According Nicole Sachs, if I have well understood, one of the main causes of TMS pain is self loathing.. The devastating warlike of me against me (dr Jekill vs Mr Hyde ?) is unbearable from the psychological point of vue. Our protective, reptilian brain detects that threatening war (menacing our biological integrity: in a «emotional nuclear war» we could think about suicide!) and produces pain in order to create physical worry and distraction. So, for instance, I don't hate my old, tyrannic, decayinng absorbing, fastidious mother for ruining my day to day life....I hate deeply MYSELF for hating my beloved, tender, sweet and protecting mum, even in the last years of her life. Does that make any sense?