History of pain in children

Author(s):  
Anita M. Unruh ◽  
Patrick J. McGrath

The problem of pain has always concerned humankind, as pain is a compelling call for attention and a signal to escape. Early efforts to understand pain, and its origins, features, and treatment reflected the duality between spiritual conceptualizations of pain and physiological explanations depending on the predominance of such views in a given culture. When spiritual perspectives dominated, prayer, amulets, supplication, and religious rites controlled approaches to pain treatment. Herbal remedies were often part of such strategies and might themselves been physiologically effective. In ancient writings about pain and disease, treatments for children were often given alongside discussions about the health of women. In this chapter, we trace early approaches to pain in children to the modern era, highlighting points of transition and improvements in pediatric pain management.

Author(s):  
Anita M. Unruh ◽  
Patrick J. McGrath

The problem of pain has likely concerned humankind from the beginning as pain is a compelling call for attention and a signal to escape from its source. Early efforts to understand pain, and its origins, features, and treatment reflected the duality between spiritual conceptualizations of pain and physiological explanations depending on the predominance of such views in a given culture in any given historical period (McGrath and Unruh, 1987). In the absence of physiological or behavioural explanations to explain persistent pain without obvious injury, when spiritual perspectives dominated, prayer, amulets, supplication, and religious rites dominated approaches to pain treatment. Herbal remedies were often part of such strategies and might themselves have had potent properties (Unruh, 1992, 2007). In ancient writings about pain and disease, treatments for children were often given alongside discussions about the health issues of women. In this chapter, we trace early approaches to pain in children to the modern era highlighting points of transition and improvements in paediatric pain management.


Author(s):  
Michael Silver ◽  
Stewart A. Factor

This chapter explores the history of Parkinson’s disease and similar conditions. Dr James Parkinson’s initial description of this syndrome is covered along with all of the major developments in the understanding of the disease since then up to the modern era. Therapies are detailed, from early herbal remedies up to current treatment, including dopamine and levodopa, non-levodopa therapy, and surgery, and glimpses are given of potential future therapies. The conditions that are similar, the so-called “parkinsonian conditions,” are discussed as well. Synonyms: idiopathic Parkinson disease; Parkinson syndrome, Parkinson’s disease, Parkinson plus.


2017 ◽  
Vol 13 (1) ◽  
pp. 5 ◽  
Author(s):  
Sarina R. Isenberg, MA ◽  
Allysha C. Maragh-Bass, MPH, PhD ◽  
Kathleen Ridgeway, MSPH ◽  
Mary Catherine Beach, MD, MPH ◽  
Amy R. Knowlton, MPH, ScD

Objective: The study explored high-risk participants' experiences with pain management regarding clinical access to and use of prescription opioids.Design: Qualitative semistructured interviews and focus groups.Setting: Data were collected August 2014 to May 2015 at an urban community-based research facility in Baltimore City, MD.Participants: HIV participants with chronic pain and a history of illicit drug use.Methods: Qualitative coding and analysis used an iterative, inductive, and thematic approach and coders achieved inter-coder consistency.Results: The authors identified two major themes. First, participants had positive and negative interactions with healthcare providers regarding chronic pain treatment. Participants perceived that providers lacked empathy for their pain and/or were not adequately managing their pain. These interactions resulted in participants seeking new providers or mistrusting the medical system. Further, providers’ surveillance of participants’ pain treatment regimen contributed to distress surrounding pain management. The second theme centered on participants’ pain management experiences with prescribed opioid analgesics. Participants felt they were receiving dosages and classes of analgesics that did not sufficiently address their pain, and consequently modified their dosages or rationed prescription opioids. Other participants were reluctant to take analgesics due to their history of illicit drug use. Some participants relapsed to illicit drug use when they felt their prescription opioids did not adequately address their pain needs.Conclusions: Participant struggles with receiving and managing prescribed opioid analgesics suggest a need for: therapies beyond these medications; guidelines for providers specific to this population; and harm reduction trainings for providers.


JAMA ◽  
2003 ◽  
Vol 290 (18) ◽  
pp. 2470 ◽  
Author(s):  
Marcia L. Meldrum

Author(s):  
Fernando Cervero ◽  
John N. Wood

Useful analgesic plant products have been known since antiquity. In recent times, the cell and molecular basis of damage detection and its complex relationship to pain perception have been explored in detail. A range of technical advances have given us considerable new knowledge about both the peripheral aspects of pain pathways and damage transduction as well as central mechanisms of pain modulation. Electrophysiology, imaging, genetic manipulation of animal models of pain, the role of the immune system, and genetic studies of human pain states have all provided new information. Remarkably, despite these advances, we are still uncertain about the locus of pain perception, while the development of new small-molecule analgesic drugs has had almost no success. This article summarizes the history of pain research and discusses present activities together with potential future routes to pain treatment.


1997 ◽  
Vol 8 (3) ◽  
pp. 157-162 ◽  
Author(s):  
H Merskey
Keyword(s):  

Author(s):  
Christopher Brooke

This is the first full-scale look at the essential place of Stoicism in the foundations of modern political thought. Spanning the period from Justus Lipsius's Politics in 1589 to Jean-Jacques Rousseau's Emile in 1762, and concentrating on arguments originating from England, France, and the Netherlands, the book considers how political writers of the period engaged with the ideas of the Roman and Greek Stoics that they found in works by Cicero, Seneca, Epictetus, and Marcus Aurelius. The book examines key texts in their historical context, paying special attention to the history of classical scholarship and the historiography of philosophy. The book delves into the persisting tension between Stoicism and the tradition of Augustinian anti-Stoic criticism, which held Stoicism to be a philosophy for the proud who denied their fallen condition. Concentrating on arguments in moral psychology surrounding the foundations of human sociability and self-love, the book details how the engagement with Roman Stoicism shaped early modern political philosophy and offers significant new interpretations of Lipsius and Rousseau together with fresh perspectives on the political thought of Hugo Grotius and Thomas Hobbes. The book shows how the legacy of the Stoics played a vital role in European intellectual life in the early modern era.


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