Sandy and Cory discuss a recent paper that did not find an effect of providing education with therapeutic alliance in a chronic low back pain population. Does that settle the question of whether establishing a therapeutic alliance is worthwhile, or is there more to it? Of course there's more to it. Listen in on the conversation and see if you agree with our take.

Education With Therapeutic Alliance Did Not Improve Symptoms in Patients With Chronic Low Back Pain and Low Risk of Poor Prognosis Compared to Education Without Therapeutic Alliance: A Randomized Controlled Trial.
Miyamoto GC, Fagundes FRC, de Melo do Espírito Santo C, et al.
JOSPT. 2021 Aug;51(8):392-400. doi: 10.2519/jospt.2021.9636. Epub 2021 May 7.

Music by Kevin MacLeod – incompetech.com:
Intro – Brandenburg No4 and Meatball Parade
Close – Meatball Parade

In this episode, Sandy and Cory take a look at this popular publication from 2019 proposing an "Enactive Approach" to pain. There's a lot to cover in this paper as it takes us through a history of pain science up to the Biopsychosocial model at which point it proceeds to point out some flaws in the model. GASP! Take a listen as the discussion unfolds.

An enactive approach to pain: beyond the biopsychosocial model.
Peter Stilwell & Katherine Harman.
Phenomenology and the Cognitive Sciences. 18, pages637–665(2019). doi: 10.1007/s11097-019-09624-7.

Music by Kevin MacLeod - incompetech.com:
Intro - Brandenburg No4 and Meatball Parade
Close - Meatball Parade

The gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!