Whether initiated by injury or disease, induced and sustained by
changes in the nervous system, or manifested by society and
culture, chronic pain can change one's first-person experience of
the body and the world, and ultimately impacts cognitions,
emotions, and behavior. Many fine medical books address the causes
and management of chronic intractable pain, but rarely do they
focus on the ways that such pain creates illness and is experienced
and expressed by persons in pain. Maldynia: Multidisciplinary
Perspectives on the Illness of Chronic Pain is about chronic pain
that has progressed to a multidimensional illness state in and of
itself. Although often dismissed as such, this pain is not
imaginary, but rather represents an interaction of neurobiological
processes, emotional and behavioral responses, and socio-cultural
effects and reactions that become enduring elements in the life and
world of the pain patient, and often remain enigmatic for those who
provide care. Taking a comprehensive approach that covers science,
humanities, and culture, this volume emphasizes the need for
researchers, clinicians, and caregivers to regard the ways in which
chronic intractable pain becomes illness and affects a patient's
biological, social, and psychological states, as well as his or her
sense of self. Edited by neuroscientist and neuroethicist James
Giordano, this book contains 17 insightful chapters representing
medicine, neuroscience, psychology, philosophy, ethics, history,
art, and the ministry. This exceptional volume also looks at
representations of pain in and through the arts, addresses the
assignation of values and meaning in pain assessment and treatment,
and considers ways to conjoin the sciences and humanities so as to
inform the practice of pain medicine and improve the care of those
suffering the illness of chronic pain.
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