31 Day Project: Don’t think you are know you are

It’s been a while since I released a 31 days project video. I’ve been reading a lot of papers back from the 80s and seeing that actually not a lot has changed in terms of pain management.  One pioneering  individual (he is for me) is Bill Fordyce. He identified how learning and experiences influenced the occurrence of pain behaviours and implemented the concept of operant learning from the works of B.F. Skinner into pain management. Bill Fordyce coined the term ‘For behaviour change information is like wet noodles to a brick’ highlighting the importance of experiential learning to help mould our understanding.

So I thought I would attempt to capture this in another video from the Matrix.  In this scene it begins with Neo learning Kung Fu from it being uploaded into his brain. Neo and Morpheus then go into the fight program. Now, at this point I like the idea that even though Kung Fu is uploaded into Neo’s brain he still doesn’t really get it, what a great analogy for explaining pain! Just because we deliver pain education to people, by them “thinking it” isn’t really the same as “knowing it”. Even though Kung Fu has been uploaded into Neo’s brain he still doesn’t fully understand it. It takes experiential learning to facilitate a true understanding of what Neo can actually do. You might argue that Neo is the chosen one, however everyone in the Matrix still had to learn despite information being uploaded. You might remember when the jump program is uploaded into Neo, he falls. The comment comes “everyone falls the first time.” A nice analogy for stumbling during a flare up.  The message – We learn from experiences, not just education.

Anyway enjoy the clip.




6 responses to “31 Day Project: Don’t think you are know you are”

  1. jqu33431quintner Avatar

    Just because we deliver pain education to people, by them “thinking it” isn’t really the same as “knowing it”.

    Paul, your comment resonated with me and provoked the following thoughts.

    Those in the same language group already know what pain is. It is one of their lived experiences. We could therefore be wasting their time, as well as our own.

    In our recently published “reconsidered” definition of pain, for the purpose of the clinical engagement we argue that pain is “a mutually recognisable somatic experience”. Having got this out of the way, the clinician and patient can focus on matters of potentially great importance to the latter, i.e., apprehension of threat to their bodily and/or existential integrity.

    Here is the link to our paper, which is freely downloadable:


    Liked by 1 person

    1. the naked physio Avatar

      Thanks again John, I really appreciate how some of my weird and creative work resonates with you. It’s such an honour to have someone of your calibre and knowledge in the pain field complement my blog. Thanks for the paper. I look forward to having a read!




      1. jqu33431quintner Avatar

        Paul, I am just a fellow maverick, but thanks for the high praise.


  2. Angela Barton Avatar

    You’ve made me want to watch the movie now!! Friday night movie night 😁
    On a serious note am reading “Explain Pain” so always interested in what you have to say.

    Liked by 1 person

    1. the naked physio Avatar

      Hi Angela

      Thanks so much for the comment. There are so many references in the movie and other movies that I think resonate with us on a different level. Like music and art and poetry. This clip from x-men days of future past also resonated with me.


      Explain pain is an excellent book don’t get me wrong and what Lorimer and David do is really amazing. My argument is that we should not lose sight of the people before Lorimer and David that were sending the same message back as early as the 60s, 70s and 80s. Lorimer and David have taken the complicated medical jargon and adapted it to be comprehensible for clinicians and patients. Yet the concern that I and other colleagues have is the whilst explain pain has received a significant amount of attention it is not the panacea. A significant component of pain management is the behavioural science as well as the medical science, which has been sorely lacking. Watch this space as I will be adding more info in the future.

      Thanks again



  3. Fear, Expectancy Violation, Symptom Modification, Generalisation. Avatar

    […] generalization is also incredibly important.  To get a better understanding check out the clip here from the matrix. That entire film is a metaphor about learning, disconfirming beliefs, expectancy […]


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