Although pain is widely recognized by clinicians and researchers as an experience, pain is always felt in a patient-specific way rather than experienced for what it objectively is, making perceived meaning important in the study of pain. The book contributors explain why meaning is important in the way that pain is felt and promote the integration of quantitative and qualitative methods to study meanings of pain. For the first time in a book, the study of the meanings of pain is given the attention it deserves. All pain research and medicine inevitably have to negotiate how pain is perceived, how meanings of pain can be described within the fabric of a person's life and neurophysiology, what factors mediate them, how they interact and change over time, and how the relationship between patient, researcher, and clinician might be understood in terms of meaning. Though meanings of pain are not intensively studied in contemporary pain research or thoroughly described as part of clinical assessment, no pain researcher or clinician can avoid asking questions about how pain is perceived or the types of data and scientific methods relevant in discovering the answers.

This groundbreaking analysis moves our knowledge of pain and its effects from the biomedical model to one accounting for its complex psychosocial dimensions. Starting with its facial and physical display, pain is shown in its manifold social contexts-in the lifespan, in a family unit, expressed by a member of a gender and/or race-and as observed by others. These observations by caregivers and family are shown as vital to the social dynamic of pain-as observers react to sufferers' pain, and as these reactions affect those suffering. The book's findings should enhance practitioners' understanding of pain to develop more effective individualized treatments for clients' pain experience, and inspire researchers as well. Among the topics covered: Why do we care? Evolutionary mechanisms in the social dimension of pain. When, how, and why do we express pain? On the overlap between physical and social pain. Facing others in pain: why context matters. Caregiving impact upon sufferers' cognitive functioning. Targeting individual and interpersonal processes in therapeutic interventions for chronic pain. Social and Interpersonal Dynamics in Pain will be a valuable resource for clinicians who deal in pain practice and management, as well as for students and researchers interested in the social, interpersonal, and emotional variables that contribute to pain, the processes with which pain is associated, and the psychology of pain in general.

Leading researchers are specially invited to provide a complete understanding of the key topics in these archetypal multidisciplinary fields. In a form immediately useful to scientists, this periodical aims to filter, highlight and review the latest developments in these rapidly advancing fields.

This expansive text offers a comprehensive mind/body/spirit framework for relieving individual patients of the debilitating effects of long-term disease while reducing the public burden of chronic illness. It introduces the patient-centered Pathways Model, featuring a robust scientific base for psychotherapy, complementary and alternative modalities, and a religious/spiritual element, in progressive levels of treatment from self-help to professional help. Chapters spotlight component skills of the model, including treatment planning, patient rapport, and choosing therapies for optimal well-being. The authors advocate for interventions ranging from lifestyle change to mindfulness, and biofeedback to pastoral counseling. In addition, in-depth case studies detail memorable patient journeys from diagnosis and referral to assessment, engagement in treatment and outcome. Among the topics covered: * Mind, body, and spirit in chronic illness. * The need for an integrative model to support comprehensive health-supportive change. * Chronic disease from a functional medicine perspective. * Mechanisms by which religious engagement and religion-based variables affect health. * Complementary and integrative medicine for the Pathways Model. * PLUS: Pathways approaches to chronic pain, caregiver stress, diabetes, mood disorders, PTSD, brain injury, heart disease, cancer, and more. Emphasizing patient individuality and clinician creativity, Integrative Pathways models a compassionate approach to lessening persistent suffering for use by health psychologists, physicians, counselors, health coaches, and other practitioners involved in complementary and integrative medicine, pain medicine, and rehabilitation. "The Pathway Model addresses what clinical researchers in the field have been calling for, a research-based approach to health and wellness that clearly explains important concepts and provides an optimal foundation from which to approach health interventions." Patrick R. Steffen, PhD, BCB, Brigham Young University

This book brings together contributions from key investigators in the area of pathological pain. It covers the molecular basis of receptors and channels involved in nociception, the possible messages that cause neuropathic plasticity, spinal plasticity in neuropathy, plastic changes in opioid systems in neuropathy and opioid tolerance, and plastic changes related to pathological pain.

Everyone knows what is feels like to be in pain. Scraped knees, toothaches, migraines, giving birth, cancer, heart attacks, and heartaches: pain permeates our entire lives. We also witness other people - loved ones - suffering, and we 'feel with' them. It is easy to assume this is the end of the story: 'pain-is-pain-is-pain', and that is all there is to say. But it is not. In fact, the way in which people respond to what they describe as 'painful' has changed considerably over time. In the eighteenth and nineteenth centuries, for example, people believed that pain served a specific (and positive) function - it was a message from God or Nature; it would perfect the spirit. 'Suffer in this life and you wouldn't suffer in the next one'. Submission to pain was required. Nothing could be more removed from twentieth and twenty-first century understandings, where pain is regarded as an unremitting evil to be 'fought'. Focusing on the English-speaking world, this book tells the story of pain since the eighteenth century, addressing fundamental questions about the experience and nature of suffering over the last three centuries. How have those in pain interpreted their suffering - and how have these interpretations changed over time? How have people learnt to conduct themselves when suffering? How do friends and family react? And what about medical professionals: should they immerse themselves in the suffering person or is the best response a kind of professional detachment? As Joanna Bourke shows in this fascinating investigation, people have come up with many different answers to these questions over time. And a history of pain can tell us a great deal about how we might respond to our own suffering in the present - and, just as importantly, to the suffering of those around us.

This expansive text offers a comprehensive mind/body/spirit framework for relieving individual patients of the debilitating effects of long-term disease while reducing the public burden of chronic illness. It introduces the patient-centered Pathways Model, featuring a robust scientific base for psychotherapy, complementary and alternative modalities, and a religious/spiritual element, in progressive levels of treatment from self-help to professional help. Chapters spotlight component skills of the model, including treatment planning, patient rapport, and choosing therapies for optimal well-being. The authors advocate for interventions ranging from lifestyle change to mindfulness, and biofeedback to pastoral counseling. In addition, in-depth case studies detail memorable patient journeys from diagnosis and referral to assessment, engagement in treatment and outcome. Among the topics covered: * Mind, body, and spirit in chronic illness. * The need for an integrative model to support comprehensive health-supportive change. * Chronic disease from a functional medicine perspective. * Mechanisms by which religious engagement and religion-based variables affect health. * Complementary and integrative medicine for the Pathways Model. * PLUS: Pathways approaches to chronic pain, caregiver stress, diabetes, mood disorders, PTSD, brain injury, heart disease, cancer, and more. Emphasizing patient individuality and clinician creativity, Integrative Pathways models a compassionate approach to lessening persistent suffering for use by health psychologists, physicians, counselors, health coaches, and other practitioners involved in complementary and integrative medicine, pain medicine, and rehabilitation. "The Pathway Model addresses what clinical researchers in the field have been calling for, a research-based approach to health and wellness that clearly explains important concepts and provides an optimal foundation from which to approach health interventions." Patrick R. Steffen, PhD, BCB, Brigham Young University

The book begins with a public health/epidemiologic examination of the situation, with a systematic view of the problem based on classic (infectious disease) epidemiologic principles applied to this behavioral health issue. This application is expanded to take into account the fact that unlike most epidemics in our species' history, a unique factor that must be accounted for in any public health analysis is that the host (opioid-dependent/misusing patient) is generally not under sufficiently strong motivation to avoid the disease. The introduction concludes with a survey of recent containment approaches, categorized epidemiologically by target (agent, vector, host.) The remainder of the book is organized according to this framework, addressing agent, vector/transmission and host, respectively. Sections Three and Four comprise the major focus of the book, and are dedicated primarily to practical education for primary care providers in preventing opioid use disorder, and overcoming it after the fact.