Clinical Update: Pain and Suffering

2003 ◽  
Vol 8 (1) ◽  
pp. 5-5
Author(s):  
Sheila Wendler

Abstract Attorneys use the term pain and suffering to indicate the subjective, intangible effects of an individual's injury, and plaintiffs may seek compensation for “pain and suffering” as part of a personal injury case although it is not usually an element of a workers’ compensation case. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, provides guidance for rating pain qualitatively or quantitatively in certain cases, but, because of the subjectivity and privateness of the patient's experience, the AMA Guides offers no quantitative approach to assessing “pain and suffering.” The AMA Guides also cautions that confounders of pain behaviors and perception of pain include beliefs, expectations, rewards, attention, and training. “Pain and suffering” is challenging for all parties to value, particularly in terms of financial damages, and using an individual's medical expenses as an indicator of “pain and suffering” simply encourages excessive diagnostic and treatment interventions. The affective component, ie, the uniqueness of this subjective experience, makes it difficult for others, including evaluators, to grasp its meaning. Experienced evaluators recognize that a myriad of factors play a role in the experience of suffering associated with pain, including its intensity and location, the individual's ability to conceptualize pain, the meaning ascribed to pain, the accompanying injury or illness, and the social understanding of suffering.

2016 ◽  
Vol 2 (6) ◽  
pp. 8 ◽  
Author(s):  
Daiva Alifanovienė ◽  
Odeta Šapelytė ◽  
Tatjana Kryukova

<p>The paper deals with the social pedagogues’ subjective experience in the context of reconstruction of stress factors. The main aim is to reveal subjective experiences of social pedagogues from the aspect of stress factors they experience and how they express them in various social, cultural, and educational contexts. The respondents were chosen by target convenience sampling, i.e., social pedagogues (N=14), working at education and training institutions for at least two years of work experience; all having higher university education. To analyse the specialists’ experience a qualitative method of data collection have been chosen. Reconstructing a multi-layered context of social, cultural and educational diversity, a complex character of professional stress experienced by these specialists has been revealed. Evaluating the semantics of the chosen social pedagogues’ reactions to stress, overall stress harm to people, covering all layers of the personality structure manifests itself, and it can cause somatic and psychic complaints, social and professional maladaptation.</p>


Author(s):  
Janet Judy McIntyre-Mills

This article is a thinking exercise to re-imagine some of the principles of a transformational vocational education and training (VET) approach underpinned by participatory democracy and governance, and is drawn from a longer work on an ABC of the principles that could be considered when discussing ways to transform VET for South African learners and teachers. The purpose of this article is to scope out the social, cultural, political, economic and environmental context of VET and to suggest some of the possible ingredients to inspire co-created design. Thus the article is just a set of ideas for possible consideration and as such it makes policy suggestions based on many ways of knowing rooted in a respect for self, others (including sentient beings) and the environment on which we depend. The notion of African Renaissance characterises the mission of a VET approach in South Africa that is accountable to this generation of living systems and the next.


Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 434-438
Author(s):  
R. CELIN DIANA

MRS. R. CELIN DIANA A female is God's lovable creature to balance man. She is mentally and physically weak through creation itself, but she express her feelings unexpectedly in the battle against her. She is even spoiled for that. A women’s picture is a central theme to literature writings around the globe. The writings of Anita Nair is concerned with man, females, nature, true life, and social convention. She explores the existential struggle of her protagonists in most of her novels. Nair describes particularly, how Indian women are exploited, abused, marginalized even in the modern times both by individuals and by the society. Apart from the society women are tossed even by her family members. Anita Nair emphasizes the need for creating awareness in women. Her female protagonists are conscious of the injustice in marriage brought to them.Probably, the protagonists of Nair’s novels denies to flow along the current.  They seem to be adamant or aggressive, but the fact is that they underwent much pain and suffering. Apart from the pain the protagonists are the losers of life, respect, family, dignity and everything. This paper is an effort to bring to light the pathetic conditions of the protagonists,and to study the social, family and economic picture of women's suffering in life. Though the protagonist characters are brave, they seem pathetic and losers of a common simple life, they dream to live. Anita Nair defines circumstances or occurrences that harm or kill characters due to the aggressive nature of characters in her novels.


2020 ◽  
Vol 22 (11) ◽  
pp. 11-15
Author(s):  
Gan N.Yu. ◽  
Ponomareva L.I. ◽  
Obukhova K.A.

Today, worldview, spiritual and moral problems that have always been reflected in education and upbringing come to the fore in society. In this situation, there is a demand for philosophical categories. One of the priority goals of education in modern conditions is the formation of a reasonable, reflexive person who is able to analyze their actions and the actions of other people. Modern science is characterized by an understanding of the absolute value and significance of childhood in the development of the individual, which implies the need for its multilateral study. In the conditions of democratization of all spheres of life, the child ceases to be a passive object of education and training, and becomes an active carrier of their own meanings of being and the subject of world creation. One of the realities of childhood is philosophizing, so it is extremely timely to address the identification of its place and role in the world of childhood. Children's philosophizing is extremely poorly studied, although the need for its analysis is becoming more obvious. Children's philosophizing is one of the forms of philosophical reflection, which has its own qualitative specificity, on the one hand, and commonality with all other forms of philosophizing, on the other. The social relevance of the proposed research lies in the fact that children's philosophizing can be considered as an intellectual indicator of a child's socialization, since the process of reflection involves the adoption and development of culture. Modern society, in contrast to the traditional one, is ready to "accept" a philosophizing child, which means that it is necessary to determine the main characteristics and conditions of children's philosophizing.


2020 ◽  
Vol 81 (3) ◽  
pp. 120-126
Author(s):  
Jennifer Brady

Purpose: To explore dietetic practitioners’ perceptions of their education and training in the knowledge, skills, and confidence to understand social justice issues and to engage in socially just dietetic practice and social justice advocacy. Methods: An online semi-qualitative survey sent to Canadian dietitians. Results: Most respondents (n = 264; 81.5%) felt that knowledge- and skill-based learning about social justice and social justice advocacy should be a part of dietetic education and training. Reasons given by respondents for the importance of social justice learning include: client-centred care and reflexive practice, effecting change to the social and structural determinants of health, preventing dietitian burnout, and relevance of the profession. Yet, over half of respondents either strongly disagreed or disagreed that they were adequately prepared with the knowledge (n = 186; 57.4%), skills (n = 195; 60.2%), or confidence (n = 196; 60.5%) to engage in advocacy related to social justice concerns. Some questioned the practicality of adding social justice learning via additional courses to already full programs, while others proposed infusing a social justice lens across dietetic education and practice areas. Conclusions: Dietetic education and training must do more to prepare dietitians to answer calls for dietitians to engage in social justice issues through practice and advocacy.


Author(s):  
Steven Gunn

This chapter investigates the experience of preparation for and participation in warfare. People often owned weapons appropriate to their social status, and kept them all over their houses. Modernization was slow, but guns, useful for hunting and home security, spread steadily. Archery practice was widespread and training with other weapons was developing by the 1560s. Exhortations to manly valour, reinforced by peer pressure and self-preservation, egged soldiers on to fight, but captains’ handbooks show the difficulties in turning raw recruits into effective troops, all the more so as the social level of those enlisted relentlessly declined. While standing forces were small, English mercenaries fought in continental wars. Mutiny and desertion, massacre and panic were recurrent phenomena, but death rates were very variable, and more died of disease than from enemy action.


2021 ◽  
pp. 002087282096742
Author(s):  
Lilian Negura ◽  
Maude Lévesque

Our study sought to refine our understanding of professional distress by examining the experience of healthcare social workers in the following three Canadian provinces: Manitoba, Ontario and New Brunswick. Thirty semi-directed interviews were conducted to explore the social workers’ social representation of professional distress and its ties to professional identity and growing organizational constraints. Attitudes, work–life imbalances, and negative workplace experiences were found to increase the subjective experience of distress. Current psychosocial and organizational contexts of front-line practitioners are contributors to their professional distress, a matter further exacerbated by the misrepresentation of social work by colleagues and service beneficiaries.


2012 ◽  
Vol 60 (1_suppl) ◽  
pp. 108-123 ◽  
Author(s):  
Yasmin Gunaratnam

The practice of live sociology in situations of pain and suffering is the focus of this article. An outline of the challenges of understanding pain is followed by a discussion of Bourdieu's ‘social suffering’ (1999) and the palliative care philosophy of ‘total pain’. Using examples from qualitative research on disadvantaged dying migrants in the UK, attention is given to the methods that are improvised by dying people and care practitioners in attempts to bridge intersubjective divides, where the causes and routes of pain can be ontologically and temporally indeterminate and/or withdrawn. The paper contends that these latter phenomena are the incitement for the inventive bridging and performative work of care and live sociological methods, both of which are concerned with opposing suffering. Drawing from the philosophy of total pain, I highlight the importance of (1) an engagement with a range of materials out of which attempts at intersubjective bridging can be produced, and which exceed the social, the material, and the temporally linear; and (2) an empirical sensibility that is hospitable to the inaccessible and non-relational.


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