Howard Schubiner, MD, Clinical Professor at Wayne State University School of Medicine has a blog that appears in Psychology Today. He states that his medical practice consists entirely of people who are suffering from conditions, including headaches, neck and back pain and other symptoms, caused by the mind. The following is a recent post written by him.
Most people don’t really understand how powerful the mind can be. However, every doctor knows that the mind can cause symptoms that are as severe as paralysis or inability to speak. This is known as “conversion disorder,” and an individual with this condition truly cannot move the affected arms or legs or truly cannot speak.
Yet, in these situations, there is absolutely no physical damage to the muscles or nerves, a fact that can be documented by routine medical testing. Their brain has caused this syndrome and it is reversible. When the actual diagnosis is made and a physical injury is ruled out, if the person gets psychological help to figure out what social and emotional issues caused the brain to do this, the symptoms will typically resolve.
The brain can cause symptoms of pregnancy in men who wives are pregnant. This is known as Couvade syndrome. Medical students sometimes get symptoms of the disorders they are learning about – sometimes ironically termed “medical studentitis.” In rare cases, the brain can cause death, which has been documented to occur when induced by voodoo or reported to have even happened as a result of a cruel prank.
If the mind can cause these severe disorders, why wouldn’t it be able to produce pain? In fact, we now know that the mind can cause a wide variety of painful syndromes, including tension headaches, migraine headaches, neck and back pain, abdominal and pelvic pain, jaw and facial pain, and almost any other pain syndrome you can name. Of course, medical conditions can also cause any pain syndrome, and careful evaluations are necessary to distinguish the two. The important point to remember is that the mind can do this, so it makes sense to at least consider that possibility, especially when the pain becomes chronic and eludes a clear medical explanation.
This occurs because the brain is trying to send us a message. Pain is a function of the brain, i.e., pain occurs when the brain activates a danger or alarm signal. Certainly physical injuries can activate that signal, but not all physical injuries cause pain. In a study of World War II, two-thirds of injured soldiers in a medical unit did not admit having pain.
Children who skin their knees often do not have pain, or may cry only when they see their parent run towards them with a worried look. A close friend of mind accidentally shot a nail through his finger and had no pain at all while he drove to the hospital.
Conversely, a man in Britain jumped off scaffolding and impaled his foot on a large nail. His pain was immediate and severe enough that it required intravenous sedation and pain medication. However, when his boot was removed, the nail was lodged in between his toes and had not injured him. His pain was caused by the brain activating a powerful danger/alarm signal.
Over the past decade, I have seen hundreds of people with pain and other conditions caused by the mind. I have learned that pain is a message that the brain is sending to us. Since (unfortunately) the message is not in English, it is up to us to interpret it in order to make the correct diagnosis. If you break your ankle, your brain will activate pain, and the message is “Stop walking on that foot and get a cast.” If your neck begins to hurt after your boss repeatedly criticizes you, the pain is telling you that your boss is “a pain in the neck.”
Of course, not all pain is symbolic. It is up to the brain to “choose” what kind of message it gives to us at any particular moment, However, all pain has a message of some kind, whether related to a physical condition or a psychological situation. While many people with mind-body pain begin to feel that their brain has betrayed them by giving them such pain, in actuality, their brain is trying to protect them from what the brain perceives to be a dangerous situation in their body or their life.
If you know people who are suffering from severe and chronic pain, please alert them to the possibility that their brain is giving them the a message and causing pain. If medical evaluations do not reveal a clear cause of their symptoms, the problem might not be in the body, but in the mind. In these situations, which are more common than most people realize, there is hope for recovery.
March 13, 2015