Learning from Physical Pain to Help with the Management of Emotional Pain

There may be important similarities between chronic emotional pain and chronic physical pain. Both forms of chronic pain may promote negative beliefs about the self and the future. Chronic emotional pain and chronic physical pain both serve to disrupt patients’ focus from their actions and goals. Techniques used for the treatment of physical pain may be translated into the treatment of emotional pain. Four core strategies are reviewed including: (1) reducing catastrophic interpretations, (2) increasing tolerance by promoting acceptance, (3) cultivating positive expectations, and (4) remaining flexible in movements and attitudes. Patients can learn to tolerate limitations while pursuing their goals. Clinicians can help patients to reduce emotional pain by making a series of small changes in their thoughts and behavior.     

Pain Sensitivity: An Unnatural History from 1800 to 1965

Who was truly capable of experiencing pain? In this article, I explore ideas about the distribution of bodily sensitivity in patients from the early nineteenth century to 1965 in Anglo-American societies. While certain patients were regarded as “truly hurting,” other patients’ distress could be disparaged or not even registered as being “real pain.” Such judgments had major effects on regimes of pain-alleviation. Indeed, it took until the late twentieth century for the routine underestimation of the sufferings of certain groups of people to be deemed scandalous. Often the categorizations were contradictory. For instance, the humble status of workers and immigrants meant that they were said to be insensitive to noxious stimuli; the profound inferiority of these same patients meant that they were especially likely to respond with “exaggerated” sensitivity. How did physicians hold such positions simultaneously? Pain-assignation claimed to be based on natural hierarchical schemas, but the great Chain of Feeling was more fluid than it seemed.     

Positive Traits Linked to Less Pain through Lower Pain Catastrophizing

The present study examined the association between positive traits, pain catastrophizing, and pain perceptions. We hypothesized that pain catastrophizing would mediate the relationship between positive traits and pain. First, participants (n = 114) completed the Trait Hope Scale, the Life Orientation Test-Revised, and the Pain Catastrophizing Scale. Participants then completed the experimental pain stimulus, a cold pressor task, by submerging their hand in a circulating water bath (0 °C) for as long as tolerable. Immediately following the task, participants completed the Short-Form McGill Pain Questionnaire (MPQ-SF). Pearson correlation found associations between hope and pain catastrophizing (r = −.41, p < .01) and MPQ-SF scores (r = −.20, p < .05). Optimism was significantly associated with pain catastrophizing (r = −.44, p < .01) and MPQ-SF scores (r = −.19, p < .05). Bootstrapping, a non-parametric resampling procedure, tested for mediation and supported our hypothesis that pain catastrophizing mediated the relationship between positive traits and MPQ-SF pain report. To our knowledge, this investigation is the first to establish that the protective link between positive traits and experimental pain operates through lower pain catastrophizing.     

肿瘤治疗:以人为本,从"过度"到"和谐"

肿瘤的综合治疗,以往过分注重疾病本身,强调彻底杀灭肿瘤的根治性疗法,必然会导致过度治疗.随着对肿瘤演变过程了解程度的提高和临床实践经验的总结,"肿瘤是一种慢性病"成为越来越多的人们的共识.对肿瘤细胞的镇压是必要的,但一定要适可而止,要让健康的细胞、组织、器官修养生息,实现机体与肿瘤的"和平共处",达到长期带瘤生存.     

Relation of Self-Efficacy to Reported Pain and Pain Medication Usage During Labor

We studied the relationship of self-efficacy to reported labor pain and pain medication usage among 43 women. Self-efficacy ratings were judgments of confidence regarding successful completion of tasks involved in labor and delivery (e.g., doing breathing exercises) and in overcoming barriers (e.g., nonsupportive partner). Multiple regression analyses revealed that self-efficacy significantly contributed to predicting labor pain beyond other relevant variables (e.g., age, amount of menstrual pain), with barrier self-efficacy the strongest predictor. Results are discussed in the context of increasing women's confidence in overcoming barriers by incorporating relevant interventions in childbirth education.     

感同身受的社会痛苦：来自神经影像学的证据

社会痛苦是指个体感觉到被渴望的社会关系排斥或者被重要他人和群体贬损时表现出的一种特定的负性情绪反应。对于社会痛苦的神经生理机制的探讨已成为当前研究的重点, 研究者主要从个体经历社会排斥、目睹他人被社会排斥(共情)时的神经活动来解释社会痛苦的神经生理机制。社会痛苦受到依恋、自尊等因素的影响。未来可从探讨社会痛苦在不同年龄阶段的神经机制和探索社会痛苦与人格障碍之间的关系两个方面展开进一步的探究。     

美洲上空的龙——从奥尔梅克到阿兹特克的宗教

一般认为原始的墨西哥宗教是由美洲虎神所统治的。但是美国宗教史学家卡尔·卢柯特教授通过他深入的研究,将拉本塔奥尔梅克文明的铺贴面像倒置过来进行观察,认定它们是一种代表南美洲响尾蛇的镶嵌雕塑。这样一来,由美洲虎神所统治的墨西哥宗教就被农业文明中的大地雨龙所重新定位。     

Self-Criticism Impacts Emotional Responses to Pain

Nonsuicidal self-injury (NSSI) is associated with numerous negative outcomes (e.g., suicide attempts), making it a focus of great clinical concern. Yet, mechanisms reinforcing NSSI remain unclear. The benefits and barriers model proposes that NSSI engagement is determined by both benefits of and barriers to NSSI. Benefits include mood improvement, a function reported by most who engage in NSSI; barriers include a desire to avoid pain and bodily harm. Self-criticism is generally understood as a trait lowering desire to avoid pain and bodily harm, thus decreasing that specific barrier. However, recent research demonstrated that self-criticism may also increase NSSI benefits. Highly self-critical people may view NSSI and pain in the context of feeling deserving of pain and punishment—thus, pain may improve mood for self-critical individuals. We tested whether self-criticism impacted emotional responding to pain among adult females with (n = 44) and without (n = 65) NSSI histories. After a negative mood induction, participants rated their moods before, during, and after self-administered pain. In participants with and without NSSI histories, self-criticism was positively correlated with mood improvements during pain. Thus, regardless of NSSI history, self-criticism impacted emotional responses to pain. Together, results suggest that self-criticism may not only decrease an important NSSI barrier but also enhance NSSI benefits, specifically leading to more mood improvement during pain.     

Behavioral Approaches to Low Back Pain

Abstract

A review of the literature shows that low back pain is a perplexing disorder which is prevalent and costly. Further, treatments based on the medical model often fail because an accurate diagnosis of organic abnormalities cannot be made. However, two behavioral approaches are examined which are based on psychological rather than organic processes. First, the “muscle relaxation” method contends that low back pain results from muscle contraction. Consequently, learned muscle relaxation is deemed at the best method of alleviating the pain. The second treatment considers pain to be a set of overt responses which are maintained by the prevailing reinforcement contingencies. Treatment is therefore centered on altering the contingencies to extinguish pain behaviors and to reinforce other behaviors. While conclusive evidence is not available, these two behavioral approaches seem to be positive alternatives to medical approaches. However, additional systematic studies are badly needed to clarify the efficiency of these treatments.     

Passing behavior on two-lane highways

Two-lane highways make up a substantial proportion of the road network in most of the world. Passing is among the most significant driving behaviors on two-lane highways. It substantially impacts the highway performance. Despite the importance of the problem, few studies attempted to model passing behavior. In this research, a model that attempts to capture both drivers’ desire to pass and their gap acceptance decisions to complete a desired passing maneuver is developed and estimated using data on passing maneuvers collected with a driving simulator. Sixteen different scenarios were used in the experiment in order to capture the impact of factors related to the various vehicles involved, the road geometry and the driver characteristics in the model.A passing behavior model is developed that includes choices in two levels: the desire to pass and the decision whether or not to accept an available passing gap. The probability to complete a passing maneuver is modeled as the product of the probabilities of a positive decision on both these choices. The estimation results show that modeling the drivers’ desire to pass the vehicle in front has a statistically significant contribution in explaining their passing behavior. The two sub-models incorporate variables that capture the impact of the attributes of the specific passing gap that the driver evaluates and the relevant vehicles, the geometric characteristics of the road section and the driver characteristics and account for unobserved heterogeneity in the driver population.     

Generation to Generation: Passing on Religious and Spiritual Beliefs and Practices

Many families face difficulties in maintaining healthy relationships. Past research has identified that religious and/or spiritual beliefs and practices can enhance family well-being. Research has also shown that religious and/or beliefs and practices can shape the aging process. Yet there exists little information on the methods through which religious and/or spiritual beliefs are passed on to future generations. This study utilized Eriksonian conceptual ideas, and grounded theory methods to conduct interviews with 13 older adults on the process through which religious and/or spiritual beliefs are passed on to children and grandchildren. Ideas are discussed for practitioners based on study findings.     

A Cognitive-Behavioral Approach to Chronic Pain Management

More than one third of Americans suffer from recurring or persistent pain. Because this condition can result in depression, social isolation, disruption of intimate relationships, and prolonged disability, chronic pain sufferers may seek counseling. This article provides counselors with an introduction to the role of psychosocial processes in the experience of pain and offers assessment and intervention recommendations based on a cognitive-behavioral therapy approach to pain management.     

Pain assessment: state-of-the-art applications from the cognitive-behavioural perspective

This brief report highlights some basic issues in pain assessment. This serves to set the stage for the articles that are presented in this issue of the Behavioral Assessment section. Topics covered include an overview of the cognitive-behavioural perspective, consideration of important dimensions for assessment, and a summary of some of the key issues affecting the state-of-the-art. An overview of the articles that follow as well as future research directions are also presented.     

The Symbolic Power of Money: Reminders of Money Alter Social Distress and Physical Pain

ABSTRACT— People often get what they want from the social system, and that process is aided by social popularity or by having money. Money can thus possibly substitute for social acceptance in conferring the ability to obtain benefits from the social system. Moreover, past work has suggested that responses to physical pain and social distress share common underlying mechanisms. Six studies tested relationships among reminders of money, social exclusion, and physical pain. Interpersonal rejection and physical pain caused desire for money to increase. Handling money (compared with handling paper) reduced distress over social exclusion and diminished the physical pain of immersion in hot water. Being reminded of having spent money, however, intensified both social distress and physical pain.