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Hi Dan,

Alan Gordon and other more current TMS professionals have taken the TMS concept further and studied it a bit more in recent years. So yes, the emphasis is a bit different than Dr. Sarno's original ideas but still with the same concepts. Sarno believed acknowledging the emotions and learning that there was nothing wrong with your back (or other body part) would cure you. Alan and others do not disagree with this philosophy, in fact, they emphasize the same concepts. They also take it farther by using a more modern, neuroscience based approach of taking down the fear factor around the pain in addition. Many advances have been make in our understanding of the brain since Sarno formulated his theories decades ago. The basic concepts hold but more has been added. Our brains and emotions are complex and we probably won't know the "exact" thing causing the pain because there isn't just one thing! It may be a combination of unacknowledged emotions, as Sarno says, plus the fear/pain cycle going out of control, as Alan teaches. They aren't incompatible, both can fuel the continuation of the TMS. Hope that helps.