Honour the outputs
At an Explain Pain course in London two years ago, a psychotherapist on the course commented on my lecture on output and homeostatic systems by saying “always remember to honour those outputs in your patients”. I have never forgotten it.
What a potent treatment metaphor! By honouring the outputs, she meant paying respect and giving acknowledgement of the systems that the self, acting on all available knowledge and interpretations has called upon to protect itself. – these outputs could be thoughts, beliefs, pain, movements, postures, emotions, sympathetic, endocrine, and respiratory responses among others.
To some degree it is a “well done up to date”, or perhaps a “I can begin to understand how you have those ideas, feelings, movements with what you have gone through”. At NOI, we think that acknowledgement, with useful explanation and honouring is necessary before any alterative protective strategies or changes in existing strategies are offered.