Without being aware, people often focus on the worst possible outcome. A psychological term for this perspective is awfulizing. When that is happening, what they most need is a change in perspective. You can help your patients change unhelpful perspectives in two ways: (1) Change the content of what they say, or (2) change the context (time and/or place) of their statement.
Statement: I’m always in pain.
The content is “pain.” The context is “universal.”
Reframing context: How long have you been thinking you’ve always been in pain? [Reframes context from universal to past.]
Reframing context: How do you know you’ll be in pain tomorrow? [Reframes context from universal to future.]
Reframing content: How will you know when you’re feeling less discomfort? [Reframes “pain” to “discomfort.”]
Reframing content: You’re only saying that because the pain had been especially bad this year. [Reframes content from general to specific.]
You could also reframe using location on the body to reframe the person’s perception: Where specifically are you feeling pain? What part of your body feels better than the rest? Reframing works by changing an individual’s perception of an experience or an event.
You may forward this language tip to those who may benefit. Send your questions about communication to Joel or Debra, co-developers of SCS Matters, LLC. We will provide answers as time permits.