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Problematizing Pain: Medical, Social and Commercial Approaches to Pain

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Abstract

This chapter explores the concept of pain in the medical, social and commercial fields. This chapter discusses the way general medicine approaches pain and the use of pain medications to treat it. The chapter highlights the different ways in which pain, and chronic pain in particular, is understood and treated within different areas of medical practice. The chapter also explores the way the specialty of pain medicine understands pain, medication use and ‘addiction’. Finally, it explores the blurring boundaries between pain, anxiety and discomfort in late-modern consumer culture.

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References

  • Armstrong, D. (1983). Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century. Cambridge: Cambridge University Press.

    Google Scholar 

  • Australian Self Medication Industry. (2014). What Is Self Care? Retrieved April 21, 2014, from http://www.asmi.com.au/self-care/What-Is-Self-Care.aspx.

  • Bair, M. J., Wu, J., Damush, T. M., Sutherland, J. M., & Kroenke, K. (2008). Association of Depression and Anxiety Alone and in Combination with Chronic Musculoskeletal Pain in Primary Care Patients. Psychosomatic Medicine, 70(8), 890–897.

    Article  Google Scholar 

  • Baszanger, I. (1992). Deciphering Chronic Pain. Sociology of Health & Illness, 14(2), 181–215.

    Article  Google Scholar 

  • Bauman, Z. (2007). Liquid Times: Living in an Age of Uncertainty. Cambridge: Wiley.

    Google Scholar 

  • Beck, U., Giddens, A., & Lash, S. (1994). Reflexive Modernization: Politics Tradition and Aesthetics in the Modern Social Order. Stanford: Stanford University Press.

    Google Scholar 

  • Berger, J. M. (2005). Opioids in Anesthesia. Seminars in Anesthesia, Perioperative Medicine and Pain, 24(2), 108–119.

    Article  Google Scholar 

  • Bissel, D. (2012). Placing Affective Relations: Uncertain Geographies of Pain. In P. Harrison & B. Anderson (Eds.), Taking-Place: Non-Representational Theories and Geography. Farnham: Ashgate.

    Google Scholar 

  • Blomqvist, P. (2013). Citizenship, Choice and Social Equity in Welfare Services. In K. S. Helgesson & U. Mörth (Eds.), The Political Role of Corporate Citizens: An Interdisciplinary Approach. Basingstoke: Palgrave Macmillan.

    Google Scholar 

  • Briggs, M., & Closs, J. S. (1999). A Descriptive Study of the Use of Visual Analogue Scales and Verbal Rating Scales for the Assessment of Postoperative Pain in Orthopedic Patients. Journal of Pain and Symptom Management, 18(6), 438–446.

    Article  Google Scholar 

  • Chapman, C. R., Casey, K. L., Dubner, R., Foley, K. M., Gracely, R. H., & Reading, A. E. (1985). Pain Measurement: An Overview. Pain, 22(1), 1–31.

    Article  Google Scholar 

  • Clark, N. (2010). Injectable Diacetylmorphine Is More Effective Than Oral Methadone in the Treatment of Chronic Relapsing Opioid Dependence. Evidence Based Mental Health, 13(3), 80–80.

    Article  Google Scholar 

  • Cohen, M., Quintner, J., Buchanan, D., Nielsen, M., & Guy, L. (2011). Stigmatization of Patients with Chronic Pain: The Extinction of Empathy. Pain Medicine, 12, 1637–1643.

    Article  Google Scholar 

  • Cohen, M. L., & Wodak, A. D. (2010). The Judicious Use of Opioids in Managing Chronic Noncancer Pain. Medicine Today, 11(2), 10–18.

    Google Scholar 

  • Cohen, M. L., & Wodak, A. D. (2012). Opioid Prescribing in General Practice: A Proposed Approach. Medicine Today, 13(1), 24–32.

    Google Scholar 

  • Conrad, P., & Potter, D. (2000). From Hyperactive Children to ADHD Adults: Observations on the Expansion on Medical Categories. Social Problems, 47(4), 559–582.

    Article  Google Scholar 

  • Conrad, P., & Schneider, J. W. (1980). Deviance and Medicalization: From Badness to Sickness. Philadelphia: Temple University Press.

    Google Scholar 

  • Dallenbach, K. M. (1939). Pain: History and Present Status. The American Journal of Psychology, 52(3), 331–347.

    Article  Google Scholar 

  • Dowbiggin, I. R. (2009). High Anxieties: The Social Construction of Anxiety Disorders. Canadian Journal of Psychiatry, 54(7), 429–436.

    Article  Google Scholar 

  • Eisenberger, N. I. (2011). The Neural Basis of Social Pain: Findings and Implications. In G. MacDonald & L. A. Jensen-Campbell (Eds.), Social Pain: Neuropsychological and Health Implications of Loss and Exclusion (pp. 53–78). Washington: American Psychological Association.

    Google Scholar 

  • Eisenberger, N. I. (2012). The Pain of Social Disconnection: Examining the Shared Neural Underpinnings of Physical and Social Pain. Nature Reviews Neuroscience, 13(6), 421–434.

    Article  Google Scholar 

  • Eisenberger, N. I., & Lieberman, M. D. (2004). Why Rejection Hurts: A Common Neural Alarm System for Physical and Social Pain. Trends in Cognitive Sciences, 8(7), 294–300.

    Article  Google Scholar 

  • Elliott, C., & Kramer, P. D. (2004). Better Than Well: American Medicine Meets the American Dream. New York: W. W. Norton & Company.

    Google Scholar 

  • Featherstone, M. (1982). The Body in Consumer Culture. Theory, Culture & Society, 1(2), 18–33.

    Article  Google Scholar 

  • Ferrell, B. A. (2003). Acute and Chronic Pain. In C. K. Cassel (Eds.), Geriatric Medicine: An Evidence-Based Approach. New York: Springer.

    Google Scholar 

  • Fishbain, D. A., Cutler, R., Rosomoff, H. L., & Rosomoff, R. S. (1997). Chronic Pain-Associated Depression: Antecedent or Consequence of Chronic Pain? A Review. Clinical Journal of Pain, 13(2), 116–137.

    Article  Google Scholar 

  • Foucault, M. (1991). The Foucault Effect: Studies in Governmentality. G. Burchell, C. Gordon, & P. Miller (Eds.). Chicago: University of Chicago Press.

    Google Scholar 

  • Foucault, M. (1994). The Birth of the Clinic: An Archaeology of Medical Perception (A. Sheridan, Trans.). New York: Vintage Books.

    Google Scholar 

  • Frampton, C. L., & Hughes-Webb, P. (2011). The Measurement of Pain. Clinical Oncology, 23(6), 381–386.

    Article  Google Scholar 

  • Fraser, S. (2008). Trauma, Damage and Pleasure: Rethinking Problematic Drug Use. International Journal of Drug Policy, 19(5), 410–416.

    Article  Google Scholar 

  • Fraser, S., Moore, D., & Keane, H. (2014). Habits: Remaking Addiction. Basingstoke: Palgrave Macmillan.

    Google Scholar 

  • Good, M. J. D. V., Brodwin, P. E., Good, B. J., & Kleinman, A. (1994). Pain as Human Experience: An Anthropological Perspective. Berkeley and Los Angeles: University of California Press.

    Google Scholar 

  • Gray, G. C. (2009). The Responsibilization Strategy of Health and Safety Neo-Liberalism and the Reconfiguration of Individual Responsibility for Risk. British Journal of Criminology, 49(3), 326–342.

    Article  Google Scholar 

  • Greene, J., & Hibbard, J. H. (2012). Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes. Journal of General Internal Medicine, 27(5), 520–526.

    Article  Google Scholar 

  • HM Government. (2011). No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages. London: HM Government.

    Google Scholar 

  • Holloway, I., Sofaer-Bennett, B., & Walker, J. (2007). The Stigmatisation of People with Chronic Back Pain. Disability and Rehabilitation, 29(18), 1456–1464.

    Article  Google Scholar 

  • Hyman, S. E., & Malenka, R. C. (2001). Addiction and the Brain: The Neurobiology of Compulsion and Its Persistence. Nature Reviews Neuroscience, 2(10), 695–703.

    Article  Google Scholar 

  • Illich, I. (1976). Medical Nemesis: The Expropriation of Health. New York: Pantheon Books.

    Google Scholar 

  • Illouz, E. (2013). Why Love Hurts: A Sociological Explanation. Oxford: Wiley.

    Google Scholar 

  • International Association for the Study of Pain. (2014). IASP Taxonomy. Retrieved March 29, 2014, from https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698.

  • Jackson, J. E. (2005). Stigma, Liminality, and Chronic Pain: Mind-Body Borderlands. American Ethnologist, 32(3), 332–353.

    Article  Google Scholar 

  • Johnson, E., & Åsberg, C. (2012). Enrolling Men, Their Doctors, and Partners: Individual and Collective Responses to Erectile Dysfunction. Science & Technology Studies, 25(2), 46–60.

    Google Scholar 

  • Kalso, E., Hearn, L., & de Williams, A. C. (2010). Reducing the Risk of Opioid Misuse in Persistent Pain: Commentary on Jamison et al. Pain, 150(3), 375–376.

    Article  Google Scholar 

  • Keane, H., & Hamill, K. (2010). Variations in Addiction: The Molecular and the Molar in Neuroscience and Pain Medicine. BioSocieties, 5(1), 52–69.

    Article  Google Scholar 

  • Kershner, R. M. (2008). Neuroadaptation and Multifocal IOLs: The Art of Science. Thorofare: Slack.

    Google Scholar 

  • Kim, M., & Uhl, K. (2011). Sex and Lifestyle Drugs: The Pursuit of the Fountain of Youth. Clinical Pharmacology and Therapeutics, 89(1), 3–9.

    Article  Google Scholar 

  • Kirsh, K. L., Jass, C., Bennett, D. S., Hagen, J. E., & Passik, S. D. (2007). Initial Development of a Survey Tool to Detect Issues of Chemical Coping in Chronic Pain Patients. Palliative and Supportive Care, 5(3), 219–226.

    Article  Google Scholar 

  • Kramer, P. D. (1994). Listening to Prozac. London: Penguin Books.

    Google Scholar 

  • Kwon, J. H., Tanco, K., Hui, D., Reddy, A., & Bruera, E. (2014). Chemical Coping Versus Pseudoaddiction in Patients with Cancer Pain. Palliative and Supportive Care, 12(5), 413–417.

    Article  Google Scholar 

  • Larner, W. (2000). Neo-Liberalism: Policy, Ideology, Governmentality. Studies in Political Economy, 63, 5–25.

    Article  Google Scholar 

  • Leshner, A. I. (1997). Addiction Is a Brain Disease, and It Matters. Science, 278(5335), 45–47.

    Article  Google Scholar 

  • Leshner, A. (2001). Addiction Is a Brain Disease. Issues in Science and Technology, 17(2), 75–80.

    Google Scholar 

  • Lexchin, J. (2001). Lifestyle Drugs: Issues for Debate. Canadian Medical Association Journal, 164(10), 1449–1451.

    Google Scholar 

  • Littlejohn, C., Baldacchino, A., & Bannister, J. (2004). Chronic Non-Cancer Pain and Opioid Dependence. Journal of the Royal Society of Medicine, 97(2), 62–65.

    Article  Google Scholar 

  • Lupton, D. (2012). Medicine as Culture: Illness, Disease and the Body. London: Sage.

    Google Scholar 

  • Lupton, D. (2013). The Digitally Engaged Patient: Self-Monitoring and Self-Care in the Digital Health Era. Social Theory & Health, 11(3), 256–270.

    Article  Google Scholar 

  • MacDonald, G., & Leary, M. R. (2005). Why Does Social Exclusion Hurt? The Relationship Between Social and Physical Pain. Psychological Bulletin, 131(2), 202–223.

    Article  Google Scholar 

  • Mckee, K. (2009). Post-Foucauldian Governmentality: What Does It Offer Critical Social Policy Analysis? Critical Social Policy, 29(3), 465–486.

    Article  Google Scholar 

  • Meldrum, M. L. (2003). A Capsule History of Pain Management. Journal of the American Medical Association, 290(18), 2470–2475.

    Article  Google Scholar 

  • Melzack, R. (1975). The McGill Pain Questionnaire: Major Properties and Scoring Methods. Pain, 1(3), 277–299.

    Article  Google Scholar 

  • Melzack, R. (1996). Gate Control Theory: On the Evolution of Pain Concepts. Paper Presented at the Pain Forum.

    Google Scholar 

  • Melzack, R., & Wall, P. D. (1967). Pain Mechanisms: A New Theory. Survey of Anesthesiology, 11(2), 89–90.

    Article  Google Scholar 

  • Morgan, B. D. (2006). Knowing How to Play the Game: Hospitalized Substance Abusers’ Strategies for Obtaining Pain Relief. Pain Management Nursing, 7(1), 31–41.

    Article  Google Scholar 

  • Morris, D. B. (1991). The Culture of Pain. Berkeley: University of California Press.

    Google Scholar 

  • National Institute on Drug Abuse. (2007). Drugs, Brain and Behaviour: The Science of Addiction. Retrieved January 13, 2012, from http://www.drugabuse.gov/sites/default/files/sciofaddiction.pdf.

  • National Pain Summit Initiative. (2010). National Pain Strategy: Pain Management for All Australians. Sydney: MBF Foundation & University of Sydney Pain Management Research Institute.

    Google Scholar 

  • Noble, B., Clark, D., Meldrum, M., Have, H. T., Seymour, J., Winslow, M., et al. (2005). The Measurement of Pain, 1945–2000. Journal of Pain and Symptom Management, 29(1), 14–21.

    Article  Google Scholar 

  • Northern Private Pain Centre. (2012). What Is Chronic Pain? Retrieved January 22, 2014, from http://www.northernpaincentre.com.au/what-is-chronic-pain/w1/i1001394/.

  • Nosyk, B., Guh, D. P., Bansback, N. J., Oviedo-Joekes, E., Brissette, S., Marsh, D. C., Meikleham, E., Schechter, M. T., & Anis, A. H. (2012). Cost-Effectiveness of Diacetylmorphine Versus Methadone for Chronic Opioid Dependence Refractory to Treatment. Canadian Medical Association Journal, 184(6), E317–E328.

    Article  Google Scholar 

  • O’Malley, P., Weir, L., & Clifford, S. (1997). Governmentality, Criticism, Politics. Economy and Society, 26(4), 501–217.

    Article  Google Scholar 

  • Panadol® Australia. (2012). Manage Your Pain. Retrieved March 22, 2012, from https://www.panadol.com.au/?cid=SEM:Google:Products_&_Brand_Exact:Brand_-_General&gclid=CJS92eS8uq8CFQcipAodJGfKiQ.

  • Panksepp, J. (2003). Neuroscience. Feeling the Pain of Social Loss. Science, 302(5643), 237–239.

    Article  Google Scholar 

  • Parsons, T. (1951). Illness and the Role of the Physician: A Sociological Perspective. American Journal of Orthopsychiatry, 21(3), 452–460.

    Article  Google Scholar 

  • Passik, S. D., & Kirsh, K. L. (2004). Assessing Aberrant Drug-Taking Behaviors in the Patient with Chronic Pain. Current Pain and Headache Reports, 8(4), 289–294.

    Article  Google Scholar 

  • Passik, S. D., Kirsh, K. L., & Webster, L. (2011). Pseudoaddiction Revisited: A Commentary on Clinical and Historical Considerations. Pain Management, 1(3), 239–248.

    Article  Google Scholar 

  • Petersen, A. (1997). Risk, Governance and the New Public Health. In R. Bunton & A. Petersen (Eds.), Foucault, Health and Medicine. London: Routledge.

    Google Scholar 

  • Petersen, A., & Lupton, D. (1996). The New Public Health: Health and Self in the Age of Risk. London: Sage.

    Google Scholar 

  • Petersen, A., Davis, M., Fraser, S., & Lindsay, J. (2010). Healthy Living and Citizenship: An Overview. Critical Public Health, 20(4), 391–400.

    Article  Google Scholar 

  • Portenoy, R. K., & Foley, K. M. (1986). Chronic Use of Opioid Analgesics in Non-Malignant Pain: Report of 38 Cases. Pain, 25(2), 171–186.

    Article  Google Scholar 

  • Post, R. M. (2002). Do the Epilepsies, Pain Syndromes, and Affective Disorders Share Common Kindling-Like Mechanisms? Epilepsy Research, 50(1–2), 203–219.

    Article  Google Scholar 

  • Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., et al. (2007). No Health Without Mental Health. Lancet, 370(9590), 859–877.

    Article  Google Scholar 

  • Reckitt Benckiser (Australia) Pty Limited. (2010). Nurofen Pain Relief Advice—Expert Info on Migraines, Headaches, Back Pain, Toothache and More—Targeted Pain Relief with Ibuprofen. Retrieved March 22, 2012, from http://www.nurofen.com.au/pain-relief/videos/video_player.php?filename=Wedding_Stress.flv&title=Nurofen&transcript=na.pdf.

  • Robson, P. (2009). Forbidden Drugs. Oxford: Oxford University Press.

    Google Scholar 

  • Rose, N. (2003). The Neurochemical Self and Its Anomalies. In R. V. Ericson & A. Doyle (Eds.), Risk and Morality. Toronto: University of Toronto Press.

    Google Scholar 

  • Royal Australasian College of Physicians. (2009). Prescription Opioid Policy: Improving Management of Chronic Non-Malignant Pain and Prevention of Problems Associated with Prescription Opioid Use. Sydney: Royal Australasian College of Physicians.

    Google Scholar 

  • Salecl, R. (2004). On Anxiety. London: Routledge.

    Book  Google Scholar 

  • Scarry, E. (1985). The Body in Pain: The Making and Unmaking of the World. New York: Oxford University Press.

    Google Scholar 

  • Searight, H. R., & McLaren, A. L. (1998). Attention-Deficit Hyperactivity Disorder: The Medicalization of Misbehavior. Journal of Clinical Psychology in Medical Settings, 5(4), 467–495.

    Article  Google Scholar 

  • Selye, H. (1950). The Physiology and Pathology of Exposure to Stress: A Treatise Based on the Concepts of the General-Adaptation-Syndrome and the Diseases of Adaptation. Journal of the American Medical Association, 144(16), 1414.

    Google Scholar 

  • Selye, H. (1977). The Stress of My Life: A Scientist’s Memoirs. Toronto: McClelland and Stewart Toronto.

    Google Scholar 

  • Shorter, E., & Marshall, J. C. (1997). A History of Psychiatry. Nature, 386(6623), 346–346.

    Article  Google Scholar 

  • Speaker, S. L. (1997). From “Happiness Pills” to “National Nightmare”: Changing Cultural Assessment of Minor Tranquilizers in America, 1955–1980. Journal of the History of Medicine and Allied Sciences, 52(3), 338–376.

    Article  Google Scholar 

  • Sporer, K. A., & Kral, A. H. (2007). Prescription Naloxone: A Novel Approach to Heroin Overdose Prevention. Annals of Emergency Medicine, 49(2), 172–177.

    Article  Google Scholar 

  • State Government of Victoria. (2013). Wellbeing. Retrieved October 4, 2013, from www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/wellbeing?open.

  • Stoelting, R. K., & Hillier, S. C. (2012). Pharmacology and Physiology in Anesthetic Practice. Philadelphia: Wolters Kluwer Health.

    Google Scholar 

  • Strong, P. M. (1979). The Ceremonial Order of the Clinic: Parents, Doctors, and Medical Bureaucracies. London: Routledge.

    Book  Google Scholar 

  • Teesson, M., Mitchell, P. B., Deady, M., Memedovic, S., Slade, T., & Baillie, A. (2011). Affective and Anxiety Disorders and Their Relationship with Chronic Physical Conditions in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 45(11), 939–946.

    Article  Google Scholar 

  • Teghtsoonian, K. (2009). Depression and Mental Health in Neoliberal Times: A Critical Analysis of Policy and Discourse. Social Science and Medicine, 69(1), 28–35.

    Article  Google Scholar 

  • Tracey, I., & Bushnell, M. C. (2009). How Neuroimaging Studies Have Challenged Us to Rethink: Is Chronic Pain a Disease? Journal of Pain, 10(11), 1113–1120.

    Article  Google Scholar 

  • Turner, B. S. (1984). The Body and Society: Explorations in Social Theory. Oxford: Blackwell.

    Google Scholar 

  • Van de Werf, F., Ardissino, D., Betriu, A., Cokkinos, D. V., Falk, E., Fox, K. A. A., et al. (2003). Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation. European Heart Journal, 24(1), 28–66.

    Article  Google Scholar 

  • visit4ads. (2012). Pain Relief with Body Respect Advert, Ad—Panadol Range—Video Clip. From http://www.visit4ads.com/advert/Pain-Relief-with-Body-Respect-Panadol-Range/91500.

  • Vrecko, S. (2010). Birth of a Brain Disease: Science, the State and Addiction Neuropolitics. History of the Human Sciences, 23(4), 52–67.

    Article  Google Scholar 

  • Wager, T. D., Atlas, L. Y., Lindquist, M. A., Roy, M., Woo, C.-W., & Kross, E. (2013). An fMRI-Based Neurologic Signature of Physical Pain. New England Journal of Medicine, 368(15), 1388–1397.

    Article  Google Scholar 

  • Williams, S. J., Gabe, J., & Davis, P. (2009). Pharmaceuticals and Society: Critical Discourses and Debates. London: Wiley.

    Google Scholar 

  • Wolf, E. S. (2002). Treating the Self: Elements of Clinical Self Psychology. New York: Guilford Press.

    Google Scholar 

  • World Health Organization. (2014). WHO Definition of Health. Retrieved September 10, 2014, from http://www.who.int/about/definition/en/print.html.

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Dertadian, G.C. (2019). Problematizing Pain: Medical, Social and Commercial Approaches to Pain. In: A Fine Line. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-13-1975-4_4

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