Contemporary Issues in Chronic Pain Management by David P. Schwartz, Winston C. V. Parris (auth.), Winston C.

By David P. Schwartz, Winston C. V. Parris (auth.), Winston C. V. Parris (eds.)

PROFESSOR SIR KENNETH L. STUART soreness regulate has develop into one ofmedicine's such a lot quickly turning out to be disciplines, and Iwelcome the chance to write down this foreword to abook that Iam certain will make its personal precise contribution to advancing this self-discipline. My excitement in writing it's heightened through my delight within the incontrovertible fact that its editor used to be at one time an undergraduate pupil of mine on the collage of the West Indies in Jamaica. one of many uncertainties academics consistently face is they can by no means are expecting how their fees will end up. This uncertainty has been fortunately resolved. Dr. Parris' specialist profession has been marked via an identical commitment and dedication that characterised his undergraduate days and that in actual fact has been delivered to the training of this scholarly and sensible paintings. discomfort reliefhas been till lately acomparatively overlooked box. Its forget was resolute now not quite a bit through lack ofprofessional know-how ofits import­ ance yet in most cases simply because so little will be performed approximately it within the past.

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San Franscisco, Jossey-Bass. Sternbach RA, Tursky B. 1965. Ethnic differences among housewives in psychophysical and skin potential responses to electric shock. Psychophysiology 1:241-246. Lambert WE, Libman E, Poser G. 1960. The effect of increased salience of a membership group on pain tolerance. J Pers 38:350-357. Zola J. 1966. Culture and symptoms. An analogy of patients presenting complaints. Am Sociol Rev 31:615-620. Koopman C, EisenthaI S, Stoeckle JD. 1984. Ethnicity in the report of pain, emotional distress and requests of medical outpatients.

All three forms of activity could then influence motor mechanisms responsible for the complex pattern of overt responses that characterize pain. 2S CHRONIC AND ACUTE PAIN The time course of pain is profoundly important in determining its psychological effects on an organism. Acute pain, which is usually associated with a well-defined cause (such as a burned finger or a ruptured appendix), normally has a characteristic time course and vanishes after healing has occurred. The pain usually has a rapid onset - the phasic component - and the subsequent tonic component that persists for variable periods of time.

Basbaum AI, Marley NJE, O'Keefe J, Clanton CH. 1977. Reversal of morphine and stimulus produced analgesia by subtotal spinal cord lesions. Pain 3:43-56. 34. Melzack R, Loeser JD. 1978. Phantom body pain in paraplegics: Evidence for a central "pattern generating mechanism" for pain. PaiiJ 4:195-210. 35. Loeser JD, Ward AA. 1967. Some effects of deafferentation on neurons of the cat spinal cord. Arch Neurol 17:629-636. 36. Katz J, Melzack R. 1990. Pain "memories" in phantom limbs: Review and clinical observations.

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