scholarly journals Pain Psychology and the Biopsychosocial Model of Pain Treatment: Ethical Imperatives and Social Responsibility

Pain Medicine ◽  
2016 ◽  
pp. pnw166 ◽  
Author(s):  
Beth D. Darnall ◽  
Daniel B. Carr ◽  
Michael E. Schatman
Author(s):  
Melanie Duckworth

Using the biopsychosocial model of pain assessment and treatment, Gatchel presents the reader with an overview of the assessment and treatment procedures that he employed in addressing the pain symptoms of a patient who participated in an interdisciplinary pain rehabilitation program headed by Gatchel. The following is a summary of my comments on the key dimensions of the chapter....


2016 ◽  
Vol 32 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Melissa A. Day ◽  
Dawn M. Ehde ◽  
L. Charles Ward ◽  
Narineh Hartoonian ◽  
Kevin N. Alschuler ◽  
...  

2017 ◽  
Author(s):  
Nantthasorn Zinboonyahgoon ◽  
Sherif Al-Hawarey ◽  
Grace Chen

Neuropathic pain is a common but complex condition. The pathophysiology and mechanisms are not fully understood. The evaluation should incorporate a detailed history and physical examination with the selective investigations. There is still no standard classification of neuropathic pain; however, it may be classified as central or peripheral or by location and etiology. The common etiologies of neuropathic pain include diabetes mellitus, chemotherapy, alcohol, inflammation, and HIV. Since neuropathic pain is a chronic condition and unlikely to be cured or to disappear, the goal of treatment includes pain control as well as improved physical functions, attenuated psychological distress, and improved quality of life. The team approach by integrating pharmacologic treatment, physical therapy, pain psychology, and complementary medicine would improve the patient’s quality of life and outcome. Key words: classification, diagnosis, etiology, neuropathic pain, treatment


2018 ◽  
Vol 23 (3) ◽  
pp. 421-434 ◽  
Author(s):  
Sarah Nelson ◽  
Caitlin Conroy ◽  
Deirdre Logan

2019 ◽  
pp. 75-86
Author(s):  
Valerie Jackson

Chapter 5 covers the foundations of pain clinical care in the biopsychosocial model, demonstrates how this model is applied in psychological assessment and treatment planning for patients with chronic pain, and introduces the reader to the foundational concepts in pain psychology and the major categories of psychological treatments for pain. The biopsychosocial model is examined and explained in detail with application to the case scenario that opens the chapter. The assessment of patients with chronic pain is described, and the benefits and potential risks of psychological assessment are characterized. Pain psychology concepts, including pain catastrophizing, pain anxiety, and passive coping, are explained. The major treatment paradigms, including psychoeducation, cognitive behavioral therapy (CBT), acceptance commitment therapy, relaxation strategies, mindfulness-based therapies, biofeedback, and treatment responses, are described in detail. An application of CBT is presented, explaining to the reader the process of feeding forward through automatic thoughts, feelings, and behaviors and illustrating how this is changed positively by CBT to reduce the negative impacts of chronic pain on thoughts, feelings, and behaviors, leading ultimately to less pain and less pain interference. Pain psychology is introduced in this chapter in the context of collaborative interprofessional care models.


2011 ◽  
Vol 2 (1) ◽  
pp. 106-116 ◽  
Author(s):  
Randy S Roth ◽  
Michael E Geisser ◽  
David A Williams

Author(s):  
Manon Choinière ◽  
M. Gabriella Pagé

Building on the foundations laid by the gate control theory, Melzack and Casey theorized in 1968 the existence of three separate, yet related determinants of pain: sensory–discriminative, affective–motivational, and cognitive–evaluative. These determinants have roots in separate neurophysiological pathways that modulate the pain experience. The importance of this paper lies in its theoretical contribution to our understanding of pain. Melzack and Casey’s seminal paper, written almost 50 years ago, is not only still contemporary, as evidenced by the internationally agreed upon definition of chronic pain (the IASP taxonomy) but has also contributed to moving from a biomedical understanding of pain to a biopsychosocial model of evaluating and treating pain. This conceptualization of pain continues to influence the way pain is evaluated and is the foundation of the use of non-pharmacological and non-interventional modalities for the treatment of pain (e.g. psychological techniques), and multidisciplinary approaches to pain treatment.


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