TY - JOUR
AU - COBB, STANLEY
AB - Abstract THE COMPLAINT of pain has a high incidence in the civilian psychoneuroses, as well as in combat neuroses.1 It occurs in cases of hysteria and anxiety neurosis as precise descriptions of headache, thoracic pain, cardiac pain and abdominal pain. In cases of hypochondriasis it is described in vaguer terms. It is one of the most difficult symptoms to evaluate and to treat. The problem arises as to whether in psychoneurotic persons one is dealing with thresholds of perception which differ from the normal or with different capacities toward reaction or elaboration of stimuli perceived with equal intensity by the normal person. The purpose of this study is to investigate the threshold of perception and reaction in a series of psychoneurotic patients and in a series of normal control subjects, in an experimental situation. The Wolff-Hardy apparatus offers an instrument which can be readily used in the investigation of this References 1. Schwab, R. S.; Finesinger, J. E., and Brazier, M. A. B.: Psychoneuroses Precipitated by Combat , U. S. Nav. M. Bull. 42:535, 1944. 2. Schumacher, G. A.; Goodell, H.; Hardy, J. D., and Wolff, H. G.: Uniformity of the Pain Threshold in Man , Science 92:110, 1940.Crossref 3. Chapman, W. P., and Jones, C. M.: Variations in Cutaneous and Visceral Pain Sensitivity in Normal Subjects , J. Clin. Investigation 23:81, 1944.Crossref 4. Hardy, J. D.; Wolff, H. G., and Goodell, H.: Studies on Pain: A New Method for Measuring Pain Threshold; Observations on Spatial Summation of Pain , J. Clin. Investigation 19:649, 1940Crossref 5. Studies on Pain: Measurement of the Effect of Morphine, Codeine, and Other Opiates on the Pain Threshold and an Analysis of Their Relation to the Pain Experience , Hardy J. Clin. Investigation 19:659, 1940.Crossref 6. Chapman, W. P.; Arrowood, J. G., and Beecher, H. K.: The Analgesic Effects of Low Concentrations of Nitrous Oxide Compared in Man with Morphine Sulfate , J. Clin. Investigation 22:871, 1943.Crossref 7. Jones, C. M., and Chapman, W. P.: Comparative Study of Analgesic Effect of Morphine Sulfate and Monoacetylmorphine , Arch. Int. Med. 73:322 ( (April) ) 1944.Crossref 8. Wolff, H. G., and Goodell, H.: The Relation of Attitude and Suggestion to the Perception of and Reaction to Pain , A. Research Nerv. & Ment. Dis., Proc. (1942) 23:434, 1943. 9. Chapman, W. P.: Measurements of Pain Sensitivity in Normal Control Subjects and in Psychoneurotic Patients , Psychosom. Med. 6:252, 1944. 10. The lowest value for perception or reaction at which the subject reacted at least on one occasion on a test day (the lowest inconsistent value) was subtracted from the lowest value at which the subject reacted to all exposures on the same test day (lowest consistent value). The average of these differences was calculated for the patients and for the control subjects and is referred to as the mean individual variation. 11. Finesinger, J. E.: The Spirogram in Certain Psychiatric Disorders , Am. J. Psychiat. 100:159, 1943. 12. Finesinger, J. E.: The Effect of Pleasant and Unpleasant Ideas upon the Respiration in Psychoneurotic Patients , Arch. Neurol. & Psychiat. 42:425 ( (Sept.) ) 1939. 13. Finesinger, J. E., and Mazick, S. G.: The Effect of a Painful Stimulus and Its Recall upon Respiration in Psychoneurotic Patients , Psychosom. Med. 2:333, 1940. 14. Finesinger, J. E.: The Effect of Pleasant and Unpleasant Ideas on the Respiratory Pattern (Spirogram) in Psychoneurotic Patients , Am. J. Psychiat. 100:659, 1944. 15. Chapman, W. P.; Cohen, M. E.; Cobb, S., and White, P. D.: Measurements Related to Pain in Neurocirculatory Asthenia, Combat Fatigue, and Anxiety Neurosis , J. Clin. Investigation 25:890 ( (Nov.) ) 1946.
TI - MEASUREMENTS OF PAIN SENSITIVITY IN PATIENTS WITH PSYCHONEUROSIS
JF - Archives of Neurology & Psychiatry
DO - 10.1001/archneurpsyc.1947.02300260061004
DA - 1947-03-01
UR - https://www.deepdyve.com/lp/american-medical-association/measurements-of-pain-sensitivity-in-patients-with-psychoneurosis-JCk8XpPuJa
SP - 321
EP - 331
VL - 57
IS - 3
DP - DeepDyve
ER -