Handbook of Pain Syndromes: Biopsychosocial Perspectives

By Andrew R. Block; Edwin F. Kremer et al. | Go to book overview
Save to active project

Chapter 7
A Framework for Conceptualization and Assessment of Affective Disturbance in Pain

Ephrem Fernandez
Southern Methodist University

Timothy S. Clark
Baylor Center for Pain Management

David Rudick-Davis
Psychologist in Private Practice-- Dallas, Texas

Though pain is commonly described in terms of its physical properties (such as location, depth, and sensation), it also encompasses an emotional quality, all pain being intrinsically aversive. The Aristotelian position placed pain outside the senses and among the passions of the soul. In recent times, pain has continued to be equated with affect ( Szasz, 1957). Von Frey ( 1895), on the other hand, considered affect as a secondary reaction to pain. Beecher ( 1957) was inclined to place affect under the reactive component of pain. Today, there is little dispute about the co-occurrence of affect and pain, and the International Association for the Study of Pain has formalized this into a definition of pain as always sensory and emotional. These dual defining features are depicted in Fig. 7.1 ( Fernandez, 1997). As shown, the boundaries between these two components are not rigid but fluid, thus reflecting reciprocal determinism; sensation influences affect and vice versa, and not necessarily in a proportional fashion. Furthermore, they function like parts of a whole: Reducing one has the capacity to reduce the whole directly or else indirectly through its effect on the countercomponent.

Surprisingly, little research has appeared on the affective as compared to the sensory aspects of pain. Yet, it is the affective component that is proximally responsible for help-seeking behavior and other attempts at adaptation ( Chapman, 1993). Besides, an adequate explanation of pain depends on an adequate theory of human emotions, said Buytendyck (as cited in Price, 1988). For an adequate theory of human emotions, we turn


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Handbook of Pain Syndromes: Biopsychosocial Perspectives
Table of contents

Table of contents



Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 692

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?