Welcome to the comprehensive course on understanding and addressing chronic pain and associated conditions. This course spans seven modules, each designed to provide valuable insights and practical knowledge. From exploring the brain's role in pain perception to identifying the emotional and psychological factors at play, we delve deep into the mind-body connection. You'll learn to differentiate between structural and neural circuit-related pain, and discover emerging therapies like Pain Reprocessing Therapy (PRT) and Emotional Awareness and Expression Therapy (EAET). We also explore the application of this model to various conditions beyond pain. Along the way, you'll gain access to resources to further your understanding and help those dealing with chronic conditions. This course aims to empower you with knowledge and compassion, offering hope to individuals living with chronic pain and associated challenges.

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该课程共有7个模块
Welcome to Module 1, "The Reign of Pain Lies Mainly in the Brain: Applying New Concepts in Neuroscience to Chronic Painful Conditions," presented by Howard Schubiner, MD. Throughout this course, our primary objectives are to expand your understanding of pain, particularly chronic pain, and its connection to the brain. Our exploration begins with "The Experience of Pain," where we delve into the profound aspects of pain, including its reality, intensity, and its relationship with injuries. We'll also examine historical data from the Beecher study to broaden our perspective. In "How the Brain Works: Predictive Processing," we'll uncover the brain's role in shaping our sensory experiences, from sight and sound to touch. We'll explore how the brain anticipates and reacts to our environment, sometimes sacrificing accuracy for efficiency. Lastly, in "What is Pain?" we'll delve into the necessity of pain as a protective mechanism, its brain-generated nature, and its role as an alarm system. We'll consider how the brain can produce a range of symptoms, even in response to non-physical threats.Throughout these modules, you'll engage in quizzes, reflective exercises, and readings, fostering a comprehensive understanding of the brain's influence on pain. So, let's embark on this enlightening journey into the intriguing world of pain and neuroscience. "The reign of pain lies mainly in the brain: Applying new concepts in neuroscience to chronic painful conditions." –Howard Schubiner, MD March, 2023.
涵盖的内容
3个视频3篇阅读材料3个作业3个讨论话题
3个视频• 总计37分钟
- The experience of pain• 12分钟
- How the brain works: Predictive processing• 15分钟
- What is Pain?• 11分钟
3篇阅读材料• 总计30分钟
- Beecher study• 10分钟
- Rotating Mask and other illusions• 10分钟
- 1) Rubber hand illusion, 2) Article on tik tok tics, 3) neuroscience research paper• 10分钟
3个作业• 总计15分钟
- 1.1 Summary Quiz• 5分钟
- 1.2 Summary Quiz• 5分钟
- 1.3 Summary Quiz• 5分钟
3个讨论话题• 总计30分钟
- Bodily Injury Discussion• 10分钟
- Reflection on experiences of errors in processing or predicting• 10分钟
- Pain Unexpected Discussion• 10分钟
Welcome to Module 2, "Stress and Emotions Can Cause Pain," where we explore the intriguing interplay between stress, emotions, and pain perception. In this module, our objectives are to understand how the brain determines pain occurrence, recognize the role of stress and emotions as pain triggers, define neural circuits in pain perception, and describe how the brain activates and deactivates these circuits. Through the engaging video "Understanding Pain in Three Stories," we examine narratives ranging from painless injuries to emotional triggers, backed by studies like Kross and Eisenberger. In "How the Brain Learns Pain," we delve into neural circuits' role in learning and their potential for triggering and extinguishing pain. Join us in unraveling the complexities of pain in Module 2.
涵盖的内容
2个视频2篇阅读材料2个作业2个讨论话题
2个视频• 总计18分钟
- Understanding pain in two stories• 8分钟
- How the brain learns pain• 10分钟
2篇阅读材料• 总计45分钟
- Derbyshire, Kross, and Eisenberger Studies • 15分钟
- Dr. Hebb, echolocation, and a backwards bicycle• 30分钟
2个作业• 总计10分钟
- 2.1 Summary Quiz• 5分钟
- 2.2 Summary Quiz• 5分钟
2个讨论话题• 总计20分钟
- Physical reaction stories• 10分钟
- Reflect on learning• 10分钟
Welcome to Module 3, "What Causes Chronic Pain?" In this module, we delve into the origins of chronic pain, exploring the critical role played by neural circuits, emotions, and our reactions in its development. Our objectives include recognizing how the brain learns and perpetuates pain, understanding the persistence of neural circuits in chronic pain, and identifying the influence of emotions and reactions. In "Part One: Reinforced Neural Circuits after an Injury," we analyze the story of Lorimer Moseley's snakebite and the factors contributing to the enduring pain, such as stress, fear, and the "six Fs." We emphasize that while injuries heal, neural circuit conditions can persist, lasting for extended periods. In "Part Two: Linkage of Emotions to Pain in Absence of an Injury," we explore how stress and emotions can give rise to pain, linking feelings to physical symptoms and highlighting the emotional triggers underlying pain. Join us in unraveling the complexities of chronic pain's origins in Module 3.
涵盖的内容
2个视频2篇阅读材料2个作业6个讨论话题
2个视频• 总计32分钟
- Neural circuits can be reinforced after an injury• 14分钟
- Linkage of emotions to pain (in the absence of an injury)• 18分钟
2篇阅读材料• 总计35分钟
- Two videos on pain• 20分钟
- Pain and emotions studies • 15分钟
2个作业• 总计10分钟
- 3.1 Summary Quiz• 5分钟
- 3.2 Summary Quiz• 5分钟
6个讨论话题• 总计60分钟
- Reflect on triggers• 10分钟
- Reflect on activated neural circuits• 10分钟
- Reflect on reactions• 10分钟
- Reflect on emotions• 10分钟
- Reflect on dealing with emotions• 10分钟
- Reflect on Lumley & Yarns and Craig articles• 10分钟
Welcome to Module 4, "Conditions That Can Be Nociplastic," where we delve into the concept of symptoms with symbolic origins and explore the mechanisms for understanding pain's location. Our objectives include recognizing the symbolic nature of specific symptoms, identifying common nociplastic syndromes, and understanding that imaging studies can reveal conditions like arthritis without accompanying pain. In Video One, we examine illustrative stories of chronic pain, highlighting the role of emotions and past experiences. The quiz challenges assumptions, and an exercise prompts reflection on trauma and chronic pain in individuals. In Video Two, we explore various pain syndromes, distinguishing primary from secondary causes. The quiz tests knowledge of pain syndromes, and an exercise encourages reflection on someone's diagnosis. Join us in demystifying nociplastic conditions in Module 4.
涵盖的内容
4个视频1篇阅读材料2个作业2个讨论话题
4个视频• 总计74分钟
- Examples of chronic pain: illustrative stories• 19分钟
- Dan Ratner• 15分钟
- What kinds of syndromes are more or less likely to be due to neural circuit disorders?• 23分钟
- Lynn Crothers Interview• 17分钟
1篇阅读材料• 总计20分钟
- PTSD studies on IBS, FM, and in veterans• 20分钟
2个作业• 总计10分钟
- 4.1 Summary Quiz• 5分钟
- 4.2 Summary Quiz• 5分钟
2个讨论话题• 总计20分钟
- Reflect on traumatic events• 10分钟
- Reflect on someone you know• 10分钟
Welcome to Module 5, "How Does a Doctor Assess for Neural Circuit Disorders?" In this module, our objectives include recognizing how doctors can rule out structural conditions, as well as identifying ways to rule in a nociplastic condition using both circumstantial and confirmatory evidence. In Video One, "Ruling Out a Structural Problem," we emphasize the importance of thorough medical history, physical examinations, and testing to detect significant structural disorders while avoiding overdiagnosis based on common abnormalities in normal individuals. In Video Two, "Ruling In a NC Disorder—Circumstantial Evidence," we explore additional data beyond traditional medical assessments, such as body maps, associated conditions, and links to stressful life situations. Video Three, "Ruling In a NC Disorder—Confirmatory Evidence," introduces the FIT criteria (Functional, Inconsistent, Triggered) as confirmatory "tests" for identifying neural circuit or mind-body conditions. Quizzes and exercises provide opportunities for reflection, and readings offer further insights into this diagnostic approach. Join us in understanding the assessment of neural circuit disorders in Module 5.
涵盖的内容
5个视频3篇阅读材料3个作业3个讨论话题
5个视频• 总计101分钟
- Ruling out a structural problem• 19分钟
- Ruling in a NC disorder—circumstantial evidence• 14分钟
- Rachel Hollander• 19分钟
- Ruling in a NC disorder—confirmatory evidence• 29分钟
- Rob Ensor• 21分钟
3篇阅读材料• 总计35分钟
- Articles on MRIs • 20分钟
- ACES Study by Drs. Felitti and Anda• 5分钟
- FIT diagnosis document• 10分钟
3个作业• 总计40分钟
- 5.1 Summary Quiz• 5分钟
- 5.2 Summary Quiz• 5分钟
- 5.3 Summary Quiz• 30分钟
3个讨论话题• 总计30分钟
- Reflect on the investigation• 10分钟
- Reflect on this set of data• 10分钟
- Reflect further on the data• 10分钟
Welcome to Module 6, "Treatment of Chronic Painful Conditions." In this module, we'll explore current methods of coping with chronic pain and why they have limitations. We'll also delve into emerging models of treatment that offer more effective approaches. Our objectives include identifying common current treatments, such as opioids, injections, surgery, and psychological therapies, and discussing their effectiveness and limitations. We'll then introduce two promising therapies: Pain Reprocessing Therapy (PRT) and Emotional Awareness and Expression Therapy (EAET). PRT involves careful assessment, education about pain, and exercises to calm the brain's danger signal, while EAET focuses on understanding the role of emotions in pain, identifying and expressing suppressed emotions, and promoting self-compassion. Through quizzes, exercises, and readings, we'll reflect on the various treatment options and their potential impact on chronic pain management. Join us in Module 6 to explore these innovative approaches to chronic pain treatment.
涵盖的内容
4个视频2篇阅读材料2个作业2个讨论话题
4个视频• 总计74分钟
- Review of current methods—coping models and why they are limited; research studies• 16分钟
- Elisabeth de las Casas• 12分钟
- Review of emerging methods—curing models and why they are more effective; research studies• 26分钟
- Lee Canter• 20分钟
2篇阅读材料• 总计50分钟
- Studies on CBT, MBSR, ACT, etc.• 30分钟
- PRT and EAET papers• 20分钟
2个作业• 总计10分钟
- Summary Quiz• 5分钟
- Summary Quiz• 5分钟
2个讨论话题• 总计20分钟
- Reflect on the treatments• 10分钟
- Reflect on the onset of pain or other symptoms• 10分钟
Welcome to Module 7, "Conclusions: Associated Conditions and Resources." In this final module, we'll expand our understanding of this model's applicability to various other conditions beyond chronic pain, including fatigue, insomnia, POTS, tinnitus, anxiety, depression, and more. Our objectives include recognizing the broad range of conditions this model can apply to and identifying valuable resources for individuals dealing with chronic pain and associated conditions. We'll emphasize the importance of cautious assessment to rule out structural conditions and explore resources like PPDA, TMS wiki, and books for both patients and professionals. As we conclude this course, we'll reflect on the knowledge gained, its practical implications, and the hope it can provide for those facing chronic pain and related challenges.
涵盖的内容
4个视频1个作业2个讨论话题
4个视频• 总计109分钟
- Application of this model to other conditions• 50分钟
- Amy Engkjer• 16分钟
- Epilogue• 23分钟
- Cynthia Austin• 20分钟
1个作业• 总计5分钟
- Summary Quiz• 5分钟
2个讨论话题• 总计20分钟
- Reflect on any associations or connections• 10分钟
- Reflect on this course• 10分钟
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Michigan State University has been advancing the common good with uncommon will for more than 150 years. One of the top research universities in the world, MSU pushes the boundaries of discovery and forges enduring partnerships to solve the most pressing global challenges while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
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已于 Dec 28, 2023审阅
Excellent course. Includes current research and success stories. Explained in a simple and straight-forward way with compassion.
已于 May 14, 2024审阅
Fantastic course - I learned so much. Powerful and empowering perspective in chronic pain
已于 Jan 8, 2025审阅
I think that this course about the role of the brain in psychosomatic disorders can help a lot of people with chronic pain and other psychosomatic symptoms.
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