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Bronwyn T. Occupational Therapist

About me: I trained as an occupational therapist, and graduated in 1984. Since then I’ve continued study at postgraduate level and my papers have included business skills, ergonomics, mental health therapies, and psychology. I completed by Masters in Psychology in 1999, and started my PhD... Full Bio
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Pain reduction doesn’t (always) reduce disability by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain The relationship between pain and disability is a particularly vexing one in primary care. It would be great if it was possible to get rid of pain and be assured tha ... Read on »
Gratitude when you’re in pain? You’ve got to be kidding! by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Or – introducing the “parent of all virtues” (Wood, Joseph & Linley, 2007). For some time now I’ve been exploring the contribution of positive psychology on wellbeing ... Read on »
What to do when a patient is “inconsistent” by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain I’m a practical person, despite occasional flights of fancy dreaming of a health service that really integrates a biopsychosocial approach for pain management, sigh… Anywa ... Read on »
“Faking” pain – and inconsistency in presentation by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain There is a common belief amongst some people involved in pain and pain management that a person with chronic pain should be consistent in their presentation. That is ... Read on »
The vexed question of determining whether pain is “real” by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Every now and then the old chestnut of whether it’s possible to determine if a person’s pain is “real” arises. Usually it’s in the form of an insurer, or maybe an em ... Read on »
When patients think their problem is mysterious by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain This post is sparked off by a Facebook discussion where someone (you know who you are!) asked what to do when patients hold entrenched beliefs about the uniqueness or mys ... Read on »
OT Only Area – Password Access by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain For those who would like to gain access to the OT Only area of this blog, please click here , go to the contact area towards the bottom of the page, give your name, email ... Read on »
Protected: Why I can no longer think of myself as an occupational therapist by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain This post is password protected. You must visit the website and enter the password to continue reading. Read on »
Empathy, distress and mindfulness by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain One of the main thrusts of the paper by Hadjistavropoulos, Craig, Duck, Cano, Goubert, Jackson, et al., is that pain communication can serve several functions – it can ... Read on »
Seeing is believing? by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain I am slowly wending my way through a long, complex and incredibly important article by a group of researchers and clinicians writing about the social element of pain.  Th ... Read on »
Which comes first: Doing or knowing? by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Received wisdom in cognitive behavioural therapy says that to change behaviour, a person must first change his or her thinking.  This has created a tension between those ... Read on »
Around and around and around we go – or…back to the beginning again by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain In the early days of non-medical chronic pain management, operant models of behavioural learning were used by Prof W Fordyce.  At the time, this was a revolutionary appro ... Read on »
Self management – a very vexing definition by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Self management is one of those terms that is used to describe the aim of cognitive behavioural programmes for chronic pain. It’s even in my description of this blog! ... Read on »
Education or a cognitive behavioural approach? by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain There is a reasonable amount of evidence suggesting that self management of chronic pain is only moderately effective.  Some of the factors thought to influence outcomes ... Read on »
Not just neural plasticity – health system plasticity by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain In chronic pain management there seems to be a pretty consistent pathway for people to finally get to interdisciplinary treatment.  First a referral from the primary care ... Read on »
Low mood and catastrophising – one is bad, two is worse by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Having pain that persists creates a lot of stress, but there are many people who can limit the effect on their life and carry on.  These people seem to return to their ev ... Read on »
More Managing Migraines without Medication by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Anyone familiar with migraine will know the first signs of an impending attack. What might be a little less familiar is the precursor to the “first signs”, and what ma ... Read on »
Managing Migraines without Medication by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Ahhh, migraine – psychedelia without the high… nausea without the alcohol… The diagnostic criteria: A) At least 5 attacks fulfilling B-D; B) lasting untreated 4-74 ... Read on »
Online Technology and Occupational Therapy Survey by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain If you’re an occupational therapy practitioner and haven’t heard of Anita Hamilton’s survey on the use of online technology – here’s the link – what do you mean, what’s it ... Read on »