Body Reprogramming: Reframing the Fibromyalgia narrative and providing an integrative therapeutic model

We propose a theory known as the Hyland model to help conceptualise Fibromyalgia within a complex adaptive control system. A fundamental assumption is that symptom generating mechanisms are causally connected, forming a network that has emergent properties. An illness narrative has been developed wh...

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Bibliographic Details
Published in:Health psychology open 2020-07, Vol.7 (2), p.2055102920971494-2055102920971494
Main Authors: Davies, Anthony Fitzdonald, Hill, Patrick, Fay, Daniel, Dee, Annily, Locher, Cosima
Format: Article
Language:English
Subjects:
Adaptive control systems
Fibromyalgia
Frame analysis
Goodness of fit
Intervention
Narratives
Theoretical Contribution
Treatment methods
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Summary:We propose a theory known as the Hyland model to help conceptualise Fibromyalgia within a complex adaptive control system. A fundamental assumption is that symptom generating mechanisms are causally connected, forming a network that has emergent properties. An illness narrative has been developed which has a ‘goodness of fit’ with the lived experience of those with Fibromyalgia. The theory guides management within the clinical setting and incorporates current evidence-based therapeutic strategies, within a multi-modal intervention described as ‘Body Reprogramming’. This intervention focuses on non-pharmacological and lifestyle-based considerations. The theoretical framework also helps explain why modest therapeutic effects are gained from current pharmacological options.
ISSN:2055-1029
2055-1029
DOI:10.1177/2055102920971494