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Chronic Pain

On the Integration of Psyche and Soma

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Abstract

Chronic pain is both a medical and a behavioral problem and it is accompanied by great personal suffering as well as substantial economic costs to society. In assessing the impact of chronic pain, Bonica (1990) estimated that in 1986 (the most recent year for which data were available), 97 million Americans suffered from chronic pain (e.g., back pain, headache, musculoskeletal, and neurological syndromes), 400 million days of work were lost, and the total cost was 79 billion dollars. The suffering caused by chronic pain is more difficult to quantify. Nevertheless, based on both research and clinical experience there is a consensus that “in addition to depression, patients develop associated chronic invalid behaviors ... curtailment of social activity ... become increasingly homebound, and their chief interaction with other, in the home as well as out of it, is via the sick role” (Sternbach, 1984, p. 175).

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Authors and Affiliations

  1. Departments of Anesthesiology and Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, 10032, USA

    Robert H. Dworkin

  2. Departments of Anesthesiology and Psychiatry, New Jersey Medical School, Newark, New Jersey, 07103, USA

    Roy C. Grzesiak

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  1. Robert H. Dworkin
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Editors and Affiliations

  1. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, New York, USA

    George Stricker

  2. Doctoral Program in Clinical Psychology, Long Island University, Brooklyn, New York, USA

    Jerold R. Gold

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Dworkin, R.H., Grzesiak, R.C. (1993). Chronic Pain. In: Stricker, G., Gold, J.R. (eds) Comprehensive Handbook of Psychotherapy Integration. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9782-4_25

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