Learned pain behaviour.
BMJPublished 4 January 1986Open access
Stephen Tyrer
Citations42
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Abstract
Learned pain behaviourPain is a symptom and does not necessarily indicate physical injury.While the relation between acute pain and tissue damage is close, patients with persistent pain who are referred to doctors often describe more pain than appears warranted from any pathological process that is present.These patients are usually described as suffering from psychogenic' or non-organic pain' and may be referred for psychiatric or psychological help.Some have clear evidence of psychiatric illness-in particular depression53-but in others pain may develop or persist independently of any mental illness.How does this occur?
Keywords
PsychologyMedicine
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The general principles formulated in this paper may be summarized as follows: What is experienced and reported as pain is a psychological phenomenon and disordered neural patterns originating in the periphery confer certain qualities on the pain experience that permit the physician to recognize their presence and hence make a presumptive diagnosis of an organic lesion.
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It is suggested that patients without either organic or psychological findings may be cases of undiagnosed organic disease.
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40 Citations2010A. Violon
Patients in both groups had suffered from early deprivation of physical gratification and pain itself started initially after a sequence of masked depression followed by dental or facial intervention in most atypical facial neuralgias, and by emotional stress in half of the patients with cluster headaches.