| RECORD OF AUTOMATIC THOUGHTS ON PAIN Situation | Automatic Thoughts | Physical Response | Emotional Response | Cognitive Distortion | Changed Thought | what makes the better analgesic agent: opium or alcohol? | depends on what's available | hunger—vacant field, fingers at the nape | as if being corralled | knack for the dramatic | given a hot spot, some chop limbs off to save lives | 18th century doctors used screw compressors: turn to tighten, amputate | and what for the maple, leaves aflame, falling? | like seeing the boy kiss someone else | weary, wearied, weariful | mental filtering, flailing | some rebirth bullshit in another's poem | in Hatteras, they hauled the lighthouse inland | but saved what? | like legs, sand bur scratched or unstretched | lack of pliability | magnification | the sea oats will last longer | the girl slits the belly of a pregnant, beached shark, holds the pup up | coat to hang, pulled weed, magic rabbit, thurible | cramps: biceps and throat | envy | disqualifying the positive | the pocket knife's smooth, cool pearl shell | eventually they improved the surgical instruments | the distance from scalpel and scar | like seeing the incision | like the distance from the bus stop to the front porch | fortune telling | you can have a knife crafted to fit your palm | Flight attendant announces he'll collect any remaining garbage | the high school boyfriend? (your sense of humor cannot sustain this poem) | too Dramamined to determine | between relief and deliverance | disqualifying the negative | Electronic devices: off. Carry-on items: stored. Seat back and tray: upright. Right? Right. | the drowning dream | "in the unlikely event of a water landing" | unmoving, unmovable | like the moment you know you've lost | emotional reasoning | it's dream drowning—sink and breathe and swim away | __ RECORD OF AUTOMATIC THOUGHTS BEGINNING WITH A WOODPECKER Situation | Automatic Thoughts | Physical Response | Emotional Response | Cognitive Distortion | Changed Thought | woodpecker, incessantly, drilling the secret code into the shutters | am a cliché, am one step shy of poet on Prozac | cramping—in palm, tongue | near asepticism | jumping to conclusions | what truths did Robert Frost really find in nature? termites? call exterminator? birds are stupid | have stolen line from friend | am thief and bird hater | slight twinge, slight twining | desire to grind coffee to fine mist | labeling | call it collage; keep calling it friendship; birds are stupid | phone rings | I should like people more, more people | like cooking pasta when you're full | like the end of a book you hoped would last longer | should statements | don't have to answer; am never full | dirty dishes in both sides of sink | why this upswept floor, unkempt heart | like a pencil against an inflamed callous | like the end of a movie you almost liked | mental filtering | divide dishes: big stuff, small stuff; wash big stuff first; looks like an accomplishment | dog wants out | after loss, there's nothing left to write about | like gum tree seed balls—prick, prickle, rive | understand woodpecker | all-or-nothing | there's desire; there's good-bye | good-bye is loss | airports—the eternal good-bye | in need of Dramamine | longing—just one more good-bye | magnification | no Dramamine, drama, no more mine, mine, mine | want to leave husband for Frost | heel, cheat, scrap, shred | like an wheel, a wheel rut | bird at empty feeder | labeling | Frost is dead, dilemma, and not the only | have been eternally sad for 23 days, 5 hours, and 47 seconds | am all definitions of green | I want | I want | disqualifying the positive | am only 2nd and 5th definitions of green | definitions are malleable | good | like snow globe's snowman | dissatisfaction | emotional reasoning | good: pleasant, tasty, behaved, true, salutary, suitable | ____ The chart and some of the cognitive distortions are borrowed from Managing Pain Before It Manages You, by Margaret A. Caudill, MD. PhD, a workbook for those learning to live with chronic pain. I encountered the book while recovering from a micro discectomy that was less than successful and became obsessed with this chart, that is simultaneously emotionally beneficial and utterly absurd. We can think our way to emotional/psychological wellness, but the world is the world. | |