Pain and Rehab Podcast #4: An Enactive Approach to Pain w/ Peter Stilwell and Katherine Harman

Summary: On this episode our hosts talk with Peter Stilwell, PhD(c) and Katherine Harman, PhD on their recent paper “An enactive approach to pain: beyond the biopsychosocial model” as well as their qualitative research into low back pain, behavior change and therapeutic alliance. Guests: Peter Stilwell, DC is a PhD trainee interested in pain, cognitive science, phenomenology, qualitative methods, and knowledge translation out of Dalhousie University. Katherine Harman, PT, PhD is a professor out of Dalhousie University with her research interest in the study of pain from prevention of chronicity to the management of chronic pain. Her current focus of research is the use of psychological techniques to enhance patient outcomes. Papers: Stilwell P, Harman K. An enactive approach to pain: beyond the biopsychosocial approach. Phenom Cogn Sci (2019). https://doi.org/10.1007/s11097-019-09624-7 Stilwell P, Harman K. 'I didn't pay her to teach me how to fix my back': a focused ethnographic study exploring chiropractors' and chiropractic patients' experiences and beliefs regarding exercise adherence. J Can Chiropr Assoc. 2017;61(3):219–230. Time Stamps: Introductions: 2:30 Expanding the biopsychosocial model: 6:00 Language and communication: 16:00 Pain as an emergent process: 20:30 Non-specific low back pain: 29:30 Medicalization of low back pain 36:00 Enactive approach to pain 41:30 Embeddedness of the environment 49:30 Extendedness and Embodiment 1:01:00 Therapeutic Alliance 1:09:00 Future directions of research: 1:17:00