Naturally, I have tried many times to encourage Twila to get rid of her fear. I redoubled my efforts before Pikes Peak, but to no avail. Twila is both very independent and fiercely self-reliant and she likes to do things her own way. Here's an example.
There is only one medically proven cure for hiccups - swallow one teaspoon of granulated sugar. I've done it many times, and it works. Every time Twila gets hiccups, I remind her about the sugar, but no matter how uncomfortable she might be, she won't try it. I don't think that swallowing a teaspoon of sugar is unpalatable to her, she just wants to do things her way, even though she has no other answer for curing hiccups.
Before Pikes Peak, Twila spent a lot of time on the web researching possible exposures that would trigger her acrophobia. Presumably she was looking for assurance that the hike would not be scary, but instead she just intensified her fear. "Twila," I said several times, "get rid of that fear!" That was as anathema to her as a teaspoon of sugar. Her approach was do the hike and try to get through the scary parts. In that way, she is one of the bravest people I know, but her decision-making is curious, in my view.
On to pain.
I heard many years ago that once pain becomes unbearable, it becomes pleasure. I don't recall the source of that statement, but I've always remembered it. I put it to good use for the first time in 1979.
I had just experienced a very unexpected and painful emotional blow. Afterward I sat in a chair in my apartment in Sunnyvale, unable or unwilling to move. I was distraught. That went on for at least an hour, then I had an idea. Since I could see no way to eliminate the pain, I decided to embrace it. Instead of futilely trying to feel better, I would try to see how bad I could feel. I would wallow.
So wallow I did, and almost immediately I felt better. I still knew something horrible had happened to me, but I also knew I was handling it. And if I could handle this, what couldn't I handle? Imagine feeling that you could handle anything that life throws your way. That's a great feeling… and that's how I felt.
When I'd heard the "pain becomes pleasure" statement I'd reflexively thought of physical pain, and I was intrigued and gratified that it also applied to emotional pain. At some point -- maybe when I was scheduled to have some bone marrow sucked out, but it could have been a flu shot or something -- I decided to try the same approach with physical pain.
I'd had some experience with that. About 41 miles into a race, I was running along a trail, my right calf cramped and I fell flat on my face. The only thought that ran through my mind was, "There are only 9 miles to go. I can't stop now." So I immediately got up and resumed running, and I had no further problem with my calf.
There were also a few times when I was doing LSD that I would get a bad cramp. But, being stoned, groaning in agony never entered my mind. Instead, I felt the pain and thought, "Wow."
So I knew that in extreme circumstances it was possible, but what about the more mundane? Could I get rid of pain in those, too?
Not only is the answer yes, but also it was relatively easy. Start imagining now that the next time you have pain, you won't fight it and agonize over it. (If a crazed gopher is biting your leg, you might want to try to pry him loose, though.) Instead, say, "I have pain," focus on it, and accept it. You will still feel the pain, but it won't be pain anymore. It will be a curiosity, an experience.
Will that always work? Theoretically, I think yes, but you'd have to be Gandhi or something. Until we get to that level, there is nothing to lose by trying, and most of the time it works.
[Addendum]
My LSD days are decades in the past, but due to my happy-go-lucky lifestyle I not infrequently get cramps in my toes and feet, and sometimes a calf cramp. They don't bother me anymore. Often I watch a toe bending in an impossible direction and simply remark how interesting it is.