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Metaphor & Pain | Shane Neilson | TEDxWesternU


I’m taking office attack of Technology I

I’m taking office attack of Technology I have no slides on them the dinosaur so I

have no slides on them the dinosaur so I

have no slides on them the dinosaur so I have these paper these paper things in

have these paper these paper things in

have these paper these paper things in my hand but I might refer to I have

my hand but I might refer to I have

my hand but I might refer to I have attention deficit disorder so you know

attention deficit disorder so you know

attention deficit disorder so you know there were pretty things up on slides I

there were pretty things up on slides I

there were pretty things up on slides I just took this dragon stare at them with

just took this dragon stare at them with

just took this dragon stare at them with you I am a I’m a physician I work in

you I am a I’m a physician I work in

you I am a I’m a physician I work in Guelph material also a scholar of a

Guelph material also a scholar of a

Guelph material also a scholar of a blooding scholar English literature

blooding scholar English literature

blooding scholar English literature cultural studies at McMaster University

cultural studies at McMaster University

cultural studies at McMaster University and I studied the representations but I

and I studied the representations but I

and I studied the representations but I want to tell you some anecdotes you may

want to tell you some anecdotes you may

want to tell you some anecdotes you may wonder why I’m here today this

wonder why I’m here today this

wonder why I’m here today this particular panel has a large amount of

particular panel has a large amount of

particular panel has a large amount of scientific content for the TEDx talk

scientific content for the TEDx talk

scientific content for the TEDx talk today and I wonder how did the family

today and I wonder how did the family

today and I wonder how did the family doctor getting the bill well I came here

doctor getting the bill well I came here

doctor getting the bill well I came here a couple months ago I was invited by

a couple months ago I was invited by

a couple months ago I was invited by Josh who’s a PhD at Western and I was

Josh who’s a PhD at Western and I was

Josh who’s a PhD at Western and I was invited because I’m a poet but also

invited because I’m a poet but also

invited because I’m a poet but also because of a medical doctor bill that

because of a medical doctor bill that

because of a medical doctor bill that particular Dave was science torture and

particular Dave was science torture and

particular Dave was science torture and so I was allowed in the door based in my

so I was allowed in the door based in my

so I was allowed in the door based in my province as medical doctor but I’m sure

province as medical doctor but I’m sure

province as medical doctor but I’m sure you know that most physicians actually

you know that most physicians actually

you know that most physicians actually aren’t scientists that’s going to become

aren’t scientists that’s going to become

aren’t scientists that’s going to become ironic as my Cochrane fools I tell you

ironic as my Cochrane fools I tell you

ironic as my Cochrane fools I tell you another anecdote this one involves my

another anecdote this one involves my

another anecdote this one involves my marriage and it was in was in 2003 I was

marriage and it was in was in 2003 I was

marriage and it was in was in 2003 I was in Halifax Nova Scotia should just be on

in Halifax Nova Scotia should just be on

in Halifax Nova Scotia should just be on the northwestern I was at a Commissioner

the northwestern I was at a Commissioner

the northwestern I was at a Commissioner Bose office I was trying to get a

Bose office I was trying to get a

Bose office I was trying to get a marriage license with my wife we’re

marriage license with my wife we’re

marriage license with my wife we’re sitting in front of this middle-aged

sitting in front of this middle-aged

sitting in front of this middle-aged lady who’s wanted to break down her

lady who’s wanted to break down her

lady who’s wanted to break down her occupation required its toes and so in

occupation required its toes and so in

occupation required its toes and so in response to a question as to what I did

response to a question as to what I did

response to a question as to what I did I thought well residency so i lured it

I thought well residency so i lured it

I thought well residency so i lured it out very quickly to build a sign silence

out very quickly to build a sign silence

out very quickly to build a sign silence musician and my wife as much can you

musician and my wife as much can you

musician and my wife as much can you than me waited she

than me waited she

than me waited she had a big smile on her face she just

had a big smile on her face she just

had a big smile on her face she just finished a master’s of science at the

finished a master’s of science at the

finished a master’s of science at the house of university she smiled and she

house of university she smiled and she

house of university she smiled and she said scientist I felt like it was a

said scientist I felt like it was a

said scientist I felt like it was a little bit like a doctor my wife

little bit like a doctor my wife

little bit like a doctor my wife forevermore won the battle of romantic

forevermore won the battle of romantic

forevermore won the battle of romantic career choice I could have at the time

career choice I could have at the time

career choice I could have at the time said poet but forevermore I’m a

said poet but forevermore I’m a

said poet but forevermore I’m a physician scientist I have another

physician scientist I have another

physician scientist I have another anecdote for you gets a little bit more

anecdote for you gets a little bit more

anecdote for you gets a little bit more than me to talk today consider rene

than me to talk today consider rene

than me to talk today consider rene descartes a modern-day Rene Dakar

descartes a modern-day Rene Dakar

descartes a modern-day Rene Dakar he’s neurophysiologist and he’s in the

he’s neurophysiologist and he’s in the

he’s neurophysiologist and he’s in the burn unit the Health Sciences here in

burn unit the Health Sciences here in

burn unit the Health Sciences here in London Renee isn’t her physiologist but

London Renee isn’t her physiologist but

London Renee isn’t her physiologist but for some reason yes the 20% burned

for some reason yes the 20% burned

for some reason yes the 20% burned surface area burns on his body he’s on

surface area burns on his body he’s on

surface area burns on his body he’s on the burn unit knows science he knows how

the burn unit knows science he knows how

the burn unit knows science he knows how nerve a connects Louis how a stimulus

nerve a connects Louis how a stimulus

nerve a connects Louis how a stimulus effects with no susceptor in the

effects with no susceptor in the

effects with no susceptor in the periphery he knows how that signal goes

periphery he knows how that signal goes

periphery he knows how that signal goes up to his brain he knows the

up to his brain he knows the

up to his brain he knows the neurotransmitters involved in the

neurotransmitters involved in the

neurotransmitters involved in the transmission of that signal

transmission of that signal

transmission of that signal he knows the areas of the brain that are

he knows the areas of the brain that are

he knows the areas of the brain that are responsible for the reception

responsible for the reception

responsible for the reception interpretation and the cognizance

interpretation and the cognizance

interpretation and the cognizance experience of it but Renee knows

experience of it but Renee knows

experience of it but Renee knows something else

something else

something else Renee also knows he has a problem with

Renee also knows he has a problem with

Renee also knows he has a problem with me because a few years ago

me because a few years ago

me because a few years ago Renee lost his job global financial

Renee lost his job global financial

Renee lost his job global financial crisis it was a private researching a

crisis it was a private researching a

crisis it was a private researching a private company ended up in a rooming

private company ended up in a rooming

private company ended up in a rooming house here in London and he turned to

house here in London and he turned to

house here in London and he turned to speak taxed alcohol for solace he had a

speak taxed alcohol for solace he had a

speak taxed alcohol for solace he had a cigarettes he has cigarette in his mouth

cigarettes he has cigarette in his mouth

cigarettes he has cigarette in his mouth one night he passed out burned him in

one night he passed out burned him in

one night he passed out burned him in the bed and because the building codes

the bed and because the building codes

the bed and because the building codes weren’t enforced in this burning house

weren’t enforced in this burning house

weren’t enforced in this burning house sprinklers didn’t go on maybe there were

sprinklers didn’t go on maybe there were

sprinklers didn’t go on maybe there were no sprinklers and so he has the burnin

no sprinklers and so he has the burnin

no sprinklers and so he has the burnin he’s on the burn unit and neuron a

he’s on the burn unit and neuron a

he’s on the burn unit and neuron a leading to neuron B does not help him in

leading to neuron B does not help him in

leading to neuron B does not help him in his bed he has a problem

his bed he has a problem

his bed he has a problem not a problem at all so why am I telling

not a problem at all so why am I telling

not a problem at all so why am I telling you these anecdotes

you these anecdotes

you these anecdotes I’m telling these anecdotes to present

I’m telling these anecdotes to present

I’m telling these anecdotes to present to you that there’s a different way of

to you that there’s a different way of

to you that there’s a different way of knowing there’s a different way to

knowing there’s a different way to

knowing there’s a different way to produce and disseminate knowledge

produce and disseminate knowledge

produce and disseminate knowledge perhaps you’ve heard of the discipline

perhaps you’ve heard of the discipline

perhaps you’ve heard of the discipline of narrative medicine it’s something

of narrative medicine it’s something

of narrative medicine it’s something that was largely created by Rita Charan

that was largely created by Rita Charan

that was largely created by Rita Charan who’s a PhD in Henry James and also an

who’s a PhD in Henry James and also an

who’s a PhD in Henry James and also an internist at Columbia University but

internist at Columbia University but

internist at Columbia University but it’s not my intention to even define

it’s not my intention to even define

it’s not my intention to even define narrative medicine today in order to

narrative medicine today in order to

narrative medicine today in order to pretend that I know Rita personally it’s

pretend that I know Rita personally it’s

pretend that I know Rita personally it’s simply to enact their the medicine in

simply to enact their the medicine in

simply to enact their the medicine in the form of my presentation because I

the form of my presentation because I

the form of my presentation because I truly do feel that there is a problem

truly do feel that there is a problem

truly do feel that there is a problem with the way we treat these patients

with the way we treat these patients

with the way we treat these patients with pain and the problem is done to

with pain and the problem is done to

with pain and the problem is done to patients based on the scientific the

patients based on the scientific the

patients based on the scientific the purely scientific view that’s applied to

purely scientific view that’s applied to

purely scientific view that’s applied to them so let me define my terms what do I

them so let me define my terms what do I

them so let me define my terms what do I mean when I say pain well there’s a

mean when I say pain well there’s a

mean when I say pain well there’s a local Western connection I believe this

local Western connection I believe this

local Western connection I believe this there was a fella by the name of Harold

there was a fella by the name of Harold

there was a fella by the name of Harold murski who’s a psychiatrist here in

murski who’s a psychiatrist here in

murski who’s a psychiatrist here in London and he defined paint for our age

London and he defined paint for our age

London and he defined paint for our age in 1979 he created the definition for

in 1979 he created the definition for

in 1979 he created the definition for the fledgling International Association

the fledgling International Association

the fledgling International Association for the study he wrote it and the short

for the study he wrote it and the short

for the study he wrote it and the short version is pain is a negative sensory

version is pain is a negative sensory

version is pain is a negative sensory and emotional experience experience to

and emotional experience experience to

and emotional experience experience to inter experience in terms of the damage

inter experience in terms of the damage

inter experience in terms of the damage that work damage is key I don’t disagree

that work damage is key I don’t disagree

that work damage is key I don’t disagree that pain is a negative sensation but

that pain is a negative sensation but

that pain is a negative sensation but the connector to damage and negative

the connector to damage and negative

the connector to damage and negative really becomes normative and what I’m

really becomes normative and what I’m

really becomes normative and what I’m going to say they’re linked together and

going to say they’re linked together and

going to say they’re linked together and they’re inextricable in the medical view

they’re inextricable in the medical view

they’re inextricable in the medical view that is the codified definition that we

that is the codified definition that we

that is the codified definition that we have so if that’s pain I need to tell

have so if that’s pain I need to tell

have so if that’s pain I need to tell you that what I’ve taught me about today

you that what I’ve taught me about today

you that what I’ve taught me about today is also chronic pain and the National

is also chronic pain and the National

is also chronic pain and the National Institute of Health defines Roenick pain

Institute of Health defines Roenick pain

Institute of Health defines Roenick pain as pain which lasts longer than three

as pain which lasts longer than three

as pain which lasts longer than three months there’s more finicky definitions

months there’s more finicky definitions

months there’s more finicky definitions but that’s going to be the definition

but that’s going to be the definition

but that’s going to be the definition that’s going to suffice for today now I

that’s going to suffice for today now I

that’s going to suffice for today now I want to tell you the states of pain in

want to tell you the states of pain in

want to tell you the states of pain in Canada because there are significant

Canada because there are significant

Canada because there are significant stakes

it’s estimated that 20 percent of

it’s estimated that 20 percent of Canadians will experience chronic pain

Canadians will experience chronic pain

Canadians will experience chronic pain in their lifetime a number that’s only

in their lifetime a number that’s only

in their lifetime a number that’s only gonna go up as we age hopefully we will

gonna go up as we age hopefully we will

gonna go up as we age hopefully we will of course surprising rates of obesity

of course surprising rates of obesity

of course surprising rates of obesity and other things are gonna maybe pull

and other things are gonna maybe pull

and other things are gonna maybe pull down a recent insult read study was done

down a recent insult read study was done

down a recent insult read study was done 69 percent of physicians who have a

69 percent of physicians who have a

69 percent of physicians who have a significant family physicians who have a

significant family physicians who have a

significant family physicians who have a significant amount the palliative care

significant amount the palliative care

significant amount the palliative care practice and also convenient practice

practice and also convenient practice

practice and also convenient practice estimate that chronic pain is under

estimate that chronic pain is under

estimate that chronic pain is under treated the cost the Canadian economy

treated the cost the Canadian economy

treated the cost the Canadian economy estimated a few years ago by the

estimated a few years ago by the

estimated a few years ago by the Canadian teen society is fifty to sixty

Canadian teen society is fifty to sixty

Canadian teen society is fifty to sixty billion dollars a year and maybe a

billion dollars a year and maybe a

billion dollars a year and maybe a shocking piece of information it was

shocking piece of information it was

shocking piece of information it was shown the shocking to me I was talking

shown the shocking to me I was talking

shown the shocking to me I was talking to dr. Jim Ducharme who’s a pain

to dr. Jim Ducharme who’s a pain

to dr. Jim Ducharme who’s a pain specialist at the University a

specialist at the University a

specialist at the University a world-renowned expert and he pointed me

world-renowned expert and he pointed me

world-renowned expert and he pointed me to a study done in the archives of

to a study done in the archives of

to a study done in the archives of internal medicine in 2015 no that was a

internal medicine in 2015 no that was a

internal medicine in 2015 no that was a Cochrane review and I’m also not going

Cochrane review and I’m also not going

Cochrane review and I’m also not going to go into the nuances of that but a

to go into the nuances of that but a

to go into the nuances of that but a Cochrane review is basically a

Cochrane review is basically a

Cochrane review is basically a compilation of all the previous research

compilation of all the previous research

compilation of all the previous research that has been done that meets a certain

that has been done that meets a certain

that has been done that meets a certain standard on a particular topic the

standard on a particular topic the

standard on a particular topic the upshot of it is there they concluded in

upshot of it is there they concluded in

upshot of it is there they concluded in 2015 this year there is no evidence to

2015 this year there is no evidence to

2015 this year there is no evidence to support the use of opiates in chronic

support the use of opiates in chronic

support the use of opiates in chronic pain over the over the month of the year

pain over the over the month of the year

pain over the over the month of the year I found that shocking the physical that

I found that shocking the physical that

I found that shocking the physical that is commonly done all goods are used to

is commonly done all goods are used to

is commonly done all goods are used to prescribe for patients with chronic pain

prescribe for patients with chronic pain

prescribe for patients with chronic pain they did of course find a dose-dependent

they did of course find a dose-dependent

they did of course find a dose-dependent relationship between the amount in hands

so what are what am i saying today am i

so what are what am i saying today am i saying that doctors are immense I am

saying that doctors are immense I am

saying that doctors are immense I am actually and am I am I saying this oh

actually and am I am I saying this oh

actually and am I am I saying this oh there’s a problem with chronic pain in

there’s a problem with chronic pain in

there’s a problem with chronic pain in Canada both of those things both of

Canada both of those things both of

Canada both of those things both of those things are are really obvious let

those things are are really obvious let

those things are are really obvious let me tell you what I’m saying based on Who

me tell you what I’m saying based on Who

me tell you what I’m saying based on Who I am

I am

I am I’m not a specialist in crime

I’m not a specialist in crime

I’m not a specialist in crime I’m a family doctor I don’t see chronic

I’m a family doctor I don’t see chronic

I’m a family doctor I don’t see chronic pain patients every day every minute of

pain patients every day every minute of

pain patients every day every minute of every day and I’m also not an expert in

every day and I’m also not an expert in

every day and I’m also not an expert in the demographics of what an is a scholar

the demographics of what an is a scholar

the demographics of what an is a scholar a budding scholar in English literature

a budding scholar in English literature

a budding scholar in English literature who reach shelves of Canadian literature

who reach shelves of Canadian literature

who reach shelves of Canadian literature to find alternate representations of

to find alternate representations of

to find alternate representations of pain and I’ll tell you what I’ve

pain and I’ll tell you what I’ve

pain and I’ll tell you what I’ve concluded as the possible nature of the

concluded as the possible nature of the

concluded as the possible nature of the problem that we all share and the nature

problem that we all share and the nature

problem that we all share and the nature of that is that we all use destructive

of that is that we all use destructive

of that is that we all use destructive metaphors to describe pain now before I

metaphors to describe pain now before I

metaphors to describe pain now before I get too deep into that I’ll just say it

get too deep into that I’ll just say it

get too deep into that I’ll just say it could be true that we lack the perfect

could be true that we lack the perfect

could be true that we lack the perfect drive to treat pain and that’s our

drive to treat pain and that’s our

drive to treat pain and that’s our that’s our plight as people it could be

that’s our plight as people it could be

that’s our plight as people it could be that we lack the perfect intervention as

that we lack the perfect intervention as

that we lack the perfect intervention as people we think but I would suggest to

people we think but I would suggest to

people we think but I would suggest to you that it’s the path suggested by our

you that it’s the path suggested by our

you that it’s the path suggested by our very same destructive metaphors that

very same destructive metaphors that

very same destructive metaphors that makes us the drug so what do I mean by

makes us the drug so what do I mean by

makes us the drug so what do I mean by destructive marketers it’s simple you’ve

destructive marketers it’s simple you’ve

destructive marketers it’s simple you’ve all been in this clinic let’s pretend

all been in this clinic let’s pretend

all been in this clinic let’s pretend it’s my clinic but you’ve all been in

it’s my clinic but you’ve all been in

it’s my clinic but you’ve all been in this particular clinic I’m sure for

this particular clinic I’m sure for

this particular clinic I’m sure for those who in the audience who are

those who in the audience who are

those who in the audience who are suffering from chronic pain or those in

suffering from chronic pain or those in

suffering from chronic pain or those in the audience who are suffering from

the audience who are suffering from

the audience who are suffering from acute injuries go into the doctor you

acute injuries go into the doctor you

acute injuries go into the doctor you say it hurts some doctor listens

say it hurts some doctor listens

say it hurts some doctor listens hopefully and he says to you and I would

hopefully and he says to you and I would

hopefully and he says to you and I would say to you describe your pain to me and

say to you describe your pain to me and

say to you describe your pain to me and what words would you use where it’s like

what words would you use where it’s like

what words would you use where it’s like crushing burning stabbing or it think

crushing burning stabbing or it think

crushing burning stabbing or it think those are the only words there are

those are the only words there are

those are the only words there are others like it those are the only words

others like it those are the only words

others like it those are the only words used that we have as people to describe

used that we have as people to describe

used that we have as people to describe the pain experience they are metaphors

the pain experience they are metaphors

the pain experience they are metaphors inevitably of damage

so this is not a new thing this is

so this is not a new thing this is something that’s been known for a long

something that’s been known for a long

something that’s been known for a long time so I’m not pointing to anything

time so I’m not pointing to anything

time so I’m not pointing to anything that I myself included I have concluded

that I myself included I have concluded

that I myself included I have concluded it but it’s not my original conclusion

it but it’s not my original conclusion

it but it’s not my original conclusion it’s been known since the 1940s and

it’s been known since the 1940s and

it’s been known since the 1940s and Elaine Scarry popularized it in 1985

Elaine Scarry popularized it in 1985

Elaine Scarry popularized it in 1985 with her book of the body in pain it’s a

with her book of the body in pain it’s a

with her book of the body in pain it’s a beautiful book and since Gary’s book

beautiful book and since Gary’s book

beautiful book and since Gary’s book there have been and in response more

there have been and in response more

there have been and in response more positive way is to look at me

positive way is to look at me

positive way is to look at me so the humanities in particular has

so the humanities in particular has

so the humanities in particular has looked at other ways to raining outside

looked at other ways to raining outside

looked at other ways to raining outside of the hegemonic negative frame we have

of the hegemonic negative frame we have

of the hegemonic negative frame we have now things that I’ll just mention that I

now things that I’ll just mention that I

now things that I’ll just mention that I won’t explain but there are ways there’s

won’t explain but there are ways there’s

won’t explain but there are ways there’s eleven Athenian philosophy there’s

eleven Athenian philosophy there’s

eleven Athenian philosophy there’s subjectivity but why should we care

subjectivity but why should we care

subjectivity but why should we care about these negative numbers what we

about these negative numbers what we

about these negative numbers what we should care because we’re all locked

should care because we’re all locked

should care because we’re all locked into them if we only have a negative way

into them if we only have a negative way

into them if we only have a negative way to talk about them and how can our

to talk about them and how can our

to talk about them and how can our outcomes improve I would suggest to you

outcomes improve I would suggest to you

outcomes improve I would suggest to you that that is the fundamental problem

that that is the fundamental problem

that that is the fundamental problem that we have I doubt that very many

that we have I doubt that very many

that we have I doubt that very many people in the audience listen to this

people in the audience listen to this

people in the audience listen to this talk when you talk to your friend about

talk when you talk to your friend about

talk when you talk to your friend about your pain you say it hurts

your pain you say it hurts

your pain you say it hurts it feels like it’s stab not thinking in

it feels like it’s stab not thinking in

it feels like it’s stab not thinking in terms of it so I have an alternative way

terms of it so I have an alternative way

terms of it so I have an alternative way alternative way that I personally frame

alternative way that I personally frame

alternative way that I personally frame me what do I mean by narrative I mean

me what do I mean by narrative I mean

me what do I mean by narrative I mean that the person in pain has has a sink

that the person in pain has has a sink

that the person in pain has has a sink but it should always be interpreted in

but it should always be interpreted in

but it should always be interpreted in the context of their lives already

the context of their lives already

the context of their lives already I’ve lived with myself out of looking at

I’ve lived with myself out of looking at

I’ve lived with myself out of looking at things burning stabbing ripping I’ve

things burning stabbing ripping I’ve

things burning stabbing ripping I’ve looked at affect looking at pain in

looked at affect looking at pain in

looked at affect looking at pain in terms of narrative means the person

is that they are meaning for them that

is that they are meaning for them that they have if you have P that fact is

they have if you have P that fact is

they have if you have P that fact is fundamentally meaning meaningful for you

that you have P can have several effects

that you have P can have several effects of life that suggests that it can have

of life that suggests that it can have

of life that suggests that it can have several meanings that that pain has

several meanings that that pain has

several meanings that that pain has effects on your life means that I can

effects on your life means that I can

effects on your life means that I can have effects on the lives of others so

have effects on the lives of others so

have effects on the lives of others so already we’re talking about several

so let’s I just want to draw our

so let’s I just want to draw our attention today to the fact that we’re

attention today to the fact that we’re

attention today to the fact that we’re all in this being predicament

all in this being predicament

all in this being predicament together we’re all in the same boat

together we’re all in the same boat

together we’re all in the same boat we’re all locked into this cultural

we’re all locked into this cultural

we’re all locked into this cultural model which suggests that would be

model which suggests that would be

model which suggests that would be expressed negative no if I wanted to be

expressed negative no if I wanted to be

expressed negative no if I wanted to be scientific for a moment for those who

scientific for a moment for those who

scientific for a moment for those who are blind in the audience to speak this

are blind in the audience to speak this

are blind in the audience to speak this language I could talk without mirror

language I could talk without mirror

language I could talk without mirror neurons and wave my hands but what I’d

neurons and wave my hands but what I’d

neurons and wave my hands but what I’d rather do is go along a parallel track

rather do is go along a parallel track

rather do is go along a parallel track I’d like to suggest that imagine if you

I’d like to suggest that imagine if you

I’d like to suggest that imagine if you will a person in pain how do you know

will a person in pain how do you know

will a person in pain how do you know that there is an interesting well you

that there is an interesting well you

that there is an interesting well you can tell by their body language you can

can tell by their body language you can

can tell by their body language you can tell by their facial expressions you can

tell by their facial expressions you can

tell by their facial expressions you can tell by the tone of voice

tell by the tone of voice

tell by the tone of voice by recognizing these things and then

by recognizing these things and then

by recognizing these things and then enter it into their experience you can

enter it into their experience you can

enter it into their experience you can impact eclis respond to the person I

impact eclis respond to the person I

impact eclis respond to the person I don’t mean to suggest to anyone that

don’t mean to suggest to anyone that

don’t mean to suggest to anyone that pain I don’t mean to suggest that pain

pain I don’t mean to suggest that pain

pain I don’t mean to suggest that pain is a good thing all I’m here to suggest

is a good thing all I’m here to suggest

is a good thing all I’m here to suggest today is that poenas are not necessarily

today is that poenas are not necessarily

today is that poenas are not necessarily negative by looking on it that way we’ve

negative by looking on it that way we’ve

negative by looking on it that way we’ve freed ourselves I think a little bit

freed ourselves I think a little bit

freed ourselves I think a little bit from only looking at in terms of weapons

there has been research done we just

there has been research done we just looked at functional enough fMRI

looked at functional enough fMRI

looked at functional enough fMRI responses functional MRI responses to

responses functional MRI responses to

responses functional MRI responses to people

people

people we’re shown pictures of people we know

we’re shown pictures of people we know

we’re shown pictures of people we know in the brain where this works

in the brain where this works

in the brain where this works we’ve done electro biographic Studies on

we’ve done electro biographic Studies on

we’ve done electro biographic Studies on people who have we have science for them

people who have we have science for them

people who have we have science for them but really what we have

describe their pain but also to put it

describe their pain but also to put it into a context of partly so if you

into a context of partly so if you

into a context of partly so if you followed me this far

followed me this far

followed me this far goodbye what I’m saying

goodbye what I’m saying

goodbye what I’m saying then we’ve left the clinical apocalyptic

then we’ve left the clinical apocalyptic

then we’ve left the clinical apocalyptic mechanistic help that is in some

mechanistic help that is in some

mechanistic help that is in some respects some elements of the modern

respects some elements of the modern

respects some elements of the modern medicine we’ve left a huge amount of

medicine we’ve left a huge amount of

medicine we’ve left a huge amount of infusion of money to pharmacology

infusion of money to pharmacology

infusion of money to pharmacology looking for the way main pathway where

looking for the way main pathway where

looking for the way main pathway where it’s looking for a perfect magic bullet

it’s looking for a perfect magic bullet

it’s looking for a perfect magic bullet again weapon we left that left the hell

again weapon we left that left the hell

again weapon we left that left the hell we’ve got into the zone let’s say of

we’ve got into the zone let’s say of

we’ve got into the zone let’s say of recovery positive zone is not

recovery positive zone is not

recovery positive zone is not necessarily negative but I still would

necessarily negative but I still would

necessarily negative but I still would suggest despite Levin asking philosophy

suggest despite Levin asking philosophy

suggest despite Levin asking philosophy despite intersubjectivity despite my

despite intersubjectivity despite my

despite intersubjectivity despite my essay at narrative I still suggest we

essay at narrative I still suggest we

essay at narrative I still suggest we have a fundamental problem that’s our

have a fundamental problem that’s our

have a fundamental problem that’s our problem that’s how we talk to them and

problem that’s how we talk to them and

problem that’s how we talk to them and we need to fix that and so by the power

we need to fix that and so by the power

we need to fix that and so by the power invested in me by FedEx and poetry I

invested in me by FedEx and poetry I

invested in me by FedEx and poetry I command all the poets who are listening

command all the poets who are listening

command all the poets who are listening to me here to work on this problem with

to me here to work on this problem with

to me here to work on this problem with metalwork to try and invent more

metalwork to try and invent more

metalwork to try and invent more positive metaphors for the expression

and I’ll conclude by saying that the

and I’ll conclude by saying that the problem that we have with pain is not

problem that we have with pain is not

problem that we have with pain is not pharmacological or based on intervention

pharmacological or based on intervention

pharmacological or based on intervention its definitional the problem is of

its definitional the problem is of

its definitional the problem is of course and I hope you can all work

course and I hope you can all work

course and I hope you can all work together to

”

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