Spousal perpetuation of chronic pain behavior

The literature reviewed here demonstrates that spousal response to pain display can reinforce and thereby perpetuate the patient's pain behavior. Relationships characterized as sick-role homeostatis reflect a nexus of behavioral contingencies which are highly resistant to treatment. Though such relationships could developde novo subsequent to accident or injury, modeling and familial effects in chronic pain suggest a rich personal and family history of chronic pain learning experiences. Spousal reinforcement of pain behavior is greater in satisfied relationships and tends to involve contingent attention and caring rather than assistance or taking over tasks and chores. As the vast majority of pain patients and spouses report being satisfied with their marriages, spousal involvement in chronic pain treatment is critical.