Pain Edited by Thomas Hadjistavropoulos Kenneth D. Craig PSYCHOLOGICAL PERSPECTIVES PAIN Psychological Perspectives PAIN Psychological Perspectives Edited by Thomas Hadjistavropoulos University of Regina Kenneth D. Craig University of British Columbia LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS Mahwah, New Jersey London 2004 Copyright © 2004 by Lawrence Erlbaum Associates, Inc. All rights reserved. No part of this book may be reproduced in any form, by photostat, microform, retrieval system, or any other means, without the prior written permission of the publisher. Lawrence Erlbaum Associates, Inc., Publishers 10 Industrial Avenue Mahwah, New Jersey 07430 Cover design by Sean Sciarrone Library of Congress Cataloging-in-Publication Data Pain : psychological perspectives / edited by Thomas Hadjistavropoulos, Kenneth D. Craig. p. cm. Includes bibliographical references and index. ISBN 0-8058-4299-3 (alk. paper) 1. Pain—Psychological aspects. I. Hadjistavropoulos, Thomas. II. Craig, Kenneth D., 1937– BF515.P29 2003 152.1¢824—dc21 2003052862 CIP Books published by Lawrence Erlbaum Associates are printed on acid-free paper, and their bindings are chosen for strength and durability. Printed in the United States of America 10987654321 We dedicate this volume to those who mean the most to us: Heather, Nicholas, and Dimitri —T. H. Sydney, Kenneth, Alexandra, and Jamie —K. D. C. Contributors ix Preface xi An Introduction to Pain: Psychological Perspectives 1 Thomas Hadjistavropoulos and Kenneth D. Craig 1 The Gate Control Theory: Reaching for the Brain 13 Ronald Melzack and Joel Katz 2 Biopsychosocial Approaches to Pain 35 Gordon J. G. Asmundson and Kristi D. Wright 3 Pain Perception, Affective Mechanisms, and Conscious Experience 59 C. Richard Chapman 4 Social Influences and the Communication of Pain 87 Thomas Hadjistavropoulos, Kenneth D. Craig, and Shannon Fuchs-Lacelle 5 Pain Over the Life Span: A Developmental Perspective 113 Stephen J. Gibson and Christine T. Chambers Contents vii 6 Ethnocultural Variations in the Experience of Pain 155 Gary B. Rollman 7 Social Influences on Individual Differences in Responding to Pain 179 Suzanne M. Skevington and Victoria L. Mason 8 Assessment of Chronic Pain Sufferers 209 Dennis C. Turk, Elena S. Monarch, and Arthur D. Williams 9 Psychological Interventions for Acute Pain 245 Stephen Bruehl and Ok Yung Chung 10 Psychological Interventions and Chronic Pain 271 Heather D. Hadjistavropoulos and Amanda C. de C. Williams 11 Psychological Perspectives on Pain: Controversies 303 Kenneth D. Craig and Thomas Hadjistavropoulos 12 Ethics for Psychologists Who Treat, Assess, and/or Study Pain 327 Thomas Hadjistavropoulos Author Index 345 Subject Index 371 viii CONTENTS Gordon J. G. Asmundson Faculty of Kinesiology and Health Studies, University of Regina, Regina, Saskatchewan, Canada Stephen Bruehl Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee Christine T. Chambers Department of Pediatrics, University of British Columbia, Centre for Community Child Health Research, Vancouver, British Columbia, Can- ada C. Richard Chapman Pain Research Centre, Department of Anesthesiology, Univer - sity of Utah, Salt Lake City, Utah Ok Yung Chung Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee Kenneth D. Craig Department of Psychology, University of British Columbia, Van - couver, British Columbia, Canada Amanda C. de C. Williams INPUT Pain Management Unit, St. Thomas’ Hospital, London, United Kingdom Shannon Fuchs-Lacelle Department of Psychology, University of Regina, Regina, Saskatchewan, Canada Steven J. Gibson National Ageing Research Institute, Parkville, Victoria, Australia Heather D. Hadjistavropoulos Department of Psychology, University of Regina, Re - gina, Saskatchewan, Canada Contributors ix [...]... acknowledge the love and support of our families They give us strength —Thomas Hadjistavropoulos —Kenneth D Craig An Introduction to Pain: Psychological Perspectives Thomas Hadjistavropoulos University of Regina Kenneth D Craig University of British Columbia Pain is primarily a psychological experience It is the most pervasive and universal form of human distress and it often contributes to dramatic reductions... understanding of the complex and widespread psychological experience of pain THE PERSPECTIVES In chapter 1, this volume, Melzack and Katz examine the gate control theory and transformations in our understanding of pain since it was published (Melzack & Wall, 1965) The theory integrated diverse areas we now refer to as the neurosciences and accommodated psychological perspectives to explain phenomena ignored... state-of-the-art, comprehensive account of the psychology of pain that encompasses clinical perspectives but also basic social and behavioral science as well as biopsychological contributions to the field The relatively recent focus on pain as a subjective experience has led to dramatic improvements in our understanding of the complex psychological processes that represent and control pain There has also been an... cognitive/behavioral approaches are featured, but psychodynamic perspectives are also examined Best practice in the context of evidence-based treatment is presented The manner in which medication usage relates to 10 HADJISTAVROPOULOS AND CRAIG psychological treatment (e.g., medication compliance) is addressed Moreover, a discussion of how psychological interventions can be applied with postsurgical and... and that pain is either physical or psychological (IASP Ad Hoc Subcommittee for Psychology Curriculum, 1997) Persistent pain with no identifiable causes was frequently labeled as psychogenic, a regrettable construct because it perpetuates mind/body dualistic thinking (Liebeskind & Paul, 1977) and fails to recognize that biological mechanisms are integral to all psychological phenomena, including pain... the basis for focusing on pain as a psychological phenomenon Nociception refers to the neurophysiologic processing of events that stimulate nociceptors and are capable of being experienced as pain (Turk & Melzack, 2000) Instigation of the nociceptive system and brain processing constitute the biological substrates of the experience But pain must be appreciated as a psychological phenomenon, rather than... expressions, and other nonverbal actions) This chapter discusses research on the expression of pain, including the importance of the entire communicative repertoire and the potential for deception, the judgmental skills and biases of potential allies and antagonists, and the advantages and disadvantages of current social systems designed to care for people communicating painful distress Issues related... wide variety of clinical populations and phenomena Practical suggestions for clinicians are also offered The role of psychological assessment among pre- and postsurgical pain patients is discussed Bruehl and Chung move the book into an intervention focus with a stateof-the-art discussion of psychologically based interventions for acute pain (wounds, burn, other soft tissue injuries, fractures, medical... Merskey (1998) observed that psychological explanations about motives for complaints about pain and psychodynamic theories gradually became popular during the early and middle parts of the 20th century (e.g., Ellman, Savage, Wittkower, & Rodger, 1942; Scott, 1948) Early investigation of psychiatric patients with pain had led to the erroneous conclusion that physical and psychological factors in pain... definition of pain, frequent unavailability of psychological interventions for chronic pain, the use of self-report as a gold standard in pain assessment, fears about the implementation of certain biomedical interventions and others The final chapter by Thomas Hadjistavropoulos presents a discussion of ethical standards put forth by organizations of pain researchers and psychological associations The presentation . by Thomas Hadjistavropoulos Kenneth D. Craig PSYCHOLOGICAL PERSPECTIVES PAIN Psychological Perspectives PAIN Psychological Perspectives Edited by Thomas Hadjistavropoulos University. and Jamie —K. D. C. Contributors ix Preface xi An Introduction to Pain: Psychological Perspectives 1 Thomas Hadjistavropoulos and Kenneth D. Craig 1 The