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I see it as follows: to create the distraction, the brain releases an endocrine (i.e. traveling through the blood) peptide that causes the blood vessels in a specific part of the body to constrict. Constricted blood vessels -> less blood supply -> less oxygen for working muscles and nerves -> pain. (Heart attack pain is another example of how not having enough oxygen can be extremely painful.) I haven't read Pert's book, but I wonder if she's terribly specific. I've read that she spends a great deal of time talking about her own life story and much less explaining the actual science. Pert's book is also a bit old at this point, when compared to the incredible progress that we've seen in mind/brain/body medicine recently. I wonder if more detail might be available in a more recent book. The book about the biology of emotions that I'd love to read is The Archaeology of Mind, Neuroevolutionary Origins of Human Emotions, by Jaak Panksepp. The foreward is written by Daniel Siegel, and I've heard great things about him from the TMS Therapists. Plus Panksepp has a great reputation of his own. He has a 30 page chapter on "The Ancestral Roots of RAGE" that I'm sure would be very illuminating about TMS.I know Dr Sarno uses her argument to explain how you can feel TMS pain without it originating in tissue issues. I guess I'll just have to keep looking!
I finally found the quote where Dr. Sarno talks about this. I think he puts it extraordinarily well when he wrote at the end of chapter 2 of the Mindbody Prescription,I know I'd like to learn about the exact chain of biochemical events leading up to an attack of TMS; being able to see the process diagrammed out by a neuroscientist would be really enlightening.
It's still interesting to me to learn what we can, though. I find that learning about the science helps me better understand myself.[Dr. Pert's work in the 90s] is magnificent research and there is certain to be more of it. However, we still have the “black box,” that mysterious domain that prompts so many questions. How does the brain do what it does? What is the process that allows us to communicate with each other? How do we think? How are emotions elaborated? How does the brain decide to produce a psychosomatic reaction and choose its location?
These questions probably cannot be answered by laboratory science. They may require a new epistemology, that is, a whole new way of thinking about and studying these matters. In the meantime we must get along as best we can, make our observations, test them and use them, even though we can’t explain exactly how they work. Benjamin Franklin once said, “Nor is it of much Importance to us to know the Manner in which Nature executes her Laws; ’tis enough to know the Laws themselves.”
We've already talked about this elsewhere, but for anyone else reading, I thought I'd mention that Dr. Schubiner's multimillion dollar NIH grant (with co-investigators), unfortunately will be more on the clinical side, using a Randomized, Controlled Trial to validate that the TMS/PPD approach actually works.How is Howard Schubiner doing with his grant to study the biochemistry of TMS? Any hard data yet?