Abstract
I aim to advance the conception of what pain scientist Price (2000) terms secondary pain affect, a dimension of pain thought to comprise “emotional feelings directed toward long-term implications.” I analyse some of the many feelings involved in an experience of pain and aim to demonstrate three things. First, I aim to demonstrate how Peter MS Hacker’s philosophical distinctions between different types of feeling help to differentiate the different types of feeling that conceivably comprise pain and, in particular, secondary pain affect. Pain researchers need something like Hacker’s sensible taxonomy or way of thinking about different types of feeling so they can ask meaningful questions and research their phenomena of interest rather than phenomena that may be closely related, but actually intrinsically different. Second, I aim to demonstrate how pain catastrophising can conceivably relate to secondary pain affect and how secondary pain affect need not solely comprise negative feelings. Finally, I aim to demonstrate how pain can contain moral dimensions by drawing on our memories, long-standing hopes and fears, loves, and, more broadly, what things mean to us. I conclude with some implications for redressing pain in clinical practice by attempting to counter pain catastrophising and to decrease negative secondary pain affect.
Keywords
- Emotional Exhaustion
- Pain Sensation
- Pain Catastrophising
- Pain Catastrophising Scale
- Oxford English Dictionary
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Notes
- 1.
The symbol § is often used to refer to the numbered notes that comprise Wittgenstein’s (2001) Philosophical Investigations.
- 2.
Hacker is unclear on whether moods can have objects or only causes. See also de Sousa (2013), who distinguishes moods from emotions precisely by their lack of an object: “Objectless emotions share many properties with other emotions, especially in their physiological and motivational aspects, but they might more properly be classified as moods rather than full-fledged emotions. Moods typically facilitate certain ranges of object-directed emotions, but they form a class apart.”
- 3.
The value of all this can exceed its instrumental benefit for the patient in terms of improving their pain; namely, via decreasing pain catastrophising and negative secondary pain affect. It can also be valued inherently by all involved for what it means. In other words, we need not be consequentialists about the value of such redress.
References
Carter D (2013) Morality and a scaffolding of facts. Philos Invest 37(1):78–90. doi:10.1111/phin.12032
Chaves JF, Brown JM (1987) Spontaneous cognitive strategies for the control of clinical pain and stress. J Behav Med 10(3):263–276
Clark A (2005) Painfulness is not a quale. In: Aydede M (ed) Pain: new essays on its nature and the methodology of its study. MIT Press, Cambridge, MA, pp 177–197
Copp LA (1974) Pain and suffering. The spectrum of suffering. Am J Nurs 74(3):491–495
de Sousa R (2013) “Emotion”. The Stanford Encyclopedia of Philosophy
Gaita R (2002) The philosopher’s dog. Text Publishing, Melbourne
Geisser ME, Robinson ME, Keefe FJ, Weiner ML (1994) Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain. Pain 59(1):79–83. doi:10.1016/0304-3959(94)90050-7
Hacker PMS (2004) The conceptual framework for the investigation of emotions. Int Rev Psychiatry 16(3):199–208. doi:10.1080/09540260400003883
Harkins SW, Price DD, Braith J (1989) Effects of extraversion and neuroticism on experimental pain, clinical pain, and illness behavior. Pain 36(2):209–218
Macintyre PE, Schug SA, Scott DA, Visser EJ, Walker SM (2010) Acute pain management: scientific evidence, 3rd edn. Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine, Melbourne
Mantel H (2013) How much pain is too much pain? IASP Insight 2(1):8–12
McGee A (2016) We are human beings. J Med Philos. doi:10.1093/jmp/jhv064
Melzack R, Wall PD (1988) The challenge of pain. Revised edn. Penguin Books, London
Morris DB (1991) The culture of pain. University of California Press, Berkeley
Morstyn R (2009) Merleau-Ponty and me: some phenomenological reflections upon my recent bone marrow transplant. Australas Psychiatry 17(3):237–239. doi:10.1080/10398560902866617
Nelkin N (1994) Reconsidering pain. Philos Psychol 7(3):325–343
Price DD (2000) Psychological and neural mechanisms of the affective dimension of pain. Science 288(5472):1769–1772
Price DD, Bushnell MC (2004) Overview of pain dimensions and their psychological modulation. In: Price DD, Bushnell MC (eds) Psychological methods of pain control: basic science and clinical perspectives, vol 29. Progress in pain research and management. IASP Press, Seattle
Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17(1):45–56
Quartana PJ, Campbell CM, Edwards RR (2009) Pain catastrophizing: a critical review. Expert Rev Neurother 9(5):745–758. doi:10.1586/ern.09.34
Rainville P (2004) Pain and emotions. In: Price DD, Bushnell MC (eds) Psychological methods of pain control: basic science and clinical perspectives, vol 29. Progress in pain research and management. IASP Press, Seattle
Sullivan MJL, Bishop SR, Pivik J (1995) The pain catastrophizing scale: development and validation. Psychol Assess 7(4):524–532
Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, Lefebvre JC (2001) Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 17(1):52–64
Sullivan MJ, Adams H, Sullivan ME (2004) Communicative dimensions of pain catastrophizing: social cueing effects on pain behaviour and coping. Pain 107(3):220–226
Wade JB, Riddle DL, Price DD, Dumenci L (2011) Role of pain catastrophizing during pain processing in a cohort of patients with chronic and severe arthritic knee pain. Pain 152(2):314–319. doi:10.1016/j.pain.2010.10.034
Wittgenstein L (2001) Philosophical investigations (trans: Anscombe GEM). Blackwell Publishers Ltd, Oxford
Acknowledgments
I thank Paul Sendziuk and Simon van Rysewyk for encouragement and advice, the Brocher Foundation for material and moral support, Andrew McGee for philosophical discussion, and Catherine for ongoing support. Work underpinning this chapter was presented in 2012 at the International Association for the Study of Pain’s 14th World Congress on Pain.
Funding Information
Drew Carter is supported by the “Health Care in the Round” Capacity Building Grant in Population Health, awarded by Australia’s National Health and Medical Research Council (Grant ID 565501). Work underpinning this chapter was supported by the Brocher Foundation (www.brocher.ch).
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Carter, D. (2016). Conceptualising Secondary Pain Affect: The More Personal and Elaborate Feelings. In: van Rysewyk, S. (eds) Meanings of Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-49022-9_15
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