The meaning and consequences of amputation and mastectomy from the perspective of pain and suffering – Lessons to be learned and relearned

The meaning and consequences of amputation and mastectomy from the perspective of pain and... In this issue of the Scandinavian Journal of Pain, Björkman et al. [1]present the third in a series of articles detailing patients’ descriptions of the effects of amputation of a limb or breast. The information is only from a small cohort of 38 subjects but the information is revealing. The use of interview and subsequent analysis for qualitative research adds a dimension lost in the more common research methods using quantitative measurements.This other dimension should ideally be explored with a comprehensive history taking in the clinic but if it is, a description of it is often lacking in the medical reports which focus on the “bio” aspect of pain – despite lip service to pain being a biopsychosocial phenomenon. If one listens closely to patients and inquires about their sensations, often they have problems distinguishing between pain and the emotional effects of something that is very unpleasant and intolerable but not exactly pain. This is particularly obvious in neuropathic pain. Thus, we need more information on what appears to be “non-bio” to help understand patients.1Measuring the emotional aspects of acute and chronic painAttempts have been made to add the emotional dimension of pain to standard quantitative research, most notably http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

The meaning and consequences of amputation and mastectomy from the perspective of pain and suffering – Lessons to be learned and relearned

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Publisher
De Gruyter
Copyright
© 2016 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2016.08.012
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain, Björkman et al. [1]present the third in a series of articles detailing patients’ descriptions of the effects of amputation of a limb or breast. The information is only from a small cohort of 38 subjects but the information is revealing. The use of interview and subsequent analysis for qualitative research adds a dimension lost in the more common research methods using quantitative measurements.This other dimension should ideally be explored with a comprehensive history taking in the clinic but if it is, a description of it is often lacking in the medical reports which focus on the “bio” aspect of pain – despite lip service to pain being a biopsychosocial phenomenon. If one listens closely to patients and inquires about their sensations, often they have problems distinguishing between pain and the emotional effects of something that is very unpleasant and intolerable but not exactly pain. This is particularly obvious in neuropathic pain. Thus, we need more information on what appears to be “non-bio” to help understand patients.1Measuring the emotional aspects of acute and chronic painAttempts have been made to add the emotional dimension of pain to standard quantitative research, most notably

Journal

Scandinavian Journal of Painde Gruyter

Published: Jan 1, 2017

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