A review of the psychotherapeutic ‘common factors’ model and its application in physical therapy: the need to consider general effects in physical therapy practice Scand J Caring Sci; 2012; 26; 394–403 Miciak et al.
Thank you for carefully considering the use of language as being an integral aspect of how pain can be preceived by not only clients but ourselves as practitioners. I don't have any specific articles to share at this time although from an OT perspective, refraining from "catastrophic" language and utilizing language found in different approaches such as the cognitive re-framing/re-structuring model can be very helpful.
Thank you for the comments. Here is a different aspect of wording used in patients with chronic, complex pain conditions.
I see daily patients with combined disorders, meaning overlapping pain/ paresthesia/ weakness patterns. First we map the symptoms, focusing on INTERMITTENCY and AREA OF REFERRAL as related to their activity. This seems to bring patients to realization that the SYMPTOMS ABATE and RETURN. The logic then allows the patient to conclude that the imaging findings, which are a CONSTANT, may not be as devastating information because their SYMPTOMS are INTERMiTTENT. So the focus is on positions or activities, which reduce, abolish symptoms, make them better for minutes or hours. Also helps understand why taking the same medications may give erratic control of pain. This line of patient interview is based on an evidence based system called Mechanical Diagnosis and Treatment.