After reading Dr. Alexander's book, Eric, I was able to see how my terrible accident in 1989 really was the trauma behind my subsequent TMS episodes in 2001 and 2007. When I fell 25 feet and shattered my left heel, broke my nose and fractured the occipital lobe of my skull, I had to crawl through the mud and rain to get to my car and drive myself to ER at Stanford Hospital. Talk about trauma! It took me 6 months of PT before I could walk again without crutches. However, when I called my parents for emotional support, they basically abandoned me. "Your grandfather broke his heel too and went around in a wheelchair with a blanket working outdoors in Montana!," said mom. Then, six month after my mother died while I was out running, my left leg started developing sciatica, which got worse and worse until I had a major catastrophic back attack one night while stretching. I realize now that that was also after I had lost a lucrative contract and taken a dumping on the market for $20 grand. Also inherited my parents' house where they had fought constantly. A burden my psyche just didn't like. Financial insecurity and unconscious repressed rage both at the same time. Then in 2007 I took a fall on my left side out running at the same time I was involved in a bunch of romantic turmoil involving abandonment and rejection, also at the same time I was working 24-hours a day finishing a book fueled with money I'd obtained by selling my mother's apartment house in Montana (used to be grandpa's). In other words, every time I've experienced TMS pain it was located in the same neural pathways on my left side that I'd injured originally in a traumatic accident in 1989 that I associated in my mind with parental rejection and abandonment.
You'll have to agree that Dr Alexander's own experience with TMS roughly parallels my own experience with psychogenic pain developing on my left side. Thus, his explanations and descriptions of the neuroscience and psychology behind TMS really make sense to me now. Of course, not everybody's TMS originates with a traumatic accident like Dr Alexander's and mine, but in those cases there's usually some underlying developmental trauma that can range from poor bonding with mother, fighting parents or in the worst cases sexual abuse in childhood. In other words, you don't have to break bones for your psyche to be good and traumatized. But because Dr Alexander's experience speaks so directly to my own, I find his explanation of the origins of TMS especially compelling and relevant.
Glad you like Dr Alexander's book, Eric! Really, really good isn't it? I'm sorry because I was among those who thought at first that Dr Alexander was a sort of "Sarno clone". However, I think now he gives the clearest most up-to-date single author explanation of the TMS phenomenon. Of course, The Divided Mind, with many its many contributors, brings TMS into the scientific mainstream, so is a really, really important book too. I do think that Chapter 5 - The Physiology of Chronic Pain in Alexander's book gives one of the best explanations I've every read about the way TMS pain originates in reduced blood flow and lack of oxygen; shows how those phenomena are reinforced and driven by the patient's psychology. Can't praise it enough.
Cheers,
BruceMC