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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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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 »
Using the Chronic Pain Acceptance Questionnaire by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Over the past few months I’ve been using the Chronic Pain Acceptance Questionnaire (CPAQ-8) as part of a battery of questionnaires used at intake and outcome measures.  A ... Read on »
What matters: patient-determined outcomes and clinician/researcher outcomes by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain It’s easy to forget, sometimes, that when we choose an outcome measure, we need to seriously consider who will use the measures in the end.  Of course, I am assuming t ... Read on »
Self efficacy and fear of movement mediate pain intensity and disability in acute pain by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Most clinicians working in chronic pain management are well aware that the time it takes for people to finally be referred for management of their pain is far too long ... Read on »
“Oh wad some power the giftie gie us To see oursel’s as others see us! It wad frae... by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain That quote from Robbie Burns. For such a long time it seems that pain research has focused only on the person having pain and less on the social context where the ... Read on »
What is this thing called pain? by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain As I’m busy writing up research papers for publications to “count” towards my research productivity, I’m reminded of one reason I keep on blogging – and it’s this: blo ... Read on »
Black and white thinking must be abolished by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain Black and white thinking, for those readers unfamiliar with cognitive distortions, refers to the tendency to reduce complex ideas and situations into simple, dichotomous, ... Read on »
What to do about catastrophising even when you’re not a psychologist by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain OK, it’s time I stopped the suspense.  This post is about what to do about catastrophising even when you’re a physiotherapist, massage therapist, acupuncturist, nurse, ... Read on »
Quick update from earthquake city by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain The aftershocks seem to have slowed a little, and they are not as powerful so hopefully things will settle down a bit. We still don’t have water, so we’re having to use o ... Read on »
Wobbles in the Quakey Isles by Bronwyn T. Occupational Therapist Posted in: Blog Posts in Chronic Pain By now, if you’re a regular reader of my blog, you’ll know that I’m from Christchurch, NZ, and yes, we’ve had a few earthquakes recently! I’m happy to report that while we ... Read on »