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Conceptualising Secondary Pain Affect: The More Personal and Elaborate Feelings

  • Drew CarterEmail author
Chapter

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.

Notes

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).

References

  1. Carter D (2013) Morality and a scaffolding of facts. Philos Invest 37(1):78–90. doi: 10.1111/phin.12032 CrossRefGoogle Scholar
  2. Chaves JF, Brown JM (1987) Spontaneous cognitive strategies for the control of clinical pain and stress. J Behav Med 10(3):263–276CrossRefPubMedGoogle Scholar
  3. 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 177–197Google Scholar
  4. Copp LA (1974) Pain and suffering. The spectrum of suffering. Am J Nurs 74(3):491–495CrossRefPubMedGoogle Scholar
  5. de Sousa R (2013) “Emotion”. The Stanford Encyclopedia of PhilosophyGoogle Scholar
  6. Gaita R (2002) The philosopher’s dog. Text Publishing, MelbourneGoogle Scholar
  7. 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 CrossRefPubMedGoogle Scholar
  8. Hacker PMS (2004) The conceptual framework for the investigation of emotions. Int Rev Psychiatry 16(3):199–208. doi: 10.1080/09540260400003883 CrossRefPubMedGoogle Scholar
  9. Harkins SW, Price DD, Braith J (1989) Effects of extraversion and neuroticism on experimental pain, clinical pain, and illness behavior. Pain 36(2):209–218CrossRefPubMedGoogle Scholar
  10. 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, MelbourneGoogle Scholar
  11. Mantel H (2013) How much pain is too much pain? IASP Insight 2(1):8–12Google Scholar
  12. McGee A (2016) We are human beings. J Med Philos. doi: 10.1093/jmp/jhv064 PubMedPubMedCentralGoogle Scholar
  13. Melzack R, Wall PD (1988) The challenge of pain. Revised edn. Penguin Books, LondonGoogle Scholar
  14. Morris DB (1991) The culture of pain. University of California Press, BerkeleyGoogle Scholar
  15. 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 CrossRefPubMedGoogle Scholar
  16. Nelkin N (1994) Reconsidering pain. Philos Psychol 7(3):325–343CrossRefGoogle Scholar
  17. Price DD (2000) Psychological and neural mechanisms of the affective dimension of pain. Science 288(5472):1769–1772CrossRefPubMedGoogle Scholar
  18. 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, SeattleGoogle Scholar
  19. 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):45–56CrossRefPubMedGoogle Scholar
  20. 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 CrossRefPubMedPubMedCentralGoogle Scholar
  21. 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, SeattleGoogle Scholar
  22. Sullivan MJL, Bishop SR, Pivik J (1995) The pain catastrophizing scale: development and validation. Psychol Assess 7(4):524–532CrossRefGoogle Scholar
  23. 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):52–64CrossRefPubMedGoogle Scholar
  24. Sullivan MJ, Adams H, Sullivan ME (2004) Communicative dimensions of pain catastrophizing: social cueing effects on pain behaviour and coping. Pain 107(3):220–226CrossRefPubMedGoogle Scholar
  25. 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 CrossRefPubMedGoogle Scholar
  26. Wittgenstein L (2001) Philosophical investigations (trans: Anscombe GEM). Blackwell Publishers Ltd, OxfordGoogle Scholar

Copyright information

© Springer International Publishing AG 2016

Authors and Affiliations

  1. 1.School of Public HealthUniversity of AdelaideAdelaideAustralia

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