Psychogenic Mechanism: A Crosssectional Study

The most widely used clinical classifications for pain are based on the inferred neurophysiologic mechanisms, temporal aspects, etiology, and region affected. Usually described as nociceptive or non-nociceptive, and by duration, either acute or chronic.

The psychological processes in the article include pain perception, and how we as humans perceive pain, how we react to it, and how we adapt to it. The article explains the pain signaling process and how pain can be amplified. For example, when we get pricked by a needle, a signal from our finger ascends through the spinal cord to reach parts of the brain. From there, we perceive pain, then we form a pain experience. Pain perception can be resulting from several factors such as the frequency of pain input, how sensitive the CNS is, How the body reacts after brain perceives and tries to send information to the injured area. A pain experience is when we have the urge to put a band aid on our injury, or be scared to get pricked from a needle again. However, each pain experience differs from one culture to the other, moreover, one person to the other. The article is conducting a research paper about pain and pain perception in different ethnic groups.

The perception of pain and the emotions that control intensity differ in individuals. Since feeling pain is somewhat adaptive, when one experiences it, he or she becomes aware of an injury and tries to remove oneself from the source that caused the injury. For this reason, pain is considered neuropathic or inflammatory in nature. Thus, when pain is the outcome from the damage caused to the neurons of the peripheral and central nervous system, then that pain is neuropathic. However, if the pain signals any kind of tissue damage, then the pain is inflammatory in nature. Due to various types of pain, the interpretation of pain by neurons and the source of that pain

Gertler clarifies that pain refers to the sensation and not the common cause, which is C-fibers firing in a specific area with tissue damage. (109) She asserts that pain is not essentially connected to tissue damage of a particular location, indicating to me inadequate understanding of the concept. If one pinches one's arm, though the sensation of pain may not be necessarily located in the arm, I contend that the pain felt is relevantly connected to the location pinched. Gertler provides the alleviating effect of painkillers as an example of a non-essential feature of pain. (117) Location is unlike this property, however, and is essential in conceptualizing pain. For instance, even an amputee, who had a leg removed and experiences a phantom leg-pain, is unable to describe the sensation they feel without making reference to a specific body part. Whether or not the pain is actually “located” anywhere is irrelevant, it matters only that the pain is conceptualized as having a location. Our understanding of pain relies fundamentally on where the pain is thought to be “located.” The fact that it is impossible to conceive of pain without reference to the “location” of the sensation proves that location is an essential feature of

Pain can be categorized as acute or chronic pain. Chronic pain is described as pain that is both long-term and continuous, or is pain that persists after the expected healing time following an injury (British Pain Society, n.d.) Acute pain can provide a warning signal that an illness or injury has occurred. It is defined as pain that lasts less than three months and lessens with healing (Briggs, 2010). Acute pain can then be described in more detail by the following categories; somatic, visceral and neuropathic pain. Somatic pain is a localized pain described as sharp, burning, dull, aching or cramping. It is seen with incisional pain and orthopedic injuries or procedures. Visceral pain refers to an injury to the organs and linings of the body cavities. It produces diffuse pain and can be described as splitting, sharp or stabbing. This is pain that be described from patients with appendicitis, pancreatitis or intestinal injuries and illnesses. Injuries to the nerve fibers, spinal cord and central nervous system cause neuropathic pain. This pain can be described as shooting, burning, fiery, sharp, and as a painful numbness. This can be seen after an

First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.

“Pain is much more than a physical sensation caused by a specific stimulus. An individual's perception of pain has important affective (emotional), cognitive, behavioral, and sensory components that are shaped by past experience, culture, and situational factors. The nature of the stimulus for pain can be physical, psychological, or a combination of both.” (Potter, Perry, Stockert, Hall, & Peterson, 2014 p. 141) As stated by Potter et al, the different natures of pain are dealt with differently depending on many factors. Knowing this, treating pain can be very difficult as there is no single or clear cut way of measuring it; “Even though the assessment and treatment of pain is a universally important health care issue,

To most people, pain is a nuisance, but to others pain controls their life. The feeling discomforts us in ways that can sometimes seem almost imaginable. These feelings can lead to many different side effects if not dealt with or diagnosed. These effects can include depression, anxiety, and incredible amount of stress. The truth about pain is that it is vital to our existence. Without the nervous system responding to pain, we would have no idea if we were touching a hot stove, being stuck by a porcupine’s needles, or something else that could leave a lasting effect upon our bodies without us even knowing anything about it.

To most people, pain is a nuisance. But to others, pain controls their life. The feeling discomforts us in ways that can sometimes seem almost imaginable. These feelings can lead to many different side effects if not dealt with or diagnosed. These effects can include depression, anxiety, and incredible amounts of stress. The truth about pain is that it is vital to our existence. Without the nervous system responding to pain, we would have no idea if we were touching a hot stove, being stuck by a porcupine's needles, or something else that could leave a lasting effect upon our bodies without us even knowing anything about it. This warning system helps to alert us when there is

Pain perception can be less than might be expected from the extent of a physical injury. This was proven by a scientist called Susana Bantick, Oxford University, and colleagues who carried out a study on the influence of attention distracting pain processing (Bantick et al, 2002). During the experiment, brain processing was measured by measuring brain activity using fMRI. Participants rated pain from 1-10 when noxious heat stimulus was applied to their hand in the scanner. She then followed the same process but gave them a task which required cognitive processing; reducing the amount of focused attention on pain. Bantick, therefore, showed attention distraction can reduce the amount of pain perceived by the individual, also pain processing to the brain was reduced. This provides vital evidence that pain perception does not just depend on the injury alone.

“Acute pain is short term and self-limiting, often follows a predictable trajectory, and dissipates after an injury heals” (Jarvis, 2012). In contrast, “chronic (persistent) pain is diagnosed when the pain continues for 6 months or longer. It can last 5, 15, or 20 years and beyond” (Jarvis, 2012). “Chronic pain does not stop when the injury heals. It persists after the predicted trajectory. It outlasts its protective purpose, and the level of pain intensity does not correspond with the physical findings” (Jarvis,

The major concepts of this theory are defined theoretically since the use of these definitions is from a broader theoretic concept. Therefore, an operational concept could be developed from them. There is consistency in the use of these concepts throughout the theory of acute pain management with examples given using the same language as well as maintaining the integrity of the concepts.

Pain is something that connects all of us. From birth to death we can identify with each other the idea and arguably the perception of it. We all know we experience it, but what is more important is how we all perceive it. It is known that there are people out there with a ‘high’ pain tolerance and there are also ones out there with a ‘low’ pain tolerance, but what is different between them? We also know that pain is an objective response to certain stimuli, there are neurons that sense and feel pain and there are nerve impulses that send these “painful” messages to the brain. What we don’t know is where the pain

Based on the duration of persistence, pain is often divided into two broad categories as mentioned below.

been by a paralyzed inability to except the painful sense of loss (Jamil, 2009). The pretense of