scholarly journals The medicalization of chronic pain

Author(s):  
Peter Conrad ◽  
Vanessa Lopes Muñoz

This paper presents an initial analysis of the medicalization of chronic pain, focusing on the definitions and treatment of chronic pain in recent decades. We identify several factors that contributed to this medicalization including the emergence of the gate control theory of pain, medical advocates for pain treatment and speciality training, the development of multidisciplinary pain clinics, the emergence of professional pain associations, extended medical treatments, and governmental decisions and support. The increased attention to chronic pain as a discrete medical category and innovations in chronic pain treatment have contributed to the medicalization of chronic pain in ways that suggest there may be benefits to society and pain sufferers, in contrast to many other cases of medicalization.

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.


2007 ◽  
Author(s):  
Malinda Breda ◽  
Richard Gevirtz ◽  
Melanie A. Greenberg ◽  
James L. Spira

Pain Forum ◽  
1996 ◽  
Vol 5 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Robert C. Coghill

Pain Practice ◽  
2021 ◽  
Author(s):  
Michael Alexander Harnik ◽  
Larissa Blättler ◽  
Andreas Limacher ◽  
Florian Reisig ◽  
Martin Grosse Holtforth ◽  
...  

2018 ◽  
Vol 54 (3) ◽  
pp. 495-505 ◽  
Author(s):  
Lindsay M. S. Oberleitner ◽  
Mark A. Lumley ◽  
Emily R. Grekin ◽  
Kathryn M. Z. Smith ◽  
Amy M. Loree ◽  
...  

Author(s):  
A Bicego ◽  
J Monseur ◽  
F Rousseaux ◽  
M Faymonville ◽  
N Malaise ◽  
...  

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