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Intention is a subtle concept. The immediate intention is not to get rid of painβit is to focus the mind, in order to change the brain. Thinking that the immediate reward will be pain reduction will make it hard to get there, because that reward comes slowly. In the early stages what counts is the mental effort to change. These mental efforts help build new circuits and weaken the pain networks. The initial reward, after an episode, is being able to say, βI got a pain attack and used it as an opportunity to exercise mental effort and develop new connections in my brain, which will help in the long run,β rather than βI got a pain attack, I tried to get rid of it, but am still in pain.β Moskowitz writes, in his patient handout: βIf focus is merely on immediate pain control, positive results will be fleeting and frustrating. Immediate pain control is definitely part of the program, but the real reward is to disconnect excessively wired pain networks and to restore more balanced brain function in these pain processing regions of the brain.
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Norman Doidge (The Brain's Way of Healing: Remarkable Discoveries and Recoveries from the Frontiers of Neuroplasticity)