First, a lot of people don't actually need to identify what the exact repressed emotion is. For most, and I include myself in this, simply understanding that we have repressed emotions is enough to heal. I have always intepreted this part of Monte's approach as being in response to how some people obsess over finding
THE major, very deep, repressed emotion causing their pain. The idea here is that if someone journals long enough or thinks about their past long enough then they will gain some sort of enlightenment about their repressed emotions and will be healed immediatley. For one, I see this as looking externally for healing, i.e. through journaling. Journaling is great, but it alone won't heal you. You have to accept the diagnosis and change how you view your symptoms. We all have a tendency to be obsessive and perfectionistic in regards to our treatment, but this only keeps us in pain. In order to recover we need to let go and be more allowing.
Sarno always described the process as being 1/3 childhood/past, 1/3 present stress, and 1/3 personality, and I totally agree with this. One thing to keep in mind though is that the past influences how you react to situations and stresses today. It invovles understanding how your thoughts were developed. For more on this check out the
June 9th Webinar with Alan Gordon. Can current stress create pain? Yes, but the way you react to it is determined by past events.
One thing the webinar link above discusses is changing the negative and chronic thoughts we have. This is something that I believe Monte calls the
chronic patterns of type A personality. Others simply call this TMSing. This can be so many different things from, ignoring your own needs, thinking you are worthless, thinking your are broken or a number of any things that keep you in pain. The key to overcoming this is to understand what your negative thoughts are, and begin to identify when you start TMSing. When you notice that you are thinking you can't do something or catestrophizing, take a breath, ask yourself how you feel, and then change your thoughts to something more positive. One technique you could try is Guided Imagery, Mindfulness, or Conscious Breathing. Any of these will help you bring your focus back to the present and turn your thoughts to something more postive.
I want to also add that if you have TMS, you have repressed emotions. You can repress stuff in the past and in the present. Understanding that these repressed emotions are causing your symptoms is the key to recovering.