He's not saying that your pain is all in your head; rather, he's saying that the battle going on in your mind results in a real physical disorder that may affect muscles, nerves, tendons, or ligaments. An injury may have triggered the disorder, but is not the cause of the amount or intensity of the resulting pain. According to Sarno, the mind tricks you into not facing repressed emotion by making you focus on pain in the body. When this realization sinks in ("and it must sink in, for mere intellectual appreciation of the process is not enough"), the trick doesn't work any more, and there's no need for the pain. (Healing Back Pain should not be used for self-diagnosis. Always consult a physician for chronic or acute back pain.)

 

 

 

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