Reaction to and experience of pain definitely has a psychological component. Depression- psychobiosocial. But the visible presence of arthritis in various joints--can't deny it. Family history of arthritis is extensive. So is TMS, but that's a hypothesis. If I elect foot surgery to get the bones back in place, I will probably have a better outcome with CBT and mindfulness techniques. But I can't journal my way out of this one, I'm afraid.