Is "whole person reasoning" just biopsychosocial with new branding, or does it change how you actually run a session? Mark Kargela and Ben Whybrow break down why treating pain by tissue alone misses most of what's driving a patient's experience, and why that applies from day one of an acute injury, not just after the 91-day mark that turns pain "chronic."
Mark tells the story of a student on his last clinical rotation who was so locked into test clusters and technique that he nearly missed a patient in visible distress, until one question about coping unlocked what she actually needed. Ben shares how a NICE-guideline question about cultural influence on pain has changed his intake conversations, plus the patient whose neck pain flared after an election result.
They also dig into why "subjective" is the wrong word for a patient's story (it's not less-than the objective findings, it often predicts outcome better), how systemic biology shows up even when imaging and labs look "controlled," and why social and cultural context can make or break a treatment plan that's otherwise textbook-perfect.
If you want a structured way to hold all of this in a session without turning it into another checklist, Mark and Ben mention the free Whole Person Reasoning guide, link below.
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