Chronic pain is the leading cause of disability in the United
States, affecting as many as 48 million people in this country
alone. It can demoralize and depress both patient and family,
especially when there is no effective pain control and no hope for
relief. Improperly managed, chronic pain can lead to substance
abuse (usually painkillers) and to acute psychological and
emotional distress. Pain begets stress and stress begets pain in a
wretched downward spiral.
Silver reviews the causes and characteristics of chronic pain
and explores its impact on individual family relationships and on
the extended family, covering such issues as employment, parenting,
childbearing and inheritance, and emotional health. Silver treats
aspects of chronic pain not covered in a typical office visit: how
men and women differ in their experience of chronic pain, the
effect of chronic pain on a toddler's behavior or an older child's
performance in school, the risks of dependence on and addiction to
pain medications, and practical ways for relatives beyond the
immediate family circle to offer help and support to the person in
pain.
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