Quintliani's Subjective Units of Pleasure Scale Archives

November 28, 2019 By Admin

Approaches to Treating Chronic Pain Anthony R. Quintiliani, Ph.D., LADC

Approaches to Treating Chronic Pain

Chronic pain is one of the most common and costly physical conditions in the United States. The following approaches have proven to be somewhat effective in reducing personal suffering from chronic pain. Although some of these can be practiced on your own, it is wise to work with a pain specialist, preferably one who does not count 100% on pain medications. Nerve, cancer, and phantom limb pain may be more difficult to improve. Always be cautious when self-administering any pain intervention. Some of the same interventions may also help to reduce psychological/emotional pain; this may be true as an integrated aspect of pain or as a stand-alone condition. Emotional pain and suffering is often associated with aggravated physical pain. Here is the list. If you are unfamiliar with these, you may need to Google them. Google Professionals may be more helpful.

Cognitive distraction techniques
Mediating self-talk
Safe place imagery
Happy place imagery
Shifting perceptual attention away from the pain
Changing sensory perception about the pain – for example, what does the pain look like, smell like, etc.
Specific meditation and yoga interventions
Noticing very small changes in perception of pain via changing locations in the body or in and outside of painful areas
Intense focused attention on sensory objects around you – outside of you
Guided visualization
Imaginal numbing
De-centering skills – MBCT
Muscular relaxation skills
Conscious dissociation (difficult to do)
Regular practice of sensory manipulation of the painful area – size, location, shape, color, localization, density, temperature , etc.
Use of Wolpe’s Subjective Units of Discomfort Scale – from 1 to 100 how bad is the pain before and after doing interventions?
Use of Quintiliani’s Subjective Units of Pleasure Scale – from 1 to 100 how much does the pan improve after interventions? This scale may best fit safe place and happy place interventions.
Skilled chiropractic and/or physical therapy
Last caution: Pain in any form is not something to play around with; best to work with a trained and experienced professional.
This post will be followed by one that deals with suggestive and quasi-hypnotic interventions in pain.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton Sangha

Author of Mindful Happiness

New Edition of Mindful Happiness in Production…Coming soon

From The Eleanor R. Liebman Center for Secular Meditation, Monkton, Vermont – Five Breathing and Meditation Practices – Attention and concentration on the breath are common practices to attune meditation capacity. We use the breath as an object of attention in our mind training. The better your quality of attention and concentration, the better […]

Meditating in the Gap of Nothingness The Buddha taught about your four best friends, that is how the body changes physiology when you sit, stand, walk/move and every time you are lying down. Modern Western neuroscience now supports this statement of 2500+ years ago. Thich Nhat Hanh added the importance of your breath, walking meditation, […]

Core Elements in Clinical Supervision In addition to what supervisors bring into group supervision and clinical training, the list below will be used for discussion about YOUR supervisory role. The order of content below is generally random. The content noted applies to clinical supervision; it could also apply to doing effective therapy. The skills and […]

College Students – Mental Health in The US R. Quintiliani, Ph.D., LADC The Association of University and College Counseling Center Directors has released data on the mental health status of American college students. Two survey between 2016 and 2018 yielded results from as far back as 2014. Here are some selected statistics (rounded): Anxiety 47-61%; […]

Poem on Nature – Haiku-Like As I sat peacefully by the westward window of my sunroom at my retreat center, I noticed! I noticed the restless, natural movement of a tormented sky trying to calm itself. Here is my poem. “The Sky, the Lake and the Mountains” Sitting at our home, alone – […]

Looking at Early Judeo-Chrsitian Meditation Practice An early description of enlightened liberation in Buddhist meditation practice reads like this: Birth is destroyed, the spiritual life has been lived, what had to be done has been done. There is no more coming back to any state of being. Ignorance was banished and true knowledge arose, darkness […]

Participate in Groups for Meditation, Problem-Solving, and Task Completion Meditation With The Sangha Among regularly practicing meditators and various meditation traditions, the sangha is the social, emotional and spiritual collective that continues to support ongoing serious practice and progress along the Path. Given that so much has been written about the many benefits of practicing […]

Inner Workings of Self-Medication Process To continue our discussion about the self-medication process we will first turn to the human brain. The human brain is the most complex system known to science. Here, my comments will be basic. Self-medication often has roots in the quality of our earliest childhood experiences (attachment and object relations with […]

Mindfulness-Based Emotion Regulation The following emotional regulation practices (also called emotional balance skills) have been supported by over 2500 years of mindfulness training and current psychological research on human emotions. These practices/skills are to be practiced before they are needed, and directly applied when they are needed. Here is the list. 1) Practice noticing and […]

Vipassana Meditation and Introduction Vipassana meditation, as taught by S. N. Goenka, has been practiced in India, Europe, the United States and in many other parts of the world. There are various claims for effectiveness when used as a form of meditative treatment with various populations (often correctional and substance using populations); however, there is […]

Interoception and Your Inner Self-Helper Interoception (sometimes called neuroception) is a sensory experience, in which you feel sensations in your body (viscera, heart, throat, etc.) that may be warning signs of limbic surveillance or inner continuity of your inner self-helper – that part of you and your brain that hopes to help you in whatever […]

Preverbal Trauma – Therapy Problems A. R. Quintiliani, Ph.D., LADC Preverbal trauma (hereafter PVT) is one of the most pervasively troubling human conditions. PVT occurs when a preverbal child is exposed to parental, caretaker, or other forms of abuse. This abuse may be sexual, physical, or emotional. This form of abuse is so destructive because […]

Helper Burnout in Today’s Healthcare System Helper burnout is a very common problem in all healthcare services and at all levels of professional training and experience. Helpers from recovery-oriented peer counselors, state employed case managers, and licensed counselors/therapists all the way to physicians are reporting record high levels of reactive stress and compassion fatigue. Psychiatrists are […]

Behaviors People Display When in Groups After more than 35 years of facilitating hundreds of classes, workshops, family therapy sessions, group therapy sessions, and work project groups it has become clear that we do some strange things when we participate in groups. It appears to me that many of these in-group functions serve both ego […]

Mindfulness Training From The Eleanor R. Liebman Center for Secular Meditation in Monkton,Vermont The Problem: Many people become stuck in the suffering of their past, and they continue to re-experience an event in the futile hope to better understand it, or to find an escape from it. Many of the same people become fixated fearfully […]

Interpersonal Mindfulness Various forms of mindfulness-based compassion training help us to care more about the needs, happiness, and health of other people. However, direct applications of interpersonal mindfulness activates these influences into direct action on behalf of others. Thus, if lucky, we learn to care more about others and less about ourselves. The self-centered ego […]

The Nine Bow Ritual for Those You Respect Deeply The Nine Bow Ritual is a simple practice of deep respect. Think of a person, living or not, for whom you have very strong positive feelings. If you select a person no longer living, you may be surprised at the emotional impact of this ritual. If […]

Setting Emotional Boundaries from Work to Life Anthony R. Quintiliani, Ph.D., LADC Sometimes setting emotional boundaries from the psychotherapy room to your life outside of work can be a difficult thing to do. Shifting from “experience near empathy” (Kohut), “unconditional positive regard” (Rogers), “hovering attention” (Freud), “the holding environment” in “intersubjective space” (Winnicott), and compassionate […]

Expanded Information about Your Compassion Practices and Benefits Compassion Practice Tips and Exercises The Buddha noted that one should not dwell on the past, become too attached to future outcomes, but instead concentrate our mind only on the present moment of our experiences. The Dalai Lama noted that compassion is a necessary condition for inner […]

Vipassana for Depression, Anxiety, Trauma, and Addictions The integration of Vipassana meditation with various forms of therapy has for many years been a standard of treatment worldwide and in Vermont, especially when impulse control and emotion regulations issues are included. Buddhist Psychology offers clear explanations why this intervention may be helpful for so many suffering […]