They did not base their work on Sarno but it was connected
Right now @DrGaborMate is leading an effort to increase awareness of Trauma. Dr Clarke leads an organization called the Psychophysiologic Disorders Association- PPDA / they have an online conference this month ppdassociation.org/conference - it involves many inspired by Dr Sarno
Trauma Awareness is rising rapidly. Connecting this awareness across fields is important. After finishing our film we found “How Healing Works” by @DrWayneJonas - it highlights how much healing comes from within - and how much our perspective on that shapes the process
I think systems are important - yet they often limit our perspective. To survive in a system we have to agree with it. For the past 70 years there has been a profound resistance to including social emotional factors in health care. Those who tried to were shunned.
Dr Sarno was originally supported in his work by the founder of the Rusk Institute at NYU where he practiced for 50 yrs, but became increasingly isolated as he focused on emotional factors. Science is now proving him to have had profound insight that should not have been ignored
Our film is not simply a portrait of Dr Sarno, nor an argument for his work. We found that any effort to “prove” the validity of his ideas was met with increased skepticism. In the end that’s why it became increasingly personal. That helped people connect with their own emotions
I am an artist, not a scientist, yet I believe that science can lead to innovation. However, when science gets stuck in a framing that is out of balance; like the idea that our emotions don’t impact our health, artists can’t help challenge these stuck ideas through metaphor.
Ever since 1948, with the innovation of the first randomized control trial, science has been increasingly stuck in that framing. Any discussion of the emotions is dismissed as “woo”, because the way people used RCT’s generally ignored emotions because they are messy
If trials don’t include data related to emotional content then there’s very little data about emotions and the leap becomes- you can’t discuss emotions because you haven’t proven they impact health - but also you can’t study emotions because …. We don’t do that in medicine
1. Yesterday I shared a wildly angry review of our film All The Rage in order to talk about how expectation is a form of resistance to what is - and that resistance creates suffering. This reaction is much more about this person’s sense of judgement than it is about our film.
2. It’s very easy to react strongly when someone comes to you in a rage. However, through practice we can learn how to respond rather than react. I think this practice is central to healing from trauma. We all gave trauma, but also hide it from ourselves. Trauma is scary.
3. Traumas big and small can lead us to have a defensive posture in the world. If we expect danger we will prepare for it. Unfortunately, we are often unaware of the ways in which we feel emotionally unsafe. The first step is to become more aware of how and why we are defensive.
I'm not a journalist. I am a filmmaker. For the past 20 years I have focused attention on the work of Dr John Sarno. In that time I have seen a shift in awareness concerning the import of our emotional response/reactions to the world in regards to our physical health.
I was looking into these issues as a filmmaker, but also as a patient of Dr Sarno, whose family has a long history with his work. I was not an "impartial observer". I was an observer who had a personal investment in understanding how our emotions affect our health.
My mother was a pioneer in the field of social work in regards to dealing with groups. As a woman in a male dominated field she faced significant obstacles but became the first female tenured professor in her school. When I was in Jr High she had breast cancer.
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.
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.
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)