When we are having chronic symptoms virtually all of it is 'residue' from past conditioning. Period. Not here and there, but everywhere. The first time we had the symptom it was straight up TMS; A command decision to create a symptom rather than experience a rage inducing episode.
But, Once it worked, our brain 'chose' it through a combination of conditioning and necessity....and eventually when it became chronic, it no longer is serving it's original purpose. It's just THERE like that couch you bought. 100% conditioned. Oftentimes the original rage maker has been removed but the pain lingers. Occasionally it's still around...usually a bad relationship, but the good news is THAT doesn't have to be dealt with yet.
If you study Pavlov, it didn't take many times for the dogs to salivate...once or twice was sufficient. Maybe 3 times with the slow ones. We are no different.
So you have a pattern. You wake up in pain. It's now 'suffering'. The original pain might have been serving a purpose but odds are it no longer serves.
The only way to break conditioning is to acknowledge it as conditioning and then to 'scratch the record'. Remember vinyl records? If you got a scratch, it might play the same little song segment over and over...or skip a segment. To break out of TMS you are gonna grab a sixteen penny nail and scratch the bejesus out of that record so it can't ever play again!!!!
You wake up, and you find your attention is drawn to the pain.? Yell 'NO... I don't fu-#-ing believe you.... you are here to distract me, I am sick of it and I am not listening to you anymore!" Talk to it like it is a possessing entity. Because it is. It is like an exorcism of sorts and you are gonna be your own priest.
despite believing and journaling
Believing is good. Keep reading the books over and over and over until you know the text by heart. I am not kidding. It's not for the purpose of rote memory, but to re-program all of that 'interesting' useless crap we learned when we were in the system. We know too much about discs, deterioration etc etc and not enough about Freud, Charcot, and Pavlov....
I don't know what 'Journaling' is , But I have been writing since I got better. I use the 4th step INVENTORY format from the 12 step programs... you can find it easily with a google search. They even have printable ones.
I make lists of irritants and anger makers, even ones not directly related to me like politics, general principles, idea's,etc.... then, I ask myself WHY it makes me angry. I do not judge myself for being an 'asshole;' which the good-ist in me is great at doing. What does that anger inducer affect in me?
Now.. you might say 'But TMS is caused by repressed anger...how can my conscious anger help me?" GREAT point! BUT, when I get involved in a regular and thorough inspection of my anger-makers , I begin to see that I walk around with a lot of rage all the time. Then like an iceberg, I can sort of guesstimate how much more must be down there that I don't see...based on what I do learn.
I was in pain always. SO, to get out of pain I had to go through every little detail of my life MINDFUL of the pain being there as a conditioned response, and a bodyguard whose services I no longer need. So I went back to sleeping on my stomach. I got rid of my lumbar support crap. I stopped every 'correct' lifting technique and all of the other pseudo scientific crap I learned in therapy, and I move and lift and do stuff the way I always did before I go indoctrinated in the pain system; with very little attention paid to it.
MOST IMPORTANT . I have not had a 'long struggle with TMS'. I got better and I get the occasional attempted break-in which is easily fended off with one of Sarno's MOST IMPORTANT directions.
"Whenever you are finding yourself focusing on the pain, I encourage them to forcefully turn their mind to a source of recurrent irritation like a bad marriage or a financial problem" -Sarno paraphrased.
I did that. Religiously. A guy named Dave ripped me off in a music deal right before I read Sarno.
so.. I wake up and I am in Pain. As soon as I become aware it has my attention
"F- Dave... I wanna whoop his ass". I would run a film in my head of me harming him physically...I'd keep the thought going and go down dark corridors of letting my angry self speak unchecked.
I am driving to work and my back spasms?
"F-Dave... I am gonna ruin that little beeotch's life.. I'm gonna tell his wife he's been sneaking around doing dope"
I am out riding my bike and my butt cheek spasms
"F- Dave... I am gonna make sure every body knows what a dick he is"
etc,etc. It is important to be pre-armed with the recurrent source of rage so the second I catch my attention focusing on pain I immediately begin that thought process... the sooner the better. This is probably the KEY to my still playing Baseball at age 57 and working in heavy construction. I am not particularly big, athletic, healthy or strong. What I am is particularly good at following Sarno's instructions... I took every suggestion as a commandment and I GOT the results! Out of pain in 3 week, back at work in 5...
and not only that. EVEN still...whenever I feel a jolt of something from nowhere, I immediately (love that word) say "NO! BS !! I call BS on TMS... you're here to distract me and what I am really angry about is....." The people around me might think I am a raving lunatic, but I am a pain free lunatic.
...it all starts the next time you feel the pain, and if that is every morning then have that 'recurrent source of irritation" ready, get out a journal and write about your anger, not how your day went (unless it made you angry) and say "NO! No way bro... do not believe you"
Turn your thoughts
Talk to IT.
and say NO. Not buying.
The record will not be able to play. You will wake up and all of the music will have stopped. Peace. Quiet. Oh!!...(Laughs out loud with true Joy that only comes from a benign creator)..It's gone!
That's my advice.