Intended for healthcare professionals

Letters Visualising chronic pain

Intrusive imagery associated with pain

BMJ 2019; 366 doi: (Published 10 September 2019) Cite this as: BMJ 2019;366:l5459
  1. Christopher J Graham, online education officer1,
  2. Shona L Brown, clinical psychologist2,
  3. Katy Vincent, senior pain fellow3,
  4. Andrew W Horne, professor of gynaecology and reproductive sciences4
  1. 1Royal College of Physicians of Edinburgh, Edinburgh EH2 1JQ, UK
  2. 2Department of Clinical Psychology, NHS Lothian, Edinburgh, UK
  3. 3Nuffield Department of Women’s and Reproductive Health, University of Oxford, Oxford, UK
  4. 4MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
  1. c.graham{at}

Warren describes the use of example imagery to help patients describe their pain experience, which should substantially improve doctor-patient communication.1 Padfield and colleagues explored the same clinical tool in their engaging perspective piece.2 They describe a therapeutic triangle linking the clinician, patient, and image and showcase the revealing patient narratives generated. One patient selected an image of a broken link in a chain and used this to discuss her feelings …

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