Landau model for illustrating the learning and unlearning process of nociplastic pain

Recent advancements in understanding the consolidation of nociplastic pain point to a complex, non-conscious learned process of threat perception. Neurobiological pain education is emerging as a promising approach to unlearn nociplastic pain, supported by biopsychosocial tools such as exposure to mo...

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Main Author: Belén Valenzuela
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2024.1307532/full
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author Belén Valenzuela
author_facet Belén Valenzuela
author_sort Belén Valenzuela
collection DOAJ
description Recent advancements in understanding the consolidation of nociplastic pain point to a complex, non-conscious learned process of threat perception. Neurobiological pain education is emerging as a promising approach to unlearn nociplastic pain, supported by biopsychosocial tools such as exposure to movement, mindfulness, and group sharing formats. However, this approach is still not well-known among clinicians and the society at large, creating a communication problem that unfortunately perpetuates the suffering of patients. Herein, we propose a Landau model to describe the learning and unlearning process of nociplastic pain, aiming to clarify this complex situation and facilitate communication across different sectors of the society. Nociplastic pain corresponds to a first-order transition, with attention more likely in the alert-protection state than in the trust-explore state. Two appealing results of the model are that the perception of the critical context depends on personal history regarding the symptom and that biopsychosocial loops are formed when there is alarming learned historical information about the symptom, along with confused and contradictory expert information, as seen in nocebo messages. Learning and unlearning in the model correspond to a chang in control parametrs that can weigh more on the alert-protection state, trust-explore state, uncertain state or neutral state. This description clarifies why neurobiological education is the foundational therapy from which others must be built to embody the accessible, clear, and trustworthy information.
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spelling doaj.art-c17d52bdee7f4d588f8f55475970c8e52024-02-20T11:09:11ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2024-02-01510.3389/fpain.2024.13075321307532Landau model for illustrating the learning and unlearning process of nociplastic painBelén ValenzuelaRecent advancements in understanding the consolidation of nociplastic pain point to a complex, non-conscious learned process of threat perception. Neurobiological pain education is emerging as a promising approach to unlearn nociplastic pain, supported by biopsychosocial tools such as exposure to movement, mindfulness, and group sharing formats. However, this approach is still not well-known among clinicians and the society at large, creating a communication problem that unfortunately perpetuates the suffering of patients. Herein, we propose a Landau model to describe the learning and unlearning process of nociplastic pain, aiming to clarify this complex situation and facilitate communication across different sectors of the society. Nociplastic pain corresponds to a first-order transition, with attention more likely in the alert-protection state than in the trust-explore state. Two appealing results of the model are that the perception of the critical context depends on personal history regarding the symptom and that biopsychosocial loops are formed when there is alarming learned historical information about the symptom, along with confused and contradictory expert information, as seen in nocebo messages. Learning and unlearning in the model correspond to a chang in control parametrs that can weigh more on the alert-protection state, trust-explore state, uncertain state or neutral state. This description clarifies why neurobiological education is the foundational therapy from which others must be built to embody the accessible, clear, and trustworthy information.https://www.frontiersin.org/articles/10.3389/fpain.2024.1307532/fullnociplastic painperceptionbiopsychosocial modelneurobiological educationLandau modelphase transition
spellingShingle Belén Valenzuela
Landau model for illustrating the learning and unlearning process of nociplastic pain
Frontiers in Pain Research
nociplastic pain
perception
biopsychosocial model
neurobiological education
Landau model
phase transition
title Landau model for illustrating the learning and unlearning process of nociplastic pain
title_full Landau model for illustrating the learning and unlearning process of nociplastic pain
title_fullStr Landau model for illustrating the learning and unlearning process of nociplastic pain
title_full_unstemmed Landau model for illustrating the learning and unlearning process of nociplastic pain
title_short Landau model for illustrating the learning and unlearning process of nociplastic pain
title_sort landau model for illustrating the learning and unlearning process of nociplastic pain
topic nociplastic pain
perception
biopsychosocial model
neurobiological education
Landau model
phase transition
url https://www.frontiersin.org/articles/10.3389/fpain.2024.1307532/full
work_keys_str_mv AT belenvalenzuela landaumodelforillustratingthelearningandunlearningprocessofnociplasticpain