Abstract
Chronic pain of obscure etiology produces suffering in patient, family and physician. They share a helplessness which often leads to desperate and occasionally harmful attempts to resolve the suffering. Recent biological and psychosocial research on the etiology of chronic pain suggests an increased role for behavioral medicine in chronic pain management. A treatment approach based on patient education, and working with the patient to at least reduce the pain, may lead to more effective and rational management of these patients by reducing the physician's helplessness and frustration.
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Selected References
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- Akil H., Liebeskind J. C. Monoaminergic mechanisms of stimulation-produced analgesia. Brain Res. 1975 Aug 29;94(2):279–296. doi: 10.1016/0006-8993(75)90062-1. [DOI] [PubMed] [Google Scholar]
- ENGEL G. L. Psychogenic pain and pain-prone patient. Am J Med. 1959 Jun;26(6):899–918. doi: 10.1016/0002-9343(59)90212-8. [DOI] [PubMed] [Google Scholar]
- Hughes J., Smith T. W., Kosterlitz H. W., Fothergill L. A., Morgan B. A., Morris H. R. Identification of two related pentapeptides from the brain with potent opiate agonist activity. Nature. 1975 Dec 18;258(5536):577–580. doi: 10.1038/258577a0. [DOI] [PubMed] [Google Scholar]
- Mayer D. J., Price D. D. Central nervous system mechanisms of analgesia. Pain. 1976 Dec;2(4):379–404. doi: 10.1016/0304-3959(76)90080-4. [DOI] [PubMed] [Google Scholar]
- Mohamed S. N., Weisz G. M., Waring E. M. The relationship of chronic pain to depression, marital adjustment, and family dynamics. Pain. 1978 Oct;5(3):285–292. doi: 10.1016/0304-3959(78)90015-5. [DOI] [PubMed] [Google Scholar]
- Pilowsky I., Spence N. D. Patterns of illness behaviour in patients with intractable pain. J Psychosom Res. 1975;19(4):279–287. doi: 10.1016/0022-3999(75)90026-4. [DOI] [PubMed] [Google Scholar]
- Waring E. M., Russell L. Family structure, marital adjustment, and intimacy in patients referred to a consultation-liaison service. Gen Hosp Psychiatry. 1980 Sep;2(3):198–203. doi: 10.1016/0163-8343(80)90062-6. [DOI] [PubMed] [Google Scholar]
