Skip to main content
KBS_Icon_questionmark link-ico


After studying and being trained both as a Physician and a Clinical Psychologist, Mani pursued his academic journey in 2018 at the Institute of Psychiatry, King's College London. For the near future, Mani would like to work as a psychiatrist adopting clinician-scientist model in the mental health sector. His research area of interest focuses on chronic pain conditions, its underlying psychological processes and treatment development within Contextual Behavioral Science framework.

Project Title

In search of coherence: A systematic review of sense-making and related processes in chronic pain 

Chronic pain is among the most frequent reasons for seeking medical attention, and a significant burden on both the people who suffer from it and society as a whole. It is also a difficult problem to understand, perhaps most critically for the person with the condition. In fact, how well a person understands their problem, the meaning or sense they make of it, and what they do in seeking to “make sense” may contribute to the outcomes they achieve. Sense-making is commonly taken to mean a process of giving meaning, finding coherence, or gaining understanding, in and about events, and it is generally regarded as a healthy process. Recent theoretical developments, however, point to the potential adverse effects of sense-making, based on the notion that behaviour patterns can make literal sense and fail, such that they are unworkable for a person. Thus, behaviour patterns can reflect literal coherence without achieving functional coherence. The aim of the current project is to examine (a) conceptualizations of sense-making and directly related processes in the context of chronic pain, (b) measures to assess these processes, and (c) evidence for the role of these processes in relation to pain outcomes (pain intensity, and physical, emotional, and social functioning). All in all, sense-making appears to possess a wide range of definitions.  Functional contextualism may be a helpful theoretical framework for organising sense-making in the context of chronic pain. Sense-making from a functional contextual view may be distinct from other similar constructs such as illness coherence and sense of coherence, which warrants further study and measure development.