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“Just as thoughts are the language of the brain, feelings are the language of the body. And how you think and how you feel create a state of being. A state of being is when your mind and body are working together. So your present state of being is your genuine mind-body connection.”
― Joe Dispenza, You Are the Placebo: Making Your Mind Matter

 

State-of-being refers to the overall physical condition of a person. As a healthcare professional I have spent a good portion of my adult life explaining to people their “state-of-being” as it relates to their diagnosis. Case and point, if you have been around my content for awhile, you might be pretty good at telling me about your “state-of-being”. If I have done my job, you can tell me about your neurologic injury and maybe go so far as to link that to how your physical being shows up in everyday life.

I receive emails on a regular basis from people explaining back to me just how well they know their “state-of-being”. “I am a stroke survivor who has hemiplegia (one sided weakness) due to the damaged neurons in my brain”. So, I guess I should pat myself on the back. I have done my job. However, I can’t say with confidence or any amount of certainty that I have done my job well. In fact, I might go so far as to say I haven’t…..

You see, medical explanations are great. And medical terminology is necessary to ensure medical professionals can communicate with one another. “Medical explanations” are necessary to develop a hypothesis for scientific inquiry. Scientific inquiry is a necessary process to test potential interventions that might “cure” said suboptimal “state-of-being”. So medical terminology and medical explanations are good and necessary. But are they necessary for you?

Joe Despenza reveals the power of the mind in his book You Are The Placebo. Joe explains placebos and nocebos. These are two phenomena that demonstrate the impact of the mind on our physical state-of-being. A placebo effect is when someone receives a medication with no therapeutic effect (sugar pill), yet believe it has a therapeutic effect. And, as a result, their state-of-being will respond positively. On the other hand, a nocebo effect is a phenomena where the opposite occurs. Someone receives a medication with no therapeutic effect (sugar pill) yet believe the medication is harmful. In this case their state-of-being will respond negatively.

There is no dispute that placebo and nocebo effects exist.  In fact, many scientific studies will include a “placebo group” when determining the effectiveness of a medical intervention.

So, if there is no dispute that the mind is intimately connected to the body, to what extent might this occur after a neurologic injury?

I am torn. Yes, “knowledge is power”. And yes, “awareness can be a catalyst for behavior change”. But when is it too much? When can knowledge of your condition negatively impact your physical state-of-being? In other words, is it possible that a “diagnosis” can become a stumbling block in neurologic recovery?

Francesco Pagnini explains this potential problem where he links one’s belief on “illness perception” and the impact on our physical state-of-being.

In Pagnini’s words, “In fact, every individual with a medical condition develops a certain mindset toward the illness, with expectations that spontaneously emerge. These expectations, which represent the result of the elaboration process of the information collected about the disease, can promote different physiological effects.”

In other words, one’s perception of their illness and illness expectations will impact the physical manifestations of the illness.

But the work and thoughts of Pagini and Mr. Despenza continues…..Personality also impacts our state-of-being.

Per Mr. Despenza’s work, optimists might have a more favorable outcome when compared to a “pessimist” with the same condition. In other words, “expecting the best possible outcome” (the optimist) has it’s advantages.

Similarly, Pagnini shares compelling evidence that spirituality can also impact one’s physical state-of-being.

Pagnini’s continues with the impact of “rigid thinking” on one’s physical state.  Pagini defines rigidity as an “inability to maintain a dynamic view of one’s status”.

So, what does all of this mean? Language matters. Who you listen to matters. What you say matters. What you choose to focus on matters.

For some, there is a point when “knowledge ISN’T power”.

“I am a stroke survivor who has hemiplegia due to the damage in my brain”

For others, our language matters.

“I have a traumatic brain injury”

“I have lesions in my brain”

“I had a massive stroke”

Or, worse…..

“I am crippled”…etc. etc…

How we identify matters.

“I am an MS warrior”

“I am a stroke survivor”

“I am a young stroke survivor”

“I am a traumatic brain injury survivor”

What do you believe about your condition? How do your thoughts, feelings, and beliefs impact your “illness expectations”? What thoughts, language, feelings, and/or beliefs can you add or remove to harness the power of the placebo?

“What we’re conditioned to believe about ourselves, and what we’re programmed to think other people think about us, affects our performance, including how successful we are.” – Joe Despenza, from his book You Are The Placebo