In Complex Regional Pain Syndrome, the autonomic nervous system runs wild.  Sometimes, dissociation takes autonomic control out of our hands. If we can re-associate with autonomic control, the disease may fade. We know this concept works for a majority of those who suffer from CRPS
Info: American Pain Society | Clinical Bulletin of Myofascial Therapy | Comprehensive Review of CRPS by Bruehl | | What is CRPS

ASCH presentations, 2013 | Flemming | Low and Francis

If a physical illness worsens under conditions of emotional stress, improves when stress is released, responds to placebo or to a process in which patients take charge of automatic function such as biofeedback or hypnosis, the patient demonstrates an ability to modify the disease without the help of invasive processes.

Observing someone modify the disease like this calls for two related actions:

1. Find reasons the person is not already doing this -- (provided there is a reason).
2. Explore how to harness these abilities, then teach the patient to use them.

We call losing control of autonomic function dissociation.

The goal of dissociative medicine is to help patients re-associate with this gift. In some physical illnesses and in some patients, when dissociative medicine is seamlessly integrated with standard practice, long term remission can result. Many patients suffering from CRPS have benefitted from these concepts.

Dissociative Medicine has two main goals:

1. Explore the model further, defining indications for use, methods of application, and to which illnesses the model applies.
2. To integrate the process with standard medicine.

Presentation to ASCH in March 2013: Low
Presentation to ISST-D in November 2011: Flemming

CRPS evaluation form-1
CRPS evaluation form-2
Adverse Childhood Experiences Score
Dissociative Experiences Scale

David C. Flemming, MD Curriculum Vitae