We receive and enjoy regular discussions about Explain Pain strategies at NOI. The most common question relates to plateauing – where a person has improved to some degree but pain persists and often emerges in certain contexts such as time and place.
My answer usually includes advice to “go deeper” to find and deal with the DIMs (‘danger in me’ brain networks) and SIMs (‘safety in me’ brain networks). I may also encourage the questioner to check severe/sinister pathology as well.
A favourite saying of ours is “DIMs and SIMs hide in hard to find places”, though Fernando Pessoa said it far more eloquently in the Book of Disquiet with “My soul is a hidden orchestra; I know not what instruments, what fiddlestrings and harps, drums and tamboura I sound and clash inside myself. All I hear is the symphony.”
In the Protectometer handbook, we proposed that DIMs and SIMs lurk in 7 overlapping categories. Here are some examples of DIMs in the categories to help you delve deeper.