I've been thinking a lot about this lately and have recently discussed it with one of my younger friends who suffers from arthritis and other health issues. The mind-body connection is strong and not to be ignored. Of course sometimes we don't create our own problems; sometimes they are dumped on us by others, or sometimes we simply have no choice. For example, if a loved one becomes very sick and/or dies, there can be all sorts of problems that will impact us in a painful way. I know that's not what Tolle is referring to; he's referring more to our daily lives and how to keep unnecessary pain at bay by not creating mountains out of molehills. Or by not getting involved in others' dramas and idiocy. And he's right. It's just remembering that piece of advice that is the problem. Not always easy.