Social in the BioPsychoSocial model

Hi!

First of all i want to thank the whole bbm crew for all the great free information on training, pain and injuries.

I have been reading up on the biopsychosocial model a lot for the last year and at first i was really disagreeing with a lot of the information but then started to understand it more, and agreeing with the model more and more.

So lately i have been thinking about how the social part affects pain and how you react to pain. I personally compete in boxing and the reaction to pain there is a lot different to most peoples reaction to pain in the gym, i mean of course getting hit hurts, but due to it not being a good thing to show in the middle of a match or sparring most people usually act like it does not hurt or they can focus on other things than the pain to seem it like it does not hurt. And it is pretty rare to see or hear when someone is saying some place is hurting after a match or sparring even though there might some small tissue damage like swelling, or bruising.
But in gyms i see a lot of people holding sore places or saying place x hurts.
So how much do you think we learn about how to behave with pain from our enviroment? And is there something you would recommend for reading about social enviroment and pain?

Thank you for the responses in advance !

Yes, I recently discussed this when recording the lecture for the San Diego Pain Summit. My anecdote relates to growing up in a mixed martial arts culture; similar to your accounts.

We have evidence culture absolutely shapes many aspects of our experiences (not just experiences labeled as pain). See: Social representations of chronic pain in newspapers, online media, and film - PubMed

If you want to look at this from a linguistic perspective with development then see: APA PsycNet and From tears to words: the development of language to express pain in young children with everyday minor illnesses and injuries - PubMed

To see sociocultural effects on healthcare access and quality for those dealing with persistent pain, see: Pain in persons who are marginalized by social conditions - PMC I wrote on this topic for the July Barbell Medicine Research Review: https://www.barbellmedicine.com/shop…eview-monthly/