E-Book Overview
One of the most critical issues in health care today?A?Achronic pain?A?Aaffects 34 million people. Causing untold suffering, pain also carries an enormous price tag for medical expense and lost income and productivity. This succinct and expertly written volume offers the most current thinking on pain assessment and management. As effective pain management begins with thorough assessment, so does this book, by presenting biomedical, conceptual, and biopsychosocial models. Although patients present a daunting array of idiosyncratic symptoms, clinicians are reassured that numerous viable strategies exist for tailoring treatment to the individual: pharmacologic, anesthetic, neuro-stimulatory, physiatric, surgical, psychological, and complementary. The importance of approaching pain as a multivariate syndrome is cogently emphasized in a review and analysis of psychogenic pain, an enigmatic form for which the biopsychosocial model is especially efficacious. In a uniquely formatted and practical chapter, readers accompany experts on "pain rounds," visiting patients with four common syndromes: lower back pain, neuropathic pain, migraine, and fibromyalgia. From initial consultation to case conference, diverse specialists offer professional opinions on evaluation, treatment, and difficulties that are likely to be encountered. The chapter is an elegant and useful demonstration of the multimodal approach. As this volume attests, researchers have successfully unraveled the complex physiology of pain. Now, with this book, clinicians have management models that rightly move beyond a view of pain as simply a mind-body, sensory-neural phenomenon.
E-Book Content
Pain What Psychiatrists Need to Know Review of Psychiatry Series John M. Oldham, M.D., and Michelle B. Riba, M.D. Series Editors Pain What Psychiatrists Need to Know EDITED BY Mary Jane Massie, M.D. No. 2 Washington, DC London, England Note: The authors have worked to ensure that all information in this book concerning drug dosages, schedules, and routes of administration is accurate as of the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice advance, however, therapeutic standards may change. For this reason and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of a physician who is directly involved in their care or the care of a member of their family. Books published by the American Psychiatric Press, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of the Press or the American Psychiatric Association. Copyright © 2000 American Psychiatric Press, Inc. 04 03 02 01 5 4 3 2 ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper First Edition American Psychiatric Press, Inc. 1400 K Street, NW Washington, DC 20005 www.appi.org The correct citation for this book is Massie MJ (ed.): Pain: What Psychiatrists Need to Know (Review of Psychiatry Series, Vol. 19, No. 2; Oldham JM and Riba MB, series eds.). Washington, DC, American Psychiatric Press, 2000 Library of Congress Cataloging-in-Publication Data Pain : what psychiatrists need to know / edited by Mary Jane Massie. p. ; cm. — (Review of psychiatry ; v. 19, no. 2) Includes bibliographical references and index. ISBN 0-88048-173-0 (alk. paper) 1. Pain. 2. Psychiatry. I. Massie, Mary Jane. II. Review of psychiatry series ; v. 19, 2 [DNLM: 1. Chronic Disease. 2. Pain. 3. Psychotherapy—methods. WL 704 P14793 2000] RB127.P365 2000 616´.0472—dc21 00-023877 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Review of Psychiatry Series ISSN 1041-5882 <