Turning Don't into Do

Turning Don't into Do

Ever heard of Barbra Streisand? Of course, you have! But did you know she has an internet phenomenon named after her?

Back in 2003, she tried to suppress an image of her Malibu home, and guess what happened? Yep, that picture went viral. This is what we now call the Streisand Effect. It’s when trying to hide something only makes it more visible.

But how does this relate to physiotherapy? Buckle up, and let's find out!


The Forbidden Fruit of Physiotherapy

Imagine a patient who’s been told to avoid certain movements or activities to prevent injury. What's the first thing they want to do? Exactly what they were told not to! The Streisand Effect in action, folks. People are naturally drawn to the forbidden. So, instead of handing out outright bans, we can cleverly use this human quirk to guide patient behavior more effectively.


Let's take a closer look. Meet Jane, a 45-year-old office worker with chronic neck pain. Traditionally, she’s been told, “Avoid looking down at your phone.”

Naturally, she ignores this sage advice and keeps on scrolling, worsening her neck pain. But what if we flip the script? Instead of emphasizing what she shouldn’t do, we focus on positive reinforcement: “Your neck will feel so much better if you keep your phone at eye level.” Suddenly, Jane is more mindful of her posture.


The Power of Positive Reframing


The Streisand Effect shows us the unintended consequences of trying to control or suppress information. It highlights the paradoxical nature of human curiosity: tell someone they can’t do something, and they’ll be more inclined to do it. This insight is golden for physiotherapy.


Reframing advice from "don'ts" to "dos" is a powerful strategy. Instead of fixating on negative instructions, we emphasize positive actions that promote health. This not only helps patients stick to their treatment plans but also engages their intrinsic motivation.


In Jane’s case, using interactive visualization tools can be highly effective. An app or anatomical model can show her how maintaining an ergonomic posture benefits her spine. This visual and practical approach helps her internalize the importance of positive behaviors, making her less likely to focus on the negatives.


Stretching the Limits of Conventional Advice

Consider stretching routines. Instead of warning patients, “Don’t stretch too far, or you’ll hurt yourself,” we can encourage them by saying, “Stretch gently until you feel a comfortable pull.” This positive reinforcement fosters a safer and more mindful approach to their exercises.


This approach can spark discussions about the psychology of behavior and how reframing our instructions can lead to better patient compliance. It's not just about telling them what to do but helping them understand why it matters and how it benefits them directly.



The Streisand Effect teaches us a valuable lesson: suppression often backfires, while engagement and positive reinforcement can lead to better outcomes.

In physiotherapy, this means guiding patients with curiosity and positivity rather than restrictions and prohibitions.

Instead of telling patients what not to do, focus on what they can do. This shift not only prevents the allure of the forbidden but also empowers patients to take control of their health. Encouraging exploration within safe boundaries fosters a sense of autonomy and responsibility.


This approach also encourages open communication. Patients are more likely to share their concerns and challenges, allowing us to address issues proactively. By understanding their perspectives and incorporating their feedback, we can tailor treatment plans to better suit their needs and preferences.


Physiotherapy isn’t just about muscles and joints; it’s about understanding human behavior. By leveraging the Streisand Effect, we can create more engaging, effective treatment plans. So next time, instead of saying, “Don’t do this,” show them what they should do—and watch the magic unfold.


Physiotherapy is a dynamic field that requires us to adapt and innovate constantly. The Streisand Effect reminds us to embrace curiosity, engage positively, and focus on empowerment rather than restriction. By understanding and applying these principles, we can enhance our patient care and create more meaningful, lasting outcomes.


So, fellow physiotherapists, let’s stretch our minds, embrace the unexpected, and continue to educate with enthusiasm. Always remember to stretch the boundaries of traditional care and explore new ways to connect with and inspire our patients. Together, we can make a profound difference in their lives and in the field of physiotherapy.


And remember, next time someone tries to tell you about what not to do, think of Barbra Streisand and how sometimes, the best way to handle a situation is to guide positively rather than forbid.

Now, go forth and spread the good vibes!

Oluwa'dami'lola Martins

Chartered community Physiotherapist with obsessive interest in complex Neurology, falls/frailty and fitness

4 个月

So, you are saying I should not forbid patients? Well I will so that they won't do do what I said that they should not do. ??

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