Rethinking Pain in Person-Centred Health Care Around Recovery : Around Recovery

This book explores how person-centred health care could be refined to help persons alleviate pain-related distress and construct pain as a potentially positive experience. __Rethinking Pain in Person-Centred Health Care__ is a fascinating contribution to the multidisciplinary literature on person-centred health care, pain and ethics. Traditionally, Western intellectual culture has downplayed the intuitive and emotional, promoting instead rational, natural-scientific perspectives. Applied to pain, an instrumental approach promotes the immediate and effective relief of pain, due to the widespread suffering and expense it can cause. However, different persons experience pain in different ways and Buetow moves beyond a commitment to eliminate pain to exploring how benefits of pain could include creating and managing meaning from pain. Rather than always looking to put pain behind them, persons may flourish by moving around pain, through pain, into pain and above pain. Buetow argues that this model depends on adopting a person-centred approach to health care, focusing less on the condition of pain and more on mobilizing the persons who present with, and manage, pain. This book will be of interest to professionals and academics/researchers in the fields of psychology and psychiatry who have a special interest in people with persistent pain conditions. It will also be an invaluable resource for physiotherapists, chronic pain consultants in secondary care and GPs. This book explores how person-centred health care could be refined to help persons alleviate pain-related distress and construct pain as a potentially positive experience. Cover 1 Half Title 2 Series Page 3 Title Page 4 Copyright Page 5 Dedication 6 Table of Contents 8 List of illustration 9 Acknowledgements 10 Chapter 1 Introduction 12 Paradoxes of pain 13 Taste 14 Qualifications 15 Person-centred pain management 17 Book structure 18 Conclusion 19 References 19 Part I The need for change 22 Chapter 2 Disenchantment with current pain management 24 Disenchantment 25 Therapeutic inertia 26 Pain epidemic 27 Persistent pain 28 Undertreatment 29 Overtreatment 34 Conclusion 36 References 37 Chapter 3 Clinicians come second 45 Burnout 45 Depersonalization 46 Culture 47 Rules and regulations 48 Organizational factors 48 Regarding pain in others 49 Dissent 50 Conclusion 50 References 51 Part II Person-centredness, meaning and unpleasantness 56 Chapter 4 Person-centred health care and pain 58 Personalized medicine 58 Biopsychosocial model 60 Patient-centred health care 60 Person-centred health care 61 Person-centred pain management 67 Conclusion 77 References 77 Chapter 5 Pain and meaning 82 Pain the protector 83 Pain the broker 85 Pain the dependent 86 Pain the teacher 88 Pain the gardener 89 Pain the redeemer 90 Pain the rhapsodist 91 Conclusion 92 References 92 Chapter 6 Pain and (un)pleasantness 96 Can “pain” not hurt? 97 Pleasantness and unpleasantness 98 Pleasure in pain management 103 Conclusion 105 References 106 Part III Moving forward 112 Chapter 7 Around pain: Constructing fuzzy realities 114 Ambience 114 Ambiopia 116 Ambiguity 118 Ambivalence 121 Conclusion 124 References 124 Chapter 8 Through pain: Bearing its load 130 Choice and acceptance 132 Reasons 133 Optimizing pass-through movement 133 Conclusion 136 References 136 Chapter 9 Into pain: Surfing the wave of enlivenment 141 Sensuality and eroticism 143 Love 144 Childbirth 144 Benign masochism 145 Application 147 Conclusion 148 References 148 Chapter 10 Above pain: Flying with Air Transcendence 152 True transcendence 154 Pseudo-transcendence 156 Beauty 157 Conclusion 159 References 159 Chapter 11 Implications for pain management 163 System change 163 Education 165 Communication 166 Care choices 168 Research 170 Conclusion 170 References 171 Index 176 Disenchantment; pain management; Clinicians; Person-centred health; Pain,meaning; (un)pleasantness; fuzzy realities; Implications Disenchantment,pain management,Clinicians,Person-centred health,Pain,meaning,(un)pleasantness,fuzzy realities,Implications "This book explores how person-centred health care could be refined to help persons alleviate pain-related distress and construct pain as a potentially positive experience. Rethinking Pain in Person centred Health Care is a fascinating contribution to the multidisciplinary literature on person-centred health care, pain and ethics"-- Provided by publisher