I. Understand why communication is such an important treatment option for pain and how your communication can either increase pain or decrease the patient´s pain experience. 2 Understand and better communicate different aspects of the psychology- and physiology of pain using the three different posters, the animations, and the MIRROR book. 3. Better understanding the gate control mechanism and the descending pain inhibiting system. And how the body´s own pain modulating systems are activated through graded exercise releasing different endogenous neuropeptides, oxytocin and dopamine in the central nervous system.4. Understanding effects of negative stress versus positive stress on the endocrine system (H-P-A axis), the neuroimmune-, the neurogenesis,- and the monoamine system.5. That the pain is in the brain, and how the limbic system (hypothalamus, pituitary gland, hippocampus and amygdala) reacts on negative- versus positive stress.6. Understanding that the human being is a biological being all the time reacting to different stimuli were psychological/physiological reactions like conditioning (operant and classical), and the positive expectation for help (placebo) and the negative experience (nocebo) are powerful mediators for patients health and your clinical outcome. 7. Better understanding why and how the experience of pain is an output.8. Understanding how high repetitive, high dosage medical exercise therapy results in clinical effects adding to a positive expectation (placebo), and the importance of dose response effects achieving pain modulation combining global, semiglobal and local exercises integrated in a bio psychosocial model; “meeting the patient where the patient is”. 9. The importance of endurance training resulting in increasing blood circulation affecting the function of different brain areas including the limbic system.
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