Pain and Disability Clinical, Behavioral, and Public Policy Perspectives (1987) / Chapter Skim
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1. Introduction
1. Introduction
Pages 12-18
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From page 12... ...
Some people with moderate pain are severely impaired, whereas others with severe pain are able to continue functioning normally. How an individual experiences and manifests pain depends on a complex interaction among numerous physiological, psychological, social, and cultural variables, as well as on past pain experiences and how the pain has been handled by the practitioners the patient consults.
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From page 13... ...
The concept of illness behavior, a social psychological term used to describe the responses of persons to being ill or to believing that they are ill, elucidates and provides a framework for understanding the observed differences among pain patients. Illness behavior is a process that includes a perception of one's own symptoms, an attribution of meaning to them (from something trivial to an ominous indicator of serious illness)
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From page 14... ...
is particularly concerned about how pain should be considered in the process of determining eligibility for disability benefits, especially when such pain seems disproportionate to objective medical findings (e.g., histories, physical examinations, x rays, and laboratory tests) relating to a past injury or ongoing disease process.
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From page 15... ...
Many forces and pressures operate at every level of the system, from an individual's initial decision to apply for disability benefits, through the eligibility determination process by which a claimant must show proof of disability to an agency charged with helping those in need while safeguarding public money, to the often differing viewpoints of the agency and the courts as to how disability decisions should be made. Part II provides a broad view of chronic pain and disability from the perspectives of economics and epidemiology.
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From page 16... ...
identify promising research and data collection activities that would add significantly to the existing knowledge about chronic pain, illness behavior, disability, and their interrelations. Because of its breadth, this report should interest many different audiences, including those policymakers, insurers, program administrators, health care professionals, clinical researchers, and members of the public who are concerned about the nature of chronic pain and how it relates (and might better relate)
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From page 17... ...
defined impairment as the psychophysiological manifestation of an injury or disease. This lack of uniformity arises both from the varied disciplines concerned with these issues and from the complexity and incomplete understanding of the concepts themselves.
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From page 18... ...
Such pain may be associated with a residual structural defect that persists long after the acute episode or pain associated with the persistence of the disease process, as in arthritis. Chronic pain may also be pain persisting past healing time without objective physical findings of residual structural defect or pain persisting past the active state of a disease process.
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