Here is some of what I have learned over the past decade or so from dealing with ME/chronic pain. Hopefully, it’s helpful.
-The human response to pain is initially pragmatic. We are less concerned about having a complete understanding of causality, and more concerned about alleviating the pain as quickly as possible. As pain becomes chronic, we begin to focus more on understanding causality.
-We prefer an empirical, scientific based explanation for pain, but if that is unavailable, we rely on the intellect to intuit/deduce a causal explanation.
THE LIMITATIONS OF THE INTELLECT
-We have an evolutionarily adapted impulse to prioritize acting quickly over acting accurately when confronted by the potential for danger. This impulse hijacks the intellect at a subconscious level for the sake of speed. Pain is associated with insecurity; insecurity is associated with chaos; chaos is associated with danger. Therefore, the way we form beliefs in the face of potential danger — subconsciously and prioritizing speed over accuracy — is often how we form beliefs about pain causality.
-Our beliefs fight for themselves. We can and often do endlessly rationalize our current belief since the dissolution of our belief thrusts us into the unknown, into chaos and insecurity. To our protective mechanism, a held belief represents order, security, and resolution. To this protective mechanism, the sensation of order represents truth; its aim is to move away from chaos and toward order in the immediate. It does not concern itself about the future. In other words, this mechanism does not aim at curing chronic pain, but rather it seeks to avoid chaos by preserving the sensation of order. It does not care if our held belief is accurate or effective with regard to our desire to cure our chronic condition, only that the belief is preserved.
THE CONSCIENCE AS ARBITER OF TRUTH
-When it comes to the unknown, the conscience is the only reliable indicator of truth, but in terms of accessibility, it is second in line to the intellect. It’s also vague and plays hard to get; it has to be pursued.
-Our attitude toward life is correlated with our attitude toward our conscience: at one end of the spectrum our conscience is an oppressive dictator, and at the other end, it is a trusted guide.
-Chronic pain pushes us toward assigning a negative meaning toward life, which causes us to avoid our conscience, which distances ourselves from truth.
THE WILL
-The will appears when we find ourselves in a place we don’t want to be (ie: pain).
-The will is the method of escaping the initial dead end of intellectual rationalization and moving toward the conscience.
-The will is maximized by simultaneously holding the sensations of where we are trying to get away from (pain) and where we seek to go. Holding contradicting aims creates tension and the higher the level of sensations that we can hold, the more of the will is made available to us.
PRACTICAL ADVICE
-The objective is to first access the will at the maximum level and then to use the will to guide us toward our conscience.
-A useful first step is to observe our attitude toward life. Our actions speak louder than our thoughts in this regard. We might tell ourselves that we don’t carry a nihilistic worldview around with us, but how we interact or orientate ourselves might contradict that. Affirmations are of little to no use to us in this exercise - we cannot fake this. We have to put forth the sustained effort that is required for truth.
-Question one: Is there anything redemptive about life or is it just continual suffering? This is a useful first aim for the will. Put life to the test. Again, this isn’t an intellectual process. I compare it to staring at those 3D art pieces. We can’t make snap judgments about what we think the answer should be, but instead keep looking deeper into it until the answer is revealed.
-Question two: Is there anything redemptive about pain? Only once question one is answered in the affirmative should we attempt to take on this question due to its difficulty. Start with something easier like the pain we experience during exercise. Then, perhaps move on to contemplating the growth we’ve experienced as a result of a breakup. Finally, move on to abstracting these patterns and principals and applying them to your current situation with chronic pain.
-The above exercises should help to better our relationship with our conscience, since again, as we find positive meaning and redemption in life, our conscience becomes more of a trusted guide to us.
-Next we can begin to bring our awareness to the sensation of our symptoms/pain in order to maximize the will. We should seek to gradually increase the amount that we can sustainably hold, building our will over time.
-We will inevitably fall into the trap of the intellectual solution and lose ourselves for periods of time. When we begin to sober up and doubt presents itself, we should be courageous enough to grab hold of the sensations of negative emotion and re-access the will.
I’m going to stop here because this is getting lengthy. To summarize, there are two truths that we are torn between. The first truth is subconsciously driven. It’s quick, impulsive, manipulative, and short sighted. This truth hijacks our intellect and can’t solve our problem of understanding the causality of chronic illness because it does not care about that. It only wants order; long term effectiveness is irrelevant. The second truth, the truth of the conscience, is what we want. We have to access and use the will to guide us toward this truth. We have to sacrifice for this truth, and be willing to endure uncertainty, chaos, insecurity, and the pain of loss and regret. We have to be willing to be judged for this truth. The alternative is the status quo.
-The human response to pain is initially pragmatic. We are less concerned about having a complete understanding of causality, and more concerned about alleviating the pain as quickly as possible. As pain becomes chronic, we begin to focus more on understanding causality.
-We prefer an empirical, scientific based explanation for pain, but if that is unavailable, we rely on the intellect to intuit/deduce a causal explanation.
THE LIMITATIONS OF THE INTELLECT
-We have an evolutionarily adapted impulse to prioritize acting quickly over acting accurately when confronted by the potential for danger. This impulse hijacks the intellect at a subconscious level for the sake of speed. Pain is associated with insecurity; insecurity is associated with chaos; chaos is associated with danger. Therefore, the way we form beliefs in the face of potential danger — subconsciously and prioritizing speed over accuracy — is often how we form beliefs about pain causality.
-Our beliefs fight for themselves. We can and often do endlessly rationalize our current belief since the dissolution of our belief thrusts us into the unknown, into chaos and insecurity. To our protective mechanism, a held belief represents order, security, and resolution. To this protective mechanism, the sensation of order represents truth; its aim is to move away from chaos and toward order in the immediate. It does not concern itself about the future. In other words, this mechanism does not aim at curing chronic pain, but rather it seeks to avoid chaos by preserving the sensation of order. It does not care if our held belief is accurate or effective with regard to our desire to cure our chronic condition, only that the belief is preserved.
THE CONSCIENCE AS ARBITER OF TRUTH
-When it comes to the unknown, the conscience is the only reliable indicator of truth, but in terms of accessibility, it is second in line to the intellect. It’s also vague and plays hard to get; it has to be pursued.
-Our attitude toward life is correlated with our attitude toward our conscience: at one end of the spectrum our conscience is an oppressive dictator, and at the other end, it is a trusted guide.
-Chronic pain pushes us toward assigning a negative meaning toward life, which causes us to avoid our conscience, which distances ourselves from truth.
THE WILL
-The will appears when we find ourselves in a place we don’t want to be (ie: pain).
-The will is the method of escaping the initial dead end of intellectual rationalization and moving toward the conscience.
-The will is maximized by simultaneously holding the sensations of where we are trying to get away from (pain) and where we seek to go. Holding contradicting aims creates tension and the higher the level of sensations that we can hold, the more of the will is made available to us.
PRACTICAL ADVICE
-The objective is to first access the will at the maximum level and then to use the will to guide us toward our conscience.
-A useful first step is to observe our attitude toward life. Our actions speak louder than our thoughts in this regard. We might tell ourselves that we don’t carry a nihilistic worldview around with us, but how we interact or orientate ourselves might contradict that. Affirmations are of little to no use to us in this exercise - we cannot fake this. We have to put forth the sustained effort that is required for truth.
-Question one: Is there anything redemptive about life or is it just continual suffering? This is a useful first aim for the will. Put life to the test. Again, this isn’t an intellectual process. I compare it to staring at those 3D art pieces. We can’t make snap judgments about what we think the answer should be, but instead keep looking deeper into it until the answer is revealed.
-Question two: Is there anything redemptive about pain? Only once question one is answered in the affirmative should we attempt to take on this question due to its difficulty. Start with something easier like the pain we experience during exercise. Then, perhaps move on to contemplating the growth we’ve experienced as a result of a breakup. Finally, move on to abstracting these patterns and principals and applying them to your current situation with chronic pain.
-The above exercises should help to better our relationship with our conscience, since again, as we find positive meaning and redemption in life, our conscience becomes more of a trusted guide to us.
-Next we can begin to bring our awareness to the sensation of our symptoms/pain in order to maximize the will. We should seek to gradually increase the amount that we can sustainably hold, building our will over time.
-We will inevitably fall into the trap of the intellectual solution and lose ourselves for periods of time. When we begin to sober up and doubt presents itself, we should be courageous enough to grab hold of the sensations of negative emotion and re-access the will.
I’m going to stop here because this is getting lengthy. To summarize, there are two truths that we are torn between. The first truth is subconsciously driven. It’s quick, impulsive, manipulative, and short sighted. This truth hijacks our intellect and can’t solve our problem of understanding the causality of chronic illness because it does not care about that. It only wants order; long term effectiveness is irrelevant. The second truth, the truth of the conscience, is what we want. We have to access and use the will to guide us toward this truth. We have to sacrifice for this truth, and be willing to endure uncertainty, chaos, insecurity, and the pain of loss and regret. We have to be willing to be judged for this truth. The alternative is the status quo.