Suffering and its Relationship to Pain
Autor: | C R Chapman, J Gavrin |
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Rok vydání: | 1993 |
Předmět: |
Coping (psychology)
Palliative care Pain and suffering Chronic pain Learned helplessness General Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) 030502 gerontology 030220 oncology & carcinogenesis medicine Pain catastrophizing 0305 other medical science Psychology Psychosocial Clinical psychology |
Zdroj: | Journal of Palliative Care. 9:5-13 |
ISSN: | 2369-5293 0825-8597 |
DOI: | 10.1177/082585979300900202 |
Popis: | Pain is a complex, multidimensional perception with affective as well as sensory features. In part, it is a somatically focused negative emotion resembling perceived threat. Suffering refers to a perceived threat to the integrity of the self, helplessness in the face of that threat, and exhaustion of psychosocial and personal resources for coping. The concepts of pain and suffering therefore share negative emotion as a common ground. Examination of the central physiological mechanisms underlying pain, negative emotional arousal, and stress helps clarify the physiological basis of suffering and the causal influences of persistent pain and other stressors. Central mechanisms involve both limbic processing of aversive stimulation and disturbance of the hypothalamo-pituitary-adrenocortical axis with consequent biological disequilibrium. The palliative care specialist can address suffering proactively as well as reactively by treating potentially chronic pain and symptoms aggressively and promoting the psychosocial well-being of the patient at every opportunity. |
Databáze: | OpenAIRE |
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