May 5, 2025

(no music) Placebo, Belief and Expectation | Let me bore your pain away #32 | Jason Newland | 5th May 2025

(no music) Placebo, Belief and Expectation | Let me bore your pain away #32 | Jason Newland | 5th May 2025
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WEBVTT

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Hello, and welcome. I was a wired we'd start finished

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making some strange noises. Welcome to Jasonnewland dot com. My

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name's Jason Newland, and this is let me boil your

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pain away. Please only listen when you can safely close

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your eyes. Also, only listen to this when you know

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the cause of your chronic pain and you have permission

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from your doctor to listen to this. Otherwise, please gain

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permission from your doctor or your medical practitioner. This is

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not a replacement for therapy or any medical advice. This

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is just me chatting about the subject and hopefully, in

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the process, helping to reduce the physical discomfort that you've

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been feeling. I'd like to say thank you to those

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of you that listen because these recordings have become I

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don't want to use the word popular because that's a

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bit overstated, but they've definitely become one of my more

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popular podcasts now and yeah, So I appreciate that because

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I've only really been doing regular, regular ones of these

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more recently, and I started doing them. When did I

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start doing them? I'm just going to go back have

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a quick look. The first one I did was eighteenth

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of August twenty twenty two, and then the tenth one

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I did was second of January twenty twenty five, so

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you see that was quite a big I did five

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in twenty twenty two, and I think I did three

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in twoenty twenty four or three, you know. Anyway, so

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I'm now at number thirty two. Now this is the

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thirty second one, so I've done quite a few this year.

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Phini's making some weird noises. All right, I'm distracted, So

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before I go on, just let you know that my

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website has all my recordings which you can stream and download.

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There's also in the menu you've got podcast apps. You've

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got playlists and podcasts, so you can kind of go

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through lots of different things. Thousands of recordings, and I've

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got a Facebook group called Jason Newland's Boring Group. I

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may shortly have an Instagram group and what else. Oh,

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I've got YouTube channel at Jason Newland, which is basically

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every podcast I do goes onto the YouTube channel now,

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so it's another player, another place you can listen I did.

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I've got rid of my SoundCloud accounts, which I didn't

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realize was going to have an effect on people. So

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I had a few people contact me. I've tried to

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get them back, but they're deleted now to they've gone.

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But you can listen to me on my website. You

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can listen on all of the major apps podcast apps, Spotify,

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Apple Podcasts, cast Box, all those and also on YouTube

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as well as directly on my website, and I post

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all the new recordings onto my Facebook group. Well that

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was a lot in it. So today I just had

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the urge. I don't really know why I have the

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little urge to talk about placebo and belief, which may

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seem like a strange thing to talk about when it

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comes to chronic pain really, but it's yeah, in a

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sense of like if you give someone a placebo tablet,

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if I can say the word, then you know, is

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it going to have the placebo effect? Probably not, I'd

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say possibly, definitely not because it works because they don't

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they don't know it's a placebo. It's kind of yeah,

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it's logical, I suppose, really, And I thought i'd look

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into this, the placebo effect in chronic pain, just out

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of interest, really, because the placebo effect is something that

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has been and it's still used today in studies, scientific studies,

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medical studies to find out the efficacy of maybe a

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new medication or a new treatment, and they put people

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into groups, give the correct medication to. They give medication

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to all three, but they don't tell the three groups

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who's in each group. They'll all let the same condition.

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And let's say it's a new diabetic medication or it's

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a new paying relief for someone with arthritis in their foot,

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for example. So you're three groups. One gets the new medication,

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one gets no medication, and one gets the blasibo medication.

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So you got three people. That's probably not a good example.

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I'm not sure if the one to get no medication,

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because that would be bliss ebo. But so you've got

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ones that just have no medication, and is to see

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how the person feels after a week or two weeks

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or whatever, because sometimes people with no medication can have

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effects that are positive as well. Or maybe I'll have

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a one group that has just has the old medication,

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but they won't tell the people what it is, so

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they'll get tablets. So if they listen, they've got two groups.

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I'm not explaining this very well, am I. Yeah, so

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you've got both two groups, both getting place, both getting tablets.

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I should have thought this through before I started. I

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thought about it in my head for about five minutes,

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and which shows you how much effort I go into.

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One group has the new medication, one group has the placebo.

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Now neither of them know which they're going to get,

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and then they judge about whether or not it works.

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And it's like this new drug that's supposed to be

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really useful, and they test it, and the placebo generally

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always get a high level as well high level of success. Now,

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I think if the people are told there's two groups,

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one of you is going to get the new medication,

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one of you group is going to get the placebo.

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I think if someone's told that there's a fifty percent

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chance that they're going to get a placebo, which would

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just be like a sugar pill, which has nothing. Mind you,

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a pill full of sugar would be quite nice unless

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you're diabetic. And I'm kind of on the cusp of

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diabetes at the moment, so I love sugar, but it

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doesn't love me that Okay, you see the size of

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my back anyway, So if you notice a fifty percent

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of the placebo, how's that going to affect the outcome?

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It's a weird one. But anyway, I've kind of done

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a little bit of research, a little bit of had

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a little look, kind of a roots up exploration of

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how placebos can help to relieve chronic pain, and sort

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of looking into psychology, neurobiology and some clinical data. I'm

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just like looking looking through it and just seeing what

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comes up. Now. When I first started learning about hypnosis

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and learning about MLP, which is new a linguistic programming,

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placebo is mentioned a lot. The idea that actually telling

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someone that a sugar pill is just the pill that

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they get being given is a new wonder drug and

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if the person really believes it. Because it's about belief

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as well. So that's one I'm kind of looking at

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placebo and belief because about belief, the placebos doesn't have

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the power. Placebo needs that energy of belief. And that's

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Finny in the background, chomping on a chew chewy boney

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thing in case you're wondering what the noise is in

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the background. In a way, hypnosis is reliant upon I

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would say, I don't know. It's not reliant on belief,

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but there's the more belief you have. For example, if

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you listen to me regularly. Maybe you've listened to me

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for years doing other different recordings. Maybe you've been listening

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to these recordings for years, although there was quite a

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big gap between each recording, and you're a regular listener,

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or you become a regular listener, You're going to expect

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to feel more relaxed. You're going to expect me to

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come out with some weird things as well, which I'm

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going to do. I'm going to say some stuff that

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you won't normally hear in these kinds of recordings. But

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you're also that expectation is mixed with belief because you

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believe what is expectation other than you believe something's going

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to happen. You believe that you're going to have you're

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going to feel a certain way. So to say you

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expect to feel relaxed, as you believe you're going to

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feel relaxed, you expect to for the part of your

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body that was troubling you before to feel more comfortable.

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Is that you believe that you're going to feel more

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at ease and more peaceful and loose and calm in

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that part of your body. So that's kind of what

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expectation is, really, isn't it. It's just belief, and so

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placebo and belief as well. It's kind of the same

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word is to see bow is expectation. It's expecting something

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to happen, something positive to happen, because you believe that

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it's going to happen. So you expect to feel relaxed

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in your body. You expect your mind to calm down

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and become slower, your thoughts slowing down and almost to

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the point where you realize they're not necessarily needed right now.

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As you focus on my voice. You expect that and

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you believe it's going to happen, because it's happened before.

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Maybe you know it's like a I don't know what

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it's self fulfilling prophecy or something like that. I'm not

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sure I've prophecies the right word. That sounds way too spiritual,

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way too esoteric for me. So I think everyone knows

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what the word placebo means, but I'll mention it just

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in case I should see what the correct definition of

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is in the dictionary. So look a place A placebo

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effect is the portion of symptom change produced by the

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psychosocial context of treatment, expectations, conditioning, therapeutic ritual rather than

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by any direct pharma, pharmacological or physical action of the

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treatment itself. Wow, I said, mouthful, isn't it. So it's

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based and you think about it. Yeah, placebo has a

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lot to do with healing anyway. So if someone goes

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to have an operation hip placement, for example, and they're

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expecting to feel relief when they wake up after the operation,

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they're expecting to feel grateful because they're no longer going

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to be having that discomfort that they used to have.

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They're expecting to be walking. They're going to imagine themselves

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walking freely again soon with a bit of rehabilitation, a

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little bit of rest, a little bit of exercise, physiotherapy, whatever.

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But their expectation is positive and a belief is there

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that it's just a very positive situation. And because it's

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such a I'm not going to say simple operation, it's

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just a very often done operation. Millions of them are

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done around the world every year, So it's one of

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those almost like it's just a stand it's almost like

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having your tonsils out. Now it's not, but you know

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what I mean, It's like the fear that would have

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been there fifty forty years ago doesn't need to be

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there anymore because it's you can literally knock on the

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doors in your street and probably find two or three

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people have had their hip replaced, hip replaced, hips replaced.

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If I can get the words out, I mean, you

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might only live in a small road. So maybe not

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in that road, but just on my little estate where

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I live, I've met three people that had their hips replaced.

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It's kind of more of a standard thing these days.

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So when you expect the recovery, when you expect to

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feel calmer and to feel that relief, then your healing

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is going to improve. And that belief is technically a

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placebo effect because you've almost tort yourself into believing that

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during or before, during, and after the operation you're going

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to be fine. And every stage, every step of that

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process leads you towards freedom, leads you towards where you

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want to be, where you're looking forward to being. So

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it's kind of powerful that I quite like that, you

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know the idea that we actually use that placebo effect

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on ourselves, and it's more powerful when we do it

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on ourselves. But it doesn't seem like a placebo effect

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because it's real. It's not a little sugar tablet. It's

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not a fake, fake medicine. No one's tricking you. No

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one's pulling the covers over your eyes that you know

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what I mean. No one's like manipulating you. You're and

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you're not manipulating yourself. You're not tricking yourself. You just believe,

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based on the evidence you have, everything's gonna work out fine.

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And when you've got that belief and that expectation that

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when you wake up from the operation, you're going to

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actually feel relaxed and calm, and you'll almost feel that

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part of your body healing, like it's healing in front

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of you. You're observing it heal. So that feeling that

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maybe before you would perhaps have given it a name.

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You know, the thing could begin with P. Maybe you

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experienced that physical sensation in a different way so that

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it's now begins with H healing. I did notice years

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ago this is weird. I had a really dodgy back

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for my upper back, not my lower back. So I

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got arthrights on my lower back, but my upper back

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was problematic, and I think there's a lot of to

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do is I don't get back. Then I wasn't getting

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out enough, and I went to the doctors and they

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put me on these super strong medication to help with it,

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sort of muscle relaxes, and because it was muscular and

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made my brain go weird. To be honest with you,

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i'd stop taking them because it was weird that they

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didn't really agree with me, and I thought they were

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just painkillers, but they weren't. They were as well, but

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that muscle like, nah, no thanks. So I got this

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strap strap on thing where I should rephrase that, shouldn't

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I It was like a brace back brace thing that

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is that the right word, and my friends helped me

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put it on. It was basically not to stretch but straight,

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and I suppose just straight in my back because I

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00:21:27.400 --> 00:21:29.720
was a bit of a sloucher, which is weird because

236
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I'm only three foot tall. I should be looking up

237
00:21:32.880 --> 00:21:35.720
at the sky a bit more often. Oh, look at

238
00:21:35.759 --> 00:21:44.839
them things? Was that clouds And it was weird because

239
00:21:48.359 --> 00:21:50.640
I didn't like it, so I took it off. But

240
00:21:50.680 --> 00:21:58.440
I started doing exercise and after about two weeks of

241
00:21:59.279 --> 00:22:07.400
doing gener exercises, gentle stretches and going for regular walks,

242
00:22:09.200 --> 00:22:17.279
I was in the field and I was walking Andre

243
00:22:17.920 --> 00:22:20.079
This is you know, it's quite a few years back

244
00:22:21.480 --> 00:22:24.599
and I could feel my lower now I could feel

245
00:22:24.640 --> 00:22:33.119
my back, but I had a different feeling. It was

246
00:22:33.160 --> 00:22:36.119
almost like it was the same feeling, but it felt different,

247
00:22:37.519 --> 00:22:41.200
if that makes any sense. I wasn't seeing it, I

248
00:22:41.240 --> 00:22:45.279
wasn't experiencing it. I wasn't thinking about it in the

249
00:22:45.359 --> 00:22:51.240
same way it was. And I said this before, and

250
00:22:51.279 --> 00:22:55.599
I don't know why, but I sometimes feel that when

251
00:22:56.880 --> 00:23:01.440
the part of your body that maybe needs to be

252
00:23:02.079 --> 00:23:08.240
feeling more relief, more calmness, it's my lower back. Sometimes

253
00:23:09.799 --> 00:23:11.519
if I give a bit of attention, a bit of

254
00:23:11.559 --> 00:23:15.960
loving kindness, you know, a bit of whatever this is,

255
00:23:16.000 --> 00:23:20.359
you know, a bit of a bit of calm, a

256
00:23:20.359 --> 00:23:27.359
bit of you know, sometimes it feels a little bit itchy,

257
00:23:28.119 --> 00:23:35.000
not scratchy itchy, but just a little bit almost like

258
00:23:36.640 --> 00:23:41.240
parts of that part of my body, parts of it

259
00:23:41.240 --> 00:23:46.480
are kind of I don't know how to explain. Do

260
00:23:46.480 --> 00:23:52.119
you know that that that Sherbert you can get and

261
00:23:52.880 --> 00:23:55.039
you put it in your mouth and it starts to sparkle.

262
00:23:57.279 --> 00:23:59.079
I don't know, it's got this really is love it

263
00:23:59.079 --> 00:24:01.480
and it just like basically pops out of your mouth.

264
00:24:01.519 --> 00:24:04.240
It's like it's really nice. I mean, I haven't had

265
00:24:04.240 --> 00:24:07.480
any for since two thousand and four, But which is

266
00:24:07.519 --> 00:24:12.960
weird that I remember that it was Christmas. I did

267
00:24:12.960 --> 00:24:15.359
a lot in two thousand and four, but it's a

268
00:24:15.400 --> 00:24:19.759
whole year, isn't it. And it felt a little bit

269
00:24:19.839 --> 00:24:21.680
like that, but like it was coming out of my

270
00:24:21.799 --> 00:24:31.240
back like a gentle sparkled definitely a feeling, but not

271
00:24:31.279 --> 00:24:34.400
a feeling that felt the same as what it was before.

272
00:24:34.559 --> 00:24:37.000
So you a part of your body don't feel the same.

273
00:24:37.079 --> 00:24:44.559
It feels having that sparkly kind of sensation, which is strange,

274
00:24:46.839 --> 00:24:55.519
but it's at the same time unusual. Maybe not might

275
00:24:55.559 --> 00:25:03.440
not class it's pleasurable, but it's definitely a weird sensation. Yeah,

276
00:25:03.480 --> 00:25:08.079
so I get that sometimes, And I just I noticed

277
00:25:08.119 --> 00:25:15.079
that back then when my back kind of sorted itself out.

278
00:25:17.640 --> 00:25:20.160
That's another thing that I found weird. While my upper

279
00:25:20.200 --> 00:25:23.400
back was being problematic, my lower back I had no

280
00:25:23.440 --> 00:25:29.279
problems with it. It's almost like I could only focus

281
00:25:29.319 --> 00:25:35.400
on one part at the time. My body would only

282
00:25:35.400 --> 00:25:38.799
allow me to. Really, it's like it could only be

283
00:25:38.839 --> 00:25:40.880
grumpy at one part of my body at the same time,

284
00:25:41.119 --> 00:25:47.000
couldn't be grumpy at more than one part. It's weird.

285
00:25:48.640 --> 00:25:50.960
I suppose I really tried hard I might have been

286
00:25:50.960 --> 00:25:55.839
able to. But is it a little bit like pleasure,

287
00:25:55.880 --> 00:26:08.200
isn't it? It's some times focused. Or when you've been

288
00:26:08.240 --> 00:26:10.319
doing a lot of walking, you take your shoes off,

289
00:26:12.720 --> 00:26:15.119
what do you notice? First of all, you notice how

290
00:26:16.400 --> 00:26:21.839
how much relief your feet have. Or if you get

291
00:26:21.880 --> 00:26:25.680
in from a cold day, you walk in and you

292
00:26:25.759 --> 00:26:28.359
take your coat off, and you realize how loose you fit,

293
00:26:28.400 --> 00:26:32.440
your shoulders feel because they were kind of a little

294
00:26:32.480 --> 00:26:38.319
bit restricted before. You might notice how light your body

295
00:26:38.319 --> 00:26:48.319
feels not having that big coat on. And when you

296
00:26:48.359 --> 00:26:52.920
take your parachute pack off, you realize, oh, it's much

297
00:26:52.960 --> 00:26:56.480
easier to walk about that one back next time I

298
00:26:56.519 --> 00:26:59.720
go to the supermarket, I'll leave it at home. That's

299
00:26:59.759 --> 00:27:06.400
what we little things to like you notice and when

300
00:27:06.400 --> 00:27:10.119
you sit down after you know you've been busy, like,

301
00:27:10.480 --> 00:27:17.519
oh it's nice where you close your eyes and all

302
00:27:17.519 --> 00:27:22.200
you can hear is Vinny doing his utmost to be

303
00:27:22.240 --> 00:27:31.559
as noisy as possible in the background. So look at

304
00:27:31.559 --> 00:27:38.400
it place sebo effect for the subject that we're focused on.

305
00:27:42.200 --> 00:27:51.599
So basically, and I'm sure I don't know a lot

306
00:27:51.640 --> 00:27:58.319
of people would know about neuroplasticity, which is well neural plasticity,

307
00:27:58.400 --> 00:28:06.000
which is something that neuroscientists have really kind of It's

308
00:28:06.039 --> 00:28:09.319
not like a recent discovery, but I've read a couple

309
00:28:09.359 --> 00:28:12.720
of books on it and it's fascinating and a lot

310
00:28:12.720 --> 00:28:15.799
of the technology, or a lot of the knowledge rather

311
00:28:16.599 --> 00:28:24.400
has come from people that have had medical conditions that

312
00:28:24.440 --> 00:28:28.680
affected the brain, which has then affected parts of the body,

313
00:28:29.119 --> 00:28:34.039
like with restrictions and how that there was kind of

314
00:28:34.119 --> 00:28:38.720
for a while a fixed idea that well, first of all,

315
00:28:38.759 --> 00:28:42.200
the left side of the brain operates the right side

316
00:28:42.240 --> 00:28:44.920
of the body, the right side of the brain operates

317
00:28:45.119 --> 00:28:48.079
operates the left side of the body, and there's certain

318
00:28:48.119 --> 00:28:53.000
parts of the brain operates speech and all these different things,

319
00:28:53.039 --> 00:28:58.680
which is it's true, but when someone, let's say, has

320
00:28:58.680 --> 00:29:02.799
had a stroke, the I don't really like mentioning medical

321
00:29:02.799 --> 00:29:07.799
conditions when I do these. But they realized that the

322
00:29:07.839 --> 00:29:14.319
brain can start to rewire and change, so rewire itself

323
00:29:15.039 --> 00:29:18.480
so that the parts that wouldn't normally be used to

324
00:29:18.599 --> 00:29:21.640
operate the other side of the body start doing so.

325
00:29:24.759 --> 00:29:30.599
And hence I think the term plasticity neurals plastic plastic

326
00:29:31.359 --> 00:29:33.559
I could say it the first two times, the second

327
00:29:33.559 --> 00:29:37.279
and third. The first two times and the second and

328
00:29:37.319 --> 00:29:39.359
the third, I think it might be time to go

329
00:29:39.400 --> 00:29:47.279
to bed. So the newal plasticity, it can affect, it

330
00:29:47.359 --> 00:29:52.480
can help you. Basically, your brain changes, your brain can adapt.

331
00:29:53.400 --> 00:29:58.400
It's not set, it's these are the old things. And

332
00:29:58.680 --> 00:30:01.039
used to say, oh, you can't teach old dog new

333
00:30:01.119 --> 00:30:05.160
tricks and always set in his ways, and they're men

334
00:30:05.319 --> 00:30:11.160
and all that stuff. Well, actually what they're really saying,

335
00:30:11.640 --> 00:30:16.079
I think all them years was your brain is set,

336
00:30:16.279 --> 00:30:20.400
that's it, and that's all you got. And I think

337
00:30:20.440 --> 00:30:23.240
it's quite exciting really, the idea that actually we're not

338
00:30:23.400 --> 00:30:27.920
just set. Our brains are not just set in stone

339
00:30:28.079 --> 00:30:34.240
and that's all we've got. You know. It's like a

340
00:30:34.359 --> 00:30:38.000
house is wired and that's it, or we've got one,

341
00:30:38.480 --> 00:30:41.039
or a computer. Imagine if we were still running our

342
00:30:41.119 --> 00:30:46.559
laptops or our computers off of Windows, the first Windows,

343
00:30:47.880 --> 00:30:53.680
which is probably what the nineties. In the nineties, we

344
00:30:53.720 --> 00:30:57.759
couldn't do any of the stuff we do now, we

345
00:30:57.839 --> 00:31:01.559
still are the same. You know, this circutary everything changes

346
00:31:02.480 --> 00:31:08.039
and it's adapted. And I realized that's man made. But

347
00:31:08.160 --> 00:31:15.839
the brain adapts. And even now, you know, even neuroscientists

348
00:31:15.960 --> 00:31:22.599
and specialists, they're still only I only got started on

349
00:31:22.680 --> 00:31:27.799
the brain. Really, they still know a million times more

350
00:31:27.799 --> 00:31:32.200
than I'll ever know. But in compared to what they

351
00:31:32.319 --> 00:31:37.799
will know in let's say twenty thirty, fifty years time,

352
00:31:40.960 --> 00:31:47.920
they've just started, it's phenomenal. I mean a fifty years time,

353
00:31:48.680 --> 00:31:53.240
the brain and computers and all that stuff, it will

354
00:31:53.240 --> 00:31:59.119
all be mixed together anyway, I mean it's already neurolink

355
00:31:59.240 --> 00:32:03.640
and all stuff that's already been done. And it's amazing.

356
00:32:04.279 --> 00:32:10.759
It's absolutely amazing that someone who ten years ago, well

357
00:32:11.319 --> 00:32:14.680
you could say now, is maybe stuck in a wheelchair,

358
00:32:14.839 --> 00:32:23.559
quadrille quadriplegic, can't move, can't do anything, and with a

359
00:32:23.599 --> 00:32:30.880
small procedure they can start to do things, start to

360
00:32:30.960 --> 00:32:35.759
use a computer just with their thoughts, and maybe even

361
00:32:36.200 --> 00:32:42.599
have one of those skeletal robotic skeletal frames. Yeah, so

362
00:32:42.759 --> 00:32:49.240
many things can be done. It's phenomenal. Stuff like that

363
00:32:49.319 --> 00:32:54.680
excites me. Don't understand it all, but it excites me.

364
00:32:55.720 --> 00:33:01.599
But then a chocolate Easter excites me. So it doesn't

365
00:33:01.599 --> 00:33:07.000
take a lot to be fair. So I'm just having

366
00:33:07.079 --> 00:33:13.960
to look and there's quite a lot of information here

367
00:33:14.000 --> 00:33:23.920
about placebos. The main thing really is placebos have shown

368
00:33:23.960 --> 00:33:31.759
to be effective. There was a story years ago. I

369
00:33:31.920 --> 00:33:37.200
don't know if it's true. In fact, I might just

370
00:33:37.240 --> 00:33:52.599
look this up stories of so stories of when placebos

371
00:33:52.680 --> 00:34:05.319
were effective. It's very hard to type and talk at

372
00:34:05.359 --> 00:34:07.559
the same time, which is weird because that's what I

373
00:34:07.640 --> 00:34:11.639
used to do for a living. I mean, I wasn't

374
00:34:11.719 --> 00:34:13.880
just typing talking, but I was working in a call

375
00:34:13.960 --> 00:34:18.599
center typing the whole time and talking as like. Now, well,

376
00:34:22.079 --> 00:34:30.000
so I just for I suppose a question, is hypnosis placebo?

377
00:34:31.880 --> 00:34:34.920
Now you know, this is not a hypnosis session, This

378
00:34:35.000 --> 00:34:38.679
is not a therapy session. This is just me talking

379
00:34:39.159 --> 00:34:48.000
about placebos and belief in conjunction with chronic pain. That's

380
00:34:48.079 --> 00:34:51.239
what this is, in the hope that it might help

381
00:34:51.440 --> 00:34:57.480
to be useful, because I do say I mean I

382
00:34:57.519 --> 00:34:59.719
didn't say this time, but quite often I will try

383
00:34:59.760 --> 00:35:04.639
and say, notice how the part of your body feels

384
00:35:04.960 --> 00:35:07.880
at the beginning of the recording, or before you start

385
00:35:07.920 --> 00:35:12.719
listening to the recording, zero to ten, ten being zero

386
00:35:12.800 --> 00:35:16.239
being the lowest and ten the opposite, And then notice

387
00:35:16.280 --> 00:35:28.239
how you feel at the end. You know what, we

388
00:35:28.280 --> 00:35:34.000
could introduce something else into the melting pot, that is

389
00:35:35.280 --> 00:35:49.159
placebo and belief, superstition. Ultimately, Isn't that what superstition is.

390
00:35:50.119 --> 00:35:55.199
It's believing in something doesn't have to make sense, and

391
00:35:55.280 --> 00:35:59.239
quite often with superstitions there is no sense to it.

392
00:36:00.159 --> 00:36:07.360
There is quite often no logic to it. But it's

393
00:36:07.360 --> 00:36:12.199
about how it feels for that person. I remember when

394
00:36:12.199 --> 00:36:16.880
I was in sales, there was this bloke and what

395
00:36:17.039 --> 00:36:29.679
was his name, Steve steven Oka, excuse me, I'm boring myself.

396
00:36:32.840 --> 00:36:41.360
He yes, no is Steve. Anyway, make a bit more noise, please,

397
00:36:41.360 --> 00:36:46.599
Benny whatever his name was. He had this thing where

398
00:36:48.480 --> 00:36:51.440
he would go up because there'd be a board and

399
00:36:51.519 --> 00:36:56.119
every time he gets sale, would go up and write

400
00:36:56.119 --> 00:36:59.840
down the number, you know, changing number from seven to

401
00:37:00.400 --> 00:37:03.679
or you know, whatever it is now. What he used

402
00:37:03.719 --> 00:37:07.000
to do, he'd wipe it out, put in the new number,

403
00:37:07.840 --> 00:37:10.880
wipe it out, putting the new number, wipe it out,

404
00:37:10.960 --> 00:37:13.599
and then putting the new number again, so'd wipe it out.

405
00:37:14.000 --> 00:37:17.159
He'd wipe out the new number twice, wipe out the

406
00:37:17.159 --> 00:37:20.400
old number once. Then he wipe out the new number twice,

407
00:37:21.440 --> 00:37:24.840
and then put it in lastly. And that was his superstition.

408
00:37:26.559 --> 00:37:32.400
He was one of the best sellers. It was only

409
00:37:32.480 --> 00:37:37.239
car insurance, but he was still He literally put no

410
00:37:37.400 --> 00:37:41.920
effort in selling in the sense of it is natural,

411
00:37:44.760 --> 00:37:47.599
and he just did it. He was so good, so

412
00:37:47.960 --> 00:37:58.199
naturally good of what he did, and the sales manager decided,

413
00:38:00.880 --> 00:38:04.719
you know, in their little thing is they decided, you

414
00:38:04.800 --> 00:38:08.039
know what you tell us when you've got to sell,

415
00:38:08.119 --> 00:38:17.079
and we'll put it on the board. And he stopped

416
00:38:17.119 --> 00:38:22.000
selling because he wasn't going up there and doing himself.

417
00:38:23.760 --> 00:38:26.920
It affected him. He wasn't getting the sales he would

418
00:38:26.920 --> 00:38:32.119
normally get. Now some would argue, well, it's that Maybe

419
00:38:32.159 --> 00:38:36.320
it's that walk, it's that like getting up and showing

420
00:38:36.320 --> 00:38:39.360
everyone that he's got another sale. Maybe it's just that

421
00:38:39.440 --> 00:38:47.880
break that process, that procedure, that ritual. Another thing people

422
00:38:48.559 --> 00:38:50.880
would do to wind him up is that actually rub

423
00:38:50.880 --> 00:38:54.360
out the number, so you have to keep getting up

424
00:38:54.360 --> 00:38:57.000
and put the number and wipe it out for twice

425
00:38:57.280 --> 00:39:01.519
before putting it in again. And people just to wind

426
00:39:01.559 --> 00:39:03.559
him up, knowing that it was something that it was

427
00:39:03.559 --> 00:39:06.880
superstitious about, and they'd wipe it out just to wind

428
00:39:06.960 --> 00:39:16.400
him up, and it affected his performance. So I found

429
00:39:16.440 --> 00:39:23.760
that quite interesting. I personally have been this an old trick,

430
00:39:23.840 --> 00:39:29.800
but I'd never heard of it before. And when I

431
00:39:29.960 --> 00:39:39.519
was for seventeen, sixteen seventeen working in a chip shop. Yeah,

432
00:39:39.519 --> 00:39:44.599
I turned sixteen, so sixteen, went around my boss's new

433
00:39:44.679 --> 00:39:49.000
house and all the stuff around there. We were drinking.

434
00:39:50.079 --> 00:39:54.480
I got drunk, and then at the end of the

435
00:39:54.480 --> 00:39:59.000
evening everyone gathered around as he showed me that I'd

436
00:39:59.000 --> 00:40:01.760
been drinking non Olco polic lager the whole time, and

437
00:40:01.800 --> 00:40:11.480
everyone laughed at me. So again, that's a placebo, isn't it.

438
00:40:11.480 --> 00:40:14.360
It was a horrible experience, and you know, it wasn't

439
00:40:14.360 --> 00:40:20.280
a nice, nice thing to do to someone. But I

440
00:40:20.639 --> 00:40:30.280
genuinely felt drunk until I saw that it was not alcohol.

441
00:40:32.239 --> 00:40:36.880
I wonder if it had given me alcohol all night

442
00:40:37.760 --> 00:40:42.360
and just showed me that I wasn't drinking, just showed

443
00:40:42.360 --> 00:40:46.960
me like, oh, you've been drinking non alcoholic. How would

444
00:40:47.079 --> 00:40:51.679
that have affected me? Because the alcohol is already in

445
00:40:51.679 --> 00:40:56.760
my system. I don't know. That's just just chucking at

446
00:40:56.760 --> 00:41:05.119
any air. Really, So you've got some things here, there's

447
00:41:05.159 --> 00:41:12.880
some actual So look, So here's a study. It was done.

448
00:41:14.400 --> 00:41:20.480
It's a Houston, Texas, USA VA Medical Center, nineteen ninety

449
00:41:20.480 --> 00:41:27.280
five to two thousand. Orthopedic author, orthopedic orthopedic surgeon J.

450
00:41:27.559 --> 00:41:34.079
Bruce Moseley recruited one hundred and eighty military veterans with

451
00:41:34.360 --> 00:41:41.239
grinding knee osteo arthritis. It's weird, isn't it? Just Just

452
00:41:41.280 --> 00:41:45.000
the description lets you know exactly what it is in

453
00:41:45.039 --> 00:41:50.840
your operating room. A third received the usual arthroscopic debridement,

454
00:41:53.920 --> 00:41:57.119
which I'm pretty sure it is, filing it, filing it down.

455
00:41:57.880 --> 00:42:03.559
Another third gotten and of scopic leverage, got no idea

456
00:42:03.599 --> 00:42:06.960
what is, and the final group had nothing more than

457
00:42:07.119 --> 00:42:13.360
three skin insertions while the team pretended to operate, moving instruments,

458
00:42:14.119 --> 00:42:18.320
splashing the sayline, and even talking through a fake procedure.

459
00:42:20.400 --> 00:42:27.719
So so, I said sixty, So sixty people had nothing

460
00:42:28.320 --> 00:42:32.480
done other than a couple of insurtions under local anesthetic

461
00:42:34.000 --> 00:42:46.000
and no treatment whatsoever. Wow. Two years later, the sham

462
00:42:46.079 --> 00:42:50.079
surgery group could walk and climb stairs every bit as

463
00:42:50.079 --> 00:42:55.840
well as those who'd had the real operations. Pain scores

464
00:42:55.880 --> 00:43:05.000
overlapped completely, and one participant later told reporters he'd run

465
00:43:05.039 --> 00:43:08.719
out of excuses not to mow the lawn. The trial

466
00:43:08.800 --> 00:43:13.880
re shaped orthopedic guidelines around the world. So there's some

467
00:43:14.000 --> 00:43:16.360
things that perhaps they wouldn't be allowed to do anymore.

468
00:43:18.239 --> 00:43:26.920
But isn't it interesting? Don't you think that believing that

469
00:43:27.000 --> 00:43:30.679
you can feel relaxed and believe in that you can

470
00:43:30.719 --> 00:43:41.079
recover fully and believing that you can have relief, maybe

471
00:43:41.119 --> 00:43:50.559
believe that you deserve relief, expect relief. So this is

472
00:43:50.559 --> 00:43:57.480
a study in Lisbon, Portugal, twenty sixteen. Right, just let

473
00:43:57.519 --> 00:44:03.159
you that that last one controlled this was in the

474
00:44:03.280 --> 00:44:11.679
National Library of Medicine, and so yeah, wow, okay. Citation

475
00:44:12.320 --> 00:44:22.280
Mosey JB. O'Malley, K. Peterson, Mink Brodie, Kai, Kendall, Hollingsworth,

476
00:44:22.519 --> 00:44:31.360
ash Ray so controlled trial of oustroscopic surgery for ostroforus

477
00:44:31.360 --> 00:44:37.760
osteo arthritis of the knee. That's just I just absolutely

478
00:44:38.159 --> 00:44:43.800
it boggles my boggles my novel that does. So. This

479
00:44:43.880 --> 00:44:50.880
one is Lisbon, Portugal, twenty sixteen. Capsules literally labeled place

480
00:44:52.719 --> 00:45:01.519
that's funny, literally labeled placebo, eased stub and low back pain.

481
00:45:03.559 --> 00:45:06.960
So ninety seven adults whose backs are dated for an

482
00:45:07.000 --> 00:45:12.280
average of fourteen years were split into two groups. Both

483
00:45:12.400 --> 00:45:17.119
kept their user treatment, but one group also took two

484
00:45:17.159 --> 00:45:20.559
white pills twice a day from a bottle that read

485
00:45:20.920 --> 00:45:27.559
open label placebo in bold letters. It's hard to read

486
00:45:27.559 --> 00:45:37.000
that out about laughing to be fair, and not everybody's

487
00:45:37.039 --> 00:45:40.119
going to know what the word placebo means. But possibly

488
00:45:40.440 --> 00:45:47.159
I'm just checking it out there. I imagine most people do.

489
00:45:47.320 --> 00:45:52.559
But then if it was in Portugal, was it written

490
00:45:52.559 --> 00:45:56.559
in English or was it written in Portuguese or in Spanish?

491
00:45:57.039 --> 00:46:01.440
So you know, that's just a few questions a cover

492
00:46:01.599 --> 00:46:07.559
in my head. Anyway, after just three weeks, usual and

493
00:46:07.760 --> 00:46:12.840
worst pain were down about thirty percent. A change is

494
00:46:12.960 --> 00:46:17.800
large enough for conditions to call it much improved. I'd

495
00:46:17.840 --> 00:46:22.440
say down thirty percent is much improve wouldn't you. Minimum

496
00:46:22.440 --> 00:46:30.599
pain felt sixteen percent while actually rose while in control

497
00:46:31.960 --> 00:46:38.239
minimum pain fell sixteen percent, but in the other group

498
00:46:38.639 --> 00:46:45.800
it actually rose twenty five percent. So the people that

499
00:46:45.880 --> 00:46:51.480
didn't take the placebo pills didn't. And then there's that

500
00:46:51.519 --> 00:46:55.719
one that's that's the thing. Do you imagine if you're

501
00:46:55.719 --> 00:46:57.719
in two groups, Well, you run in one group, but

502
00:46:57.719 --> 00:47:02.760
there's another group. You both that both groups got the

503
00:47:02.800 --> 00:47:06.159
same conditions. So let's say, through my example, everyone in

504
00:47:06.199 --> 00:47:09.519
my group's got a lower lower back half writers like me,

505
00:47:10.119 --> 00:47:12.639
and all the other group have got it as well.

506
00:47:12.800 --> 00:47:22.039
Same thing, same situation. We're all doing our exercises, we're

507
00:47:22.039 --> 00:47:24.360
all doing what we need to do, and you know,

508
00:47:24.840 --> 00:47:29.400
to try and help it. But I'm in a group

509
00:47:29.480 --> 00:47:34.599
and the other group are taking these pills. I'm not

510
00:47:34.599 --> 00:47:42.480
allowed to take these pills, and maybe I feel put out,

511
00:47:42.679 --> 00:47:46.760
like that's not fair. We're going to trial and study.

512
00:47:47.199 --> 00:47:56.679
They're the ones with the pills, maybe not knowing that

513
00:47:56.760 --> 00:48:01.920
their placebo thinking. So in a sense, the placebo effect

514
00:48:02.000 --> 00:48:07.280
is working opposite. It's a negative placebo effect on the

515
00:48:07.320 --> 00:48:11.400
other people watching them thinking you've got the good pills

516
00:48:12.280 --> 00:48:20.320
and it's helping you, which has the opposite effect by

517
00:48:20.360 --> 00:48:27.800
making them feel worse, maybe just chucking it out. So

518
00:48:28.000 --> 00:48:33.880
no deception, just a clear explanation that placebos activate mind

519
00:48:33.960 --> 00:48:42.239
body self healing, and I mean they do. But generally,

520
00:48:42.440 --> 00:48:46.840
I mean placebos do activate mind body self healing, and

521
00:48:46.880 --> 00:48:50.400
they do help to relieve chronic pain and to help

522
00:48:50.639 --> 00:48:55.960
someone feel more relaxed. I mean usually if the person

523
00:48:56.039 --> 00:48:59.360
don't know it's a placebo, the fact that they know

524
00:48:59.400 --> 00:49:07.960
it's a pliicit that is a bit I don't know,

525
00:49:09.519 --> 00:49:17.639
very fascinating. So but then you think about it sometimes

526
00:49:20.639 --> 00:49:30.039
by taking action, whether it's listening to a recording, listen

527
00:49:30.079 --> 00:49:33.559
to some weirdo like me rabiting on about all kinds

528
00:49:33.599 --> 00:49:44.239
of weird things taken action, doing something different, thinking differently,

529
00:49:44.840 --> 00:49:52.159
wrapping your mind around the idea that actually things can change,

530
00:49:52.199 --> 00:49:55.599
and things will change, and things have changed in the past,

531
00:49:55.960 --> 00:49:59.679
they will change in the future, and this is just

532
00:49:59.719 --> 00:50:04.400
an or one of those things that will change. And

533
00:50:04.440 --> 00:50:11.119
when you decided that those things are going to change,

534
00:50:11.280 --> 00:50:15.719
and you start making those decisions to do different things,

535
00:50:16.400 --> 00:50:21.440
such as listening to this, you've kind of opened up

536
00:50:21.519 --> 00:50:28.320
that I suppose you could call it. You've got in

537
00:50:28.400 --> 00:50:34.440
touch with that neuroplasticity in your brain to affect your

538
00:50:34.519 --> 00:50:40.639
nervous system in a positive way to make changes. You're

539
00:50:40.719 --> 00:50:45.559
kind of opening yourself up to the idea that actually

540
00:50:46.480 --> 00:50:50.239
you're not stuck, you're not set in any one particular

541
00:50:50.280 --> 00:50:54.519
way of thinking about things. That there's millions of different

542
00:50:54.519 --> 00:51:00.559
ways to think about something and it can affect you

543
00:51:01.239 --> 00:51:05.920
in a real positive way. When you start to realize

544
00:51:06.000 --> 00:51:11.039
that actually you're not limited in a way that you

545
00:51:11.280 --> 00:51:16.960
maybe thought you were. You've got more flexibility, more options,

546
00:51:17.960 --> 00:51:21.000
I want to say more options. I'm talking like infinite,

547
00:51:21.480 --> 00:51:28.639
infinite options. Because you choose what you do next every

548
00:51:28.719 --> 00:51:31.920
second of every day. You choose what you do next.

549
00:51:33.639 --> 00:51:35.480
You don't have to do anything. You don't have to

550
00:51:35.519 --> 00:51:38.880
say anything. Of course, we have to breathe, you know,

551
00:51:38.880 --> 00:51:40.519
there's things that we have to do. But I'm talking

552
00:51:40.519 --> 00:51:47.039
about things that you do consciously. You choose. You know.

553
00:51:47.159 --> 00:51:49.199
Some people say, oh, you have to go to work,

554
00:51:50.119 --> 00:51:51.760
Yeah you do. If you want to pay the rent

555
00:51:51.760 --> 00:51:54.519
and buy the food and all the stuff, you don't

556
00:51:54.639 --> 00:51:59.880
have to you choose to. It takes that that vic

557
00:52:00.239 --> 00:52:04.320
mentality out of it, that feeling sorry for ourselves. When

558
00:52:04.559 --> 00:52:08.599
you realize and when I realized that, actually it is

559
00:52:08.639 --> 00:52:13.880
a choice. No one's making you listen to this, and

560
00:52:13.920 --> 00:52:16.599
I keep this is my choice not to get rid

561
00:52:16.639 --> 00:52:18.800
of that metal thing sticking out of my desk, and

562
00:52:18.840 --> 00:52:22.239
I keep banging it when everyone's on a recording. I

563
00:52:22.440 --> 00:52:25.440
choose to both moan about it and to do nothing

564
00:52:25.440 --> 00:52:29.960
about it. At the same time. It's choice. I could

565
00:52:30.039 --> 00:52:33.079
just remove it or I could just not mention it.

566
00:52:33.960 --> 00:52:42.679
But for some reason I don't do either of those things. Ah,

567
00:52:42.760 --> 00:52:46.480
look at this, a single sayline and if it's saline

568
00:52:46.559 --> 00:52:55.519
or saaline jab squirted into the back of it. Yeah,

569
00:52:55.639 --> 00:53:10.760
so put into the back a single selling jab. Okay, researchers,

570
00:53:10.760 --> 00:53:13.199
I'm just reading us researchers gave one hundred and one

571
00:53:13.280 --> 00:53:18.719
chronic back pain patients a brief mind body explanation and

572
00:53:18.760 --> 00:53:28.039
then an open label subcutaneous injection of sterile saline. Pain

573
00:53:28.199 --> 00:53:32.880
intensity dropped for four weeks, with secondary gains in mood

574
00:53:33.079 --> 00:53:39.599
and sleep. Brain scans revealed stronger connectivity between the medial

575
00:53:40.000 --> 00:53:46.599
prefrontal cortex and brain stem pain control nuclear or nuclei,

576
00:53:48.519 --> 00:53:54.039
so the very circuitry mapped in classic deceptive placebo studies,

577
00:53:55.039 --> 00:53:59.960
suggesting that the brain doesn't care whether the treatment is real,

578
00:54:00.960 --> 00:54:10.079
only whether the meaning feels real. I just can't repeat

579
00:54:10.119 --> 00:54:13.719
that the brain doesn't care whether the treatment is real,

580
00:54:14.239 --> 00:54:21.679
only whether the meaning feels real. And follow up reports

581
00:54:21.719 --> 00:54:31.239
showed durable function durable functional improvements at twelve months. See.

582
00:54:31.519 --> 00:54:39.559
The only reason why placebo wasn't continued like put into

583
00:54:39.639 --> 00:54:42.119
mainstream medicine as far as I know, maybe it has

584
00:54:42.159 --> 00:54:52.400
been that we don't know about is because of the ethics.

585
00:54:52.440 --> 00:54:58.000
I suppose the ethics of it. The idea of lying

586
00:54:58.079 --> 00:55:06.400
to people but I know is another one. More than

587
00:55:06.480 --> 00:55:12.480
one thousand people with chronic lower back pain were randomized

588
00:55:12.559 --> 00:55:21.519
to a traditional acupuncture b fake acupuncture where needles were

589
00:55:21.559 --> 00:55:28.880
inserted shallowly at non meridian points or c standard medical

590
00:55:28.920 --> 00:55:46.440
care ie physiotherapy, pain, meds, exercise advice. Okay, so blind me.

591
00:55:46.599 --> 00:55:49.119
So that's that's quite a few people, isn't it. So

592
00:55:49.480 --> 00:55:53.639
one three groups, one with traditional acupuncture, one with fake acupuncture,

593
00:55:53.679 --> 00:55:58.559
and one would just standard medical care. After six months,

594
00:55:58.639 --> 00:56:04.599
about fifty percent are both acupuncture groups reported meaningful relief

595
00:56:05.480 --> 00:56:10.360
versus twenty five percent of those getting conventional care. So

596
00:56:11.639 --> 00:56:15.840
the press, they would do this of the press spun

597
00:56:15.880 --> 00:56:23.320
the finding as even sham acupuncture works, but investigators highlighted

598
00:56:23.360 --> 00:56:29.239
a deeper lesson. A tactile, time intensive ritual delivered with

599
00:56:29.400 --> 00:56:39.000
confidence can beat many drugs. I've had acupuncture a few

600
00:56:39.039 --> 00:56:42.360
times over the years. I'll tell you what was weird.

601
00:56:42.519 --> 00:56:44.400
Did you know? I don't know if it's still the same,

602
00:56:44.400 --> 00:56:49.039
but I wasn't allowed to give blood because I'd had

603
00:56:49.119 --> 00:56:53.239
acupuncture in the last two years. This is a while back,

604
00:56:54.159 --> 00:56:58.480
So that's weird. I think if you had a tattoo

605
00:56:58.599 --> 00:57:09.480
or acupuncture, you can't can't get blood. And I really

606
00:57:09.639 --> 00:57:12.480
was in to be fair, I wanted to see what

607
00:57:12.519 --> 00:57:16.840
the biscuits were like. I've heard good things, but never mind,

608
00:57:19.119 --> 00:57:27.880
so ritual I do wonder, to be honest with you,

609
00:57:28.159 --> 00:57:31.599
when because when I had I had a shoulder injury

610
00:57:32.360 --> 00:57:35.639
two thousand and five and I ended up with two

611
00:57:35.800 --> 00:57:41.719
steroid injections. I do wonder what would have happened if

612
00:57:43.639 --> 00:57:47.519
they gave you the first steroid injection which did the job,

613
00:57:48.880 --> 00:57:52.159
and they told me you can have one. This will

614
00:57:52.280 --> 00:57:54.960
last you for six months. You can have one every

615
00:57:55.000 --> 00:58:00.719
six months and eventually it will heal anyway, it'll just

616
00:58:00.840 --> 00:58:03.800
you know, it'll begin to feel better, but you know,

617
00:58:04.039 --> 00:58:08.360
it'll just do the job. And after the first one,

618
00:58:09.039 --> 00:58:14.000
the second one, they gave me one which was just placebo.

619
00:58:14.599 --> 00:58:17.039
We don't lose like saline or whatever it was that

620
00:58:17.199 --> 00:58:25.679
they squirt in. How would that have affected? How would

621
00:58:25.719 --> 00:58:32.000
that have what would that have done? Because I genuinely

622
00:58:32.039 --> 00:58:35.519
when I went and had the second one, I was

623
00:58:35.840 --> 00:58:41.079
genuinely expecting it to work because the first one I

624
00:58:41.119 --> 00:58:46.159
couldn't believe how well it worked. You know, I went

625
00:58:46.199 --> 00:58:49.639
from being like a yeah, quite a higher level of

626
00:58:49.679 --> 00:59:06.639
what's it? Two practically nothing and I thought Wow. I

627
00:59:06.719 --> 00:59:11.079
just remember thinking to myself, Wow, it's one of those

628
00:59:11.119 --> 00:59:19.599
wow moments. I do find it interesting that there's there's

629
00:59:19.599 --> 00:59:23.880
something about that you know, it's all about the acupuncture,

630
00:59:24.159 --> 00:59:27.880
something about bit of care, a bit of kindness, a

631
00:59:27.880 --> 00:59:32.519
bit of attention. So with the you know, putting the

632
00:59:32.559 --> 00:59:37.079
needles on, and with acupuncture, there's also like maybe the talking,

633
00:59:37.920 --> 00:59:45.239
maybe some soft music. The relaxation and the gentleness considering

634
00:59:45.280 --> 00:59:52.719
its needles is still quite a gentle thing and and

635
00:59:52.760 --> 00:59:57.079
it is, I guess, quite ritualistic, especially if you have

636
00:59:57.159 --> 01:00:00.760
it done more than once, because it will be like

637
01:00:00.800 --> 01:00:05.599
you're going through the same process again, even if the

638
01:00:05.760 --> 01:00:13.119
needles maybe putting different parts. And I always found it

639
01:00:13.239 --> 01:00:16.360
weird when I had Remember I went to this a

640
01:00:16.519 --> 01:00:25.480
trainee acupuncturist, and I'm like saying, he did it for

641
01:00:25.599 --> 01:00:29.599
like half price or twenty quid or something, and he

642
01:00:29.679 --> 01:00:31.679
was a friend of mine, so I just like, okay, cool,

643
01:00:32.320 --> 01:00:36.480
I didn't have much money. He was training, and I

644
01:00:36.519 --> 01:00:40.119
remember I'm walking, I see him, I said goodbye, and

645
01:00:40.079 --> 01:00:43.199
I'm walking down the street and I hear him yelling.

646
01:00:43.840 --> 01:00:46.639
I'm thinking, oh no, it's realized the money I gave

647
01:00:46.679 --> 01:00:51.159
him was a fake twenty And he comes running up

648
01:00:51.159 --> 01:00:54.119
to me and I said, I'm sorry, I'm sorry. He said,

649
01:00:54.119 --> 01:00:56.880
what do you mean you're sorry? So that was sorry

650
01:00:56.880 --> 01:00:59.760
about the fake twenty. He said fake twenty. I said

651
01:01:00.000 --> 01:01:01.519
that way you call him, isn't it? He said no.

652
01:01:02.239 --> 01:01:04.519
I said, oh, forget about that. Then I said, well,

653
01:01:04.519 --> 01:01:06.679
what is it? He said, you gave me a fake twenty.

654
01:01:08.519 --> 01:01:12.880
I said, no, it's joking. He said. I said, why

655
01:01:12.880 --> 01:01:15.519
are you calling me? He said, oh, I forgot to

656
01:01:15.519 --> 01:01:18.119
take a needle out. He's still one in your head.

657
01:01:19.800 --> 01:01:24.559
So I said, all right, just take it out now

658
01:01:24.599 --> 01:01:26.599
if you want. He said no, can we go back inside?

659
01:01:27.360 --> 01:01:31.599
I said why? He said, there's too many got too

660
01:01:31.599 --> 01:01:34.039
many people around watching. He said no, there's too many

661
01:01:34.079 --> 01:01:37.599
needles stuck in your head. There's about twenty left. I

662
01:01:37.679 --> 01:01:42.360
just forgot about them. How can you forget about needles

663
01:01:42.360 --> 01:01:49.119
being stuck in someone's head? And that's a true story.

664
01:01:49.119 --> 01:01:53.559
Well it's a semi true story. But he did did

665
01:01:53.639 --> 01:01:59.840
leave some needles in my head. I'm not sure if

666
01:01:59.840 --> 01:02:03.679
you got them back. I did. Oh one thing I

667
01:02:03.719 --> 01:02:07.480
did when I was working while volunteering in a drug

668
01:02:07.519 --> 01:02:14.639
rehab center, doing relaxation sessions with groups. And there was

669
01:02:14.679 --> 01:02:21.079
a lady there that worked there, and she did ear acupuncture,

670
01:02:24.000 --> 01:02:27.519
and she used to put these things on people's ears

671
01:02:29.199 --> 01:02:30.840
and she did it on me once and it was

672
01:02:30.880 --> 01:02:34.800
so weird. It felt strange, like on the ear lobes

673
01:02:34.840 --> 01:02:40.960
and just looking around. Everyone was like sitting around there

674
01:02:41.119 --> 01:02:46.400
a ten fold things on their ears and I was

675
01:02:46.440 --> 01:02:51.000
there just talking and relaxing people like in a group setting.

676
01:02:51.039 --> 01:02:55.039
So maybe there's like twelve of us, and she was

677
01:02:55.079 --> 01:03:03.000
going around readjusting their ear lobes. It was just, yeah,

678
01:03:03.239 --> 01:03:14.960
so real. Which one of those do you find most

679
01:03:15.000 --> 01:03:28.199
fascinating out of the studies? The fake operations? I find,

680
01:03:28.599 --> 01:03:33.440
you know, that's just that's just crazy. It seems the

681
01:03:33.440 --> 01:03:40.679
more you do, the more you build it up, it's

682
01:03:43.880 --> 01:03:46.239
I don't know, it's like I don't want to say

683
01:03:46.239 --> 01:03:50.559
the word con con job or like a big it's

684
01:03:50.599 --> 01:03:54.960
the long game, you know, the bigger the magic trick is,

685
01:03:57.199 --> 01:03:59.760
and the longer it takes, and the more you put

686
01:03:59.760 --> 01:04:03.320
in to it and the more distractions there are, the

687
01:04:04.000 --> 01:04:08.159
bigger it gets. And I went and saw Darren Brown

688
01:04:08.199 --> 01:04:11.159
in about two thousand and five to probably two thousand

689
01:04:11.159 --> 01:04:16.760
and seven in the theater, and he started his show

690
01:04:16.960 --> 01:04:22.440
before we even got into the theater. He had things

691
01:04:23.039 --> 01:04:27.320
posted and he was watching people walking into the foyer.

692
01:04:28.119 --> 01:04:32.760
He had sort of subliminal stuff in the foyer. He

693
01:04:32.880 --> 01:04:37.920
was basically messing with people with what he even got

694
01:04:37.960 --> 01:04:42.079
to their seats, and he showed it at the end

695
01:04:42.719 --> 01:04:45.440
what he had done. And I know for a fact

696
01:04:45.480 --> 01:04:49.199
that he wasn't showing everything. You know, even the way

697
01:04:49.239 --> 01:04:51.280
he showed it how it's done, probably wasn't how it

698
01:04:51.320 --> 01:05:01.000
was done. I still find it the weird is so

699
01:05:05.800 --> 01:05:11.559
I think the injections of there are sailing again. That's

700
01:05:11.599 --> 01:05:15.960
another thing. It's like wow, to be able to believe,

701
01:05:18.679 --> 01:05:25.599
to really believe that something is going to be useful

702
01:05:25.639 --> 01:05:38.400
for you, it can be useful for you. I mean,

703
01:05:38.440 --> 01:05:46.719
I think that's one of the things with the I

704
01:05:46.760 --> 01:05:50.239
think with medical practitioners today, they kind of have to

705
01:05:50.320 --> 01:05:53.679
be more honest than they used to be. I don't

706
01:05:53.760 --> 01:05:58.039
mean in a way like they were deceptive, but there's

707
01:05:58.079 --> 01:06:01.920
ways of being deceptive which is useful to the patient,

708
01:06:03.360 --> 01:06:07.559
which will set the patient up for to have that

709
01:06:09.360 --> 01:06:13.159
belief and expectation that things are going to be really

710
01:06:13.199 --> 01:06:17.119
good and you know, that kind of side of things.

711
01:06:18.719 --> 01:06:21.079
But it seems I don't know, maybe I'm wrong, but

712
01:06:21.119 --> 01:06:24.639
it seems that there seems more of a practice of

713
01:06:24.679 --> 01:06:32.079
going through every single situation that could happen and when

714
01:06:32.119 --> 01:06:34.840
someone's in a hospital bed or sitting the other side

715
01:06:34.840 --> 01:06:43.599
of a doctor's desk, that person is very susceptible, you know.

716
01:06:43.719 --> 01:06:46.159
It is in a sense a little bit like they say,

717
01:06:47.119 --> 01:06:52.119
a deer in the headlights. It's especially in a serious

718
01:06:52.519 --> 01:06:58.679
sort of scenario. It's it's whatever the doctor says next

719
01:06:59.079 --> 01:07:07.480
is so so important and so powerful. In the same

720
01:07:07.519 --> 01:07:09.400
way as if someone as about to have an operation,

721
01:07:11.199 --> 01:07:13.440
what the doctor says to them or what the surgeon

722
01:07:13.519 --> 01:07:16.960
says to them before they get taken into the theater,

723
01:07:19.480 --> 01:07:24.400
it can have such a positive effect or opposite, depends

724
01:07:24.440 --> 01:07:35.920
on how they've been talked to, what's been said to them.

725
01:07:36.159 --> 01:07:38.639
And then you know, with beliefs, what do we say

726
01:07:38.679 --> 01:07:48.079
to ourselves? What's self limiting? Things do you say to yourself?

727
01:07:48.199 --> 01:07:51.320
I mean that get in the way of you feeling

728
01:07:51.400 --> 01:07:58.400
more comfort or relaxed, because when you're listening to me

729
01:07:58.599 --> 01:08:05.079
babbling on, you're not thinking in your mind with that

730
01:08:05.320 --> 01:08:16.199
same self limiting self talk, because it's not that my

731
01:08:16.399 --> 01:08:19.239
voice has taken over and everything, but it's probably what

732
01:08:19.279 --> 01:08:23.840
you're more focusing on should drifting, And when you drift,

733
01:08:23.880 --> 01:08:28.760
you're going to be absorbing any positive suggestions or a

734
01:08:28.760 --> 01:08:32.239
lot of sugg ideas rather than suggestions. So I'm not

735
01:08:32.239 --> 01:08:37.000
giving any suggestions, I'm just talking, but any ideas that

736
01:08:37.039 --> 01:08:40.359
you wrap your mind around that can be useful for you,

737
01:08:51.000 --> 01:09:06.119
and you really can notice, you can notice how you

738
01:09:06.199 --> 01:09:15.960
feel different, because belief is not mere wish for thinking.

739
01:09:19.920 --> 01:09:26.159
It's actually a signal that recruits the parts of your body,

740
01:09:26.479 --> 01:09:36.880
your prefrontal, limbic whatever, and mobilizes parts of your brain

741
01:09:37.039 --> 01:09:42.359
and your you know, all that stuff that experts know

742
01:09:42.439 --> 01:09:50.720
about and rewrites the brain's predictions about pain. Because if

743
01:09:50.760 --> 01:09:53.239
you hold the knowledge that actually what you think affects

744
01:09:53.279 --> 01:09:57.880
your brain affects your mind, and that affects your body.

745
01:09:58.439 --> 01:10:02.319
And when you remember that, you're brain doesn't care if

746
01:10:02.359 --> 01:10:07.680
it's real or not. I found that very powerful that sentence.

747
01:10:10.680 --> 01:10:25.119
Your brain doesn't care, it doesn't care. And there's something

748
01:10:25.159 --> 01:10:32.079
about that that sticks in my head is it's not bothered.

749
01:10:35.039 --> 01:10:38.479
Because Lacebo research doesn't say that pains all in the mind.

750
01:10:38.880 --> 01:10:42.159
It shows that the mind is part of the body's

751
01:10:42.279 --> 01:10:51.479
pain control circuitry. So by consciously shaping expectations and ritual

752
01:10:52.560 --> 01:10:57.680
or our beliefs instead of just leaving up to chance,

753
01:10:58.479 --> 01:11:05.079
by consciously folkscus on it we invite the brain's own

754
01:11:05.279 --> 01:11:11.720
pharmacy to join the team, and there's no side effects,

755
01:11:11.800 --> 01:11:17.800
no withdrawal. Just that can be like a quiet ally,

756
01:11:19.039 --> 01:11:24.680
a friend working in the background doing what it needs

757
01:11:24.720 --> 01:11:27.479
to do. I mean, in a way, we've got that

758
01:11:27.560 --> 01:11:30.199
anyway in our brain, all the things that are automatic,

759
01:11:32.199 --> 01:11:35.920
let me think about it. Most of our body. Pretty

760
01:11:35.960 --> 01:11:46.479
much everything is automatic within the body. You can sit

761
01:11:46.560 --> 01:11:52.000
there or lie down and everything works on its own.

762
01:12:05.399 --> 01:12:20.560
So I think it's interesting expectancy. And there's a few

763
01:12:20.640 --> 01:12:24.520
things you can do. You can do things like ritualized

764
01:12:24.560 --> 01:12:34.199
self care, so that's regular, meaningful actions created and to

765
01:12:34.359 --> 01:12:40.000
basically make you feel better, so that it's no different

766
01:12:40.079 --> 01:12:44.640
in some ways to you know, if you clean, you

767
01:12:44.880 --> 01:12:47.039
brush your teeth, if you do certain things in a

768
01:12:47.119 --> 01:12:51.920
certain order, and it feels nice to do it like that,

769
01:12:53.159 --> 01:12:56.119
and you get used to doing like that, and you

770
01:12:56.199 --> 01:12:59.439
expect your mouth to feel clean and fresh once you

771
01:12:59.520 --> 01:13:08.760
brush your teeth, you expect it. And there's been times

772
01:13:08.800 --> 01:13:12.199
when I've been distracted and I've gone to the door,

773
01:13:12.279 --> 01:13:14.119
you know, someone's knocked on the doors. I've just gone

774
01:13:14.119 --> 01:13:22.000
in the bathroom and I go to bed and I'm thinking, oh,

775
01:13:22.199 --> 01:13:24.520
I thought i'd clean my teeth because my teeth it

776
01:13:25.199 --> 01:13:32.159
maybe I've just got just amazingly fresh breath, but but

777
01:13:32.239 --> 01:13:34.760
it was just maybe it's all the mints that I

778
01:13:34.760 --> 01:13:41.520
eat when I'm in sleep, but sometimes expecting. There's been

779
01:13:41.560 --> 01:13:44.520
times when I've It's not very often if you look

780
01:13:44.560 --> 01:13:46.520
at my belly, but it's times when I've forgotten to eat,

781
01:13:47.119 --> 01:13:50.319
Like I've just been so busy doing something and I

782
01:13:50.359 --> 01:13:54.119
thought I'd had my meal and I hadn't, but I

783
01:13:54.119 --> 01:13:59.239
didn't miss it because I kind of just expected to

784
01:13:59.319 --> 01:14:06.439
have had it, and because it's almost ritualistic, because it's

785
01:14:06.439 --> 01:14:09.800
the same kind of thing that I would do every

786
01:14:09.920 --> 01:14:14.880
day back then, that not a lot of thought goes

787
01:14:14.920 --> 01:14:22.119
into it, but you expect. I mean a bit like

788
01:14:22.159 --> 01:14:26.000
in sales as well. Those people that expect to do

789
01:14:26.079 --> 01:14:36.600
well do well. You know, those people in sports, they

790
01:14:36.720 --> 01:14:43.479
might have a special coin or a special ritual that

791
01:14:43.520 --> 01:14:47.319
they do before they get into the ring or before

792
01:14:47.319 --> 01:14:52.119
they go on to the football pitch, something that means

793
01:14:52.159 --> 01:14:58.000
something to them, has nothing to do with what they're doing,

794
01:14:58.439 --> 01:15:08.359
not really, but has a huge effect on their brain.

795
01:15:08.479 --> 01:15:12.800
Believes that it's helping ven he's then he's trying to

796
01:15:12.800 --> 01:15:18.760
catch a fly, but your brain believes that those rituals

797
01:15:18.760 --> 01:15:24.840
are helping. You know, it doesn't matter if it is

798
01:15:24.920 --> 01:15:27.760
or not, because your brain believes it. So therefore it is.

799
01:15:33.680 --> 01:15:45.520
If you believe that rubbing rubbing your knees has an

800
01:15:45.560 --> 01:15:54.479
effect on your confidence, then it will. Rubbing your knees

801
01:15:54.520 --> 01:16:04.359
will have an effect on your confidence. It's a weird one,

802
01:16:04.359 --> 01:16:14.239
isn't it. Really You've got the therapeutic thing as well.

803
01:16:14.680 --> 01:16:20.680
So empathy releases endogenous opioids and oxytocin according to this,

804
01:16:21.760 --> 01:16:30.680
So really choose clinicians who take time and validate your experience.

805
01:16:33.640 --> 01:16:39.560
So when you're seeing a physician or therapy person, find

806
01:16:39.600 --> 01:16:41.760
someone that's going to take their time. It's going to

807
01:16:41.800 --> 01:16:46.239
be gentle because that can really have an effect, a

808
01:16:46.319 --> 01:16:52.399
positive effect. And it's a practical way of kind of

809
01:16:52.439 --> 01:17:00.399
tapping into the placebo science because ultimately you could you

810
01:17:00.479 --> 01:17:02.880
having someone. It may if someone's going to give you

811
01:17:02.880 --> 01:17:05.960
an injection into your back, and so let's say someone

812
01:17:06.279 --> 01:17:10.479
had a doctor can inject me in my back with

813
01:17:10.960 --> 01:17:15.920
something that's going to help with the arthritis. It shouldn't

814
01:17:16.560 --> 01:17:22.840
really make any difference if it's someone that's completely cold

815
01:17:22.840 --> 01:17:25.319
to me, just you know, bend over, like no, send

816
01:17:25.359 --> 01:17:28.960
me back, okay, and just like just do the back,

817
01:17:29.399 --> 01:17:32.960
or someone that's being gentle and kind and takes a

818
01:17:33.000 --> 01:17:40.039
little bit of time asks me how I am. Make

819
01:17:40.119 --> 01:17:43.039
sure that I'm okay with the procedure, and I understand

820
01:17:44.800 --> 01:17:52.039
that I'm going to feel better afterwards, and as opposed

821
01:17:52.159 --> 01:17:58.079
to someone just saying come on, put your shirt up

822
01:17:58.199 --> 01:18:04.159
and just sticking thing in and that's it done, goodbye. Next.

823
01:18:08.760 --> 01:18:12.039
I had a doctor once and I joined the surgery,

824
01:18:12.680 --> 01:18:14.960
and I've just moved to a different town. It's two

825
01:18:15.079 --> 01:18:22.479
thousand and ten, No, two thousand and seven, and it's

826
01:18:22.600 --> 01:18:25.800
really a bit aggressive. Not like it wasn't punching me

827
01:18:25.880 --> 01:18:28.960
or anything, but it's like it's like calling me out,

828
01:18:29.039 --> 01:18:32.039
come on, let's sell a fight. This fight like, no,

829
01:18:32.159 --> 01:18:35.560
it wasn't like that. But he said, what medication you want?

830
01:18:35.600 --> 01:18:39.159
I said, I don't know. You have to and he

831
01:18:39.279 --> 01:18:43.880
kept going into this big, big lecture about all of

832
01:18:43.880 --> 01:18:46.800
his patients have to know exactly what medication AM on

833
01:18:47.359 --> 01:18:54.199
and like, you know what, you know, it's fairly new

834
01:18:54.279 --> 01:19:01.359
medication and I didn't know it's called I didn't know

835
01:19:01.399 --> 01:19:03.720
what the I knew it was for. I didn't know

836
01:19:03.760 --> 01:19:06.600
what the because some of the names and medications long

837
01:19:06.680 --> 01:19:10.239
in it, like is it based on Latin? I think

838
01:19:10.359 --> 01:19:15.520
it's like ridiculous. Some of the names Petrocholean, shalumbly move

839
01:19:17.359 --> 01:19:23.079
like no, you must know what like not. I didn't

840
01:19:23.159 --> 01:19:26.840
like him after that. I'm sure he was a really

841
01:19:26.840 --> 01:19:30.399
good doctor, but it was just a little bit. And

842
01:19:30.439 --> 01:19:33.479
then I saw another doctor when he wasn't there. I

843
01:19:33.520 --> 01:19:37.600
was stuck with him, but I didn't have to see him, luckily.

844
01:19:39.720 --> 01:19:42.960
But then I see another doctor who was there who

845
01:19:43.640 --> 01:19:45.520
he wasn't there that day, so I was lucky. I

846
01:19:45.560 --> 01:19:54.199
saw a different doctor and she was lovely, and she

847
01:19:54.279 --> 01:20:01.399
looked at my far and said oh, and looked and

848
01:20:01.439 --> 01:20:03.479
took a bit of time and said, well, I think

849
01:20:03.520 --> 01:20:06.239
we need to refer you. And this is for a

850
01:20:06.279 --> 01:20:10.560
different thing to my back. And she really sort of

851
01:20:10.560 --> 01:20:14.560
set the ball rolling for getting me some help and

852
01:20:14.640 --> 01:20:20.720
to be taken I don't know about seriously. We've just

853
01:20:21.039 --> 01:20:35.159
been taken carefully to be treated gently with respect. And

854
01:20:35.239 --> 01:20:41.880
I suppose in a way it's useful if we can

855
01:20:42.560 --> 01:20:58.920
aim to do that ourselves, treating ourselves with respect. I

856
01:20:59.039 --> 01:21:04.800
also says on here, Yeah, listening to audio content can

857
01:21:04.840 --> 01:21:14.159
also in itself function as a therapeutic ritual. The primes listeners,

858
01:21:14.520 --> 01:21:20.680
expectancy of relief. There's a lot of words, are there.

859
01:21:34.800 --> 01:21:43.039
I still find that interesting, just the old idea of

860
01:21:43.119 --> 01:21:54.640
the brain. The brain doesn't care if you tell. If

861
01:21:54.680 --> 01:21:58.399
you tell the brain, if you tell yourself you're going

862
01:21:58.439 --> 01:22:05.319
to feel relaxed, you're gonna feel calm, then I guess

863
01:22:05.319 --> 01:22:17.600
that's what's going to happen. You tell yourself that you're

864
01:22:17.640 --> 01:22:20.119
not going to notice Finny jumping up and down trying

865
01:22:20.119 --> 01:22:24.720
to catch that fly. He loves the fly. That's his

866
01:22:25.199 --> 01:22:31.000
favorite thing. He loves to fly more than any toy.

867
01:22:31.800 --> 01:22:34.079
And he can't catch it. He's never pretty well. He

868
01:22:34.159 --> 01:22:37.399
might do one day, but you know, the fly can

869
01:22:37.640 --> 01:22:43.680
but I can fly, caren't it? And he can't quite reach.

870
01:22:43.800 --> 01:22:50.359
He's only tiny, aren't you? You are tiny little sausage. You. Oh,

871
01:22:50.399 --> 01:22:55.119
I said the word sausage. You're tiny, little doggie, your

872
01:22:55.159 --> 01:23:01.720
tiny little doggie. If I say stops, if I say

873
01:23:01.800 --> 01:23:10.520
that word s you know, and with udge begins fifth

874
01:23:11.079 --> 01:23:15.119
sus Oh no, he's staring at In't got any to

875
01:23:15.119 --> 01:23:18.920
give him. Don't stare at me like that. I don't

876
01:23:18.960 --> 01:23:25.079
have any there's favorite things my neighbor oppositely, he gets

877
01:23:25.079 --> 01:23:28.840
some started packet from the petrol station. No, only like

878
01:23:28.880 --> 01:23:36.479
a pound. He loves them. They're like those really dead

879
01:23:36.600 --> 01:23:38.520
I don't know what they are, and more like robbery.

880
01:23:40.640 --> 01:23:45.279
Yeah I don't. I wouldn't eat it myself, but he

881
01:23:45.319 --> 01:23:53.279
loves them. Right, He's distracted by the fly again, So

882
01:23:53.319 --> 01:23:55.800
I'm going to go. So I hope this has been

883
01:23:57.079 --> 01:24:09.640
mildly mildly something. I don't know what it's something, so

884
01:24:09.680 --> 01:24:16.319
I'm going to go. I'm not sure how focused this

885
01:24:16.359 --> 01:24:22.720
has been. To be honest with you, I don't know,

886
01:24:25.199 --> 01:24:32.880
but you know it's just me talking. So thank you

887
01:24:32.920 --> 01:24:36.399
for listening. Let me know how you get on, and

888
01:24:36.439 --> 01:24:39.479
remember to be kind to yourself because you do deserve

889
01:24:39.520 --> 01:24:46.199
to be happy and be gentle with yourself. You deserve

890
01:24:46.279 --> 01:24:54.359
to feel safe. Lots of love, bye,