Psychiatry and Chronic Pain
Abstract
Pain and chronic pain have been defined by the International Association for the Study of Pain. Psychological mechanisms are recognized in the production of pain, but their importance has probably been overstated. Selection factors have not been attended to sufficiently, and traditional methods which have been relied upon for the diagnosis of hysterical pain have been misleading. Much emotional change seen with pain is a consequence of the physical disorder. Types of illness, seen by psychiatrists working with patients in pain, are described, and brief comments offered on their management.
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Most of the emotional change seen in people with chronic pain is a consequence of physical disorder, and a common response to pain is some degree of depression, irritability, and anxiety.
“In 1989, Merskey14 identified that most of the emotional change seen in people with CP is a consequence of physical disorder and that a common response to pain will be some degree of depression, irritability, and anxiety, and the same conclusion has been drawn by Katz et al.6”
From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [14]
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References 37 · Cited by 61
- Authors
- Merskey, H.
- Affiliations
- Western University (CA)
- Corresponding author
- Merskey, H.
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 1989-05
- Volume
- 34
- Issue
- 4
- Pages
- 329-336
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W2413622409
- Cited by
- 61
- References
- 37
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2022: 2 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1 · 2012: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, pain diagnosis, International Association for the Study of Pain
- MeSH terms
- Chronic Disease, Factitious Disorders, Humans, Pain, Psychophysiologic Disorders, Referral and Consultation, Somatoform Disorders
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