LOGIC, TRUTH AND LANGUAGE IN CONCEPTS OF PAIN

LOGIC, TRUTH AND LANGUAGE IN CONCEPTS OF PAIN
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DOI:
10.1007/bf00433379
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发表时间:
1994-12-01
影响因子:
3.5
通讯作者:
MERSKEY, H
MERSKEY, H
中科院分区:
医学2区
文献类型:
--
作者:
MERSKEY, H

文献摘要

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逻辑和语言会影响我们对疼痛的真实性的看法,并可能改变我们对疼痛的理解。医生不应该告诉病人,如果他们所有的测试结果都是阴性的,他们没有任何问题,因为这否认了他们的病人对疼痛的体验。流行的疼痛概念化方法可能是错误的。疼痛或残疾的图表是误导性的和无益的,在实践中通常不可能区分它们的组成部分,给患者一个疼痛行为,抑郁或健康控制点的高分或低分可以影响我们对病因学的看法,严重误导。无论如何,病因学的归因并不总是可能从疼痛的经验分析。内在的逻辑和语言的问题,在分配疼痛的情感原因,在使用行为的方法,并在定义特发性疼痛和躯体化进行了讨论。IASP对疼痛的定义是重要和有用的,只要使用得当。推荐的版本现在是“与实际或潜在的组织损伤相关的不愉快的感官和情感体验,或根据这种损伤进行描述。'
Logic and language influence our ideas about the truth of pain, and can alter our understanding of it. Physicians should not tell their patients that there is nothing wrong with them if all their test results are negative, as this denies their patients' experiences of pain. Popular methods of conceptualizing pain may be erroneous. Diagrams of pain or disability are misleading and unhelpful-it is not usually possible to distinguish their components in practice, Giving patients a high or low score for pain behaviour, depression or for health locus of control can influence our views on aetiology in a seriously misleading way. Anyway, aetiological attributions are not always possible from analyses of the experience of pain. The problems of logic and language inherent in assigning pain to emotional causes, in using behavioural approaches, and in defining idiopathic pain and somatization are discussed. The IASP definition of pain is important and useful, provided that it is used appropriately. The recommended version is now 'an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.'