Malibu, California, and Santa Barbara, California
1. Accessing unconscious control of analgesia a. "Walk into an imaginary, cold lake until the water reaches your knees. When you feel the cold, your yes finger will life unconsciously. Tell me when you are feeling cold from your knees down."
b. "When you are in cold water, you soon get used to it. It is no longer cold. You are about half as sensitive as you usually are. If you stubbed a toe or bumped your shin, you would feel a bump but there would be no pain. Your no finger will lift to let you know when you are half as sensitive as you were at first."
c. "Now walk in until you feel the cold water up to your ribs. When you feel cold from your ribs to your knees, your yes finger will lift. When you are numb from your ribs down to your toes, your no finger will lift."
d. "Now press your left thumb and index finger together. This associates instant coolness and numbness, and you will be able to do this with increasing speed every time you repeat this exercise."
e. "Now loosen your pressure on the left hand, and press the index finger and thumb on your right hand to bring back, instantly, all the feelings that have been cool and numb."
f. "Practice this at home until you know you can reproduce these sensation changes any time you wish."
2. Therapeutic facilitation a. Have patient repeat exercise until confidence is assured.
b. Explain that making labor more like the work of sawing wood than like a long arduous experience will allow the baby to be born feeling welcome and free of guilt.
c. "By turning off unconscious, painful stimuli, you will heal without inflammation and will be able to go home sooner."
3. Ratifying and extending new ability "Learning this skill will not only make your immediate task easier, but also will aid you in meeting unrelated tasks with confidence in the future."
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