Chronic pain syndromes and other persistent functional somatic symptoms, 2020, Roenneburg et al

Andy

Andy

Retired committee member
Somatic symptoms including pain are everyday human experiences. They usually result from a complex interaction of stimuli, interpretation and reaction, and are not necessarily proportional to structural damage. Persistent functional somatic symptoms can be associated with a significant impairment of quality of life and functioning, even without mental or somatic comorbidity. Dysfunctional experiences, expectancies and behavior, not only by patients but also by physicians, can increase the risk of chronification. From the outset, management should be graded with respect to the severity and biopsychosocial aspects, with thorough but cautious diagnostics and with psychoeducative, active and coping-oriented treatment.
Click to expand...
Paywall, https://link.springer.com/article/10.1007/s00115-020-00917-w
Sci hub access to PDF (in German?), https://sci-hub.tw/https://link.springer.com/article/10.1007/s00115-020-00917-w
 
Arnie Pye said:
I do envy the people who write this garbage. They've clearly never experienced severe pain that goes on and on and on, that nobody believes in and for which no treatment is forthcoming. It must be nice to be in that situation.
Click to expand...
Yup. This thing where we would essentially need every physician to experience every disease in the book in order to understand them is a seriously lousy way of doing things.

It reminds me of the people who think it's no big deal to be waterboarded and that they could handle it easily since it doesn't do any damage. Those delusions usually last a whole handful of seconds. People who have never experienced genuine hardship and act as if it were them it would be easy to deal with: just don't think about it. Juvenile nonsense. This is how children think. And not particularly smart children at that. I mean no disrespect here, some people are just bad at their job and this kind of garbage published here is what it looks like.
Dysfunctional experiences, expectancies and behavior, not only by patients but also by physicians, can increase the risk of chronification
Click to expand...
I can't make sense of this. What the physician thinks or experiences can have an impact on making pain chronic in their patients? What the hell is this charlatanism and/or exactly how much drugs are these people taking? How does that even work with the known laws of the universe? Are we telepaths? Corrupting witches? The hell?
 
rvallee said:
I can't make sense of this. What the physician thinks or experiences can have an impact on making pain chronic in their patients?
Click to expand...
A version fitting better to the original may be (if it is not too clumsy):

The risk for chronification elevates through dysfunctional experiences, expectations and behaviours at the side of patients, but also through unfavourable behaviour coming from doctors.
Click to expand...
I think it involves the distinguishing of being affected through themselves or through others (coming from the one or another), and of taking it up as something, so making it.

And this then allows for the difference of unconsciously and consciously deeds, because what comes from yourself might be something unfavourable, but you make it favourable when you receive it, and living in a kind of lie. But you could change it. And this is the suggested entry of healing. Only that it doesn´t applie here.


Though also, that such (basically Freudian) theory is pretty difficult and not well elaborated, if you ask me. It should be also interesting that the English version is such more unclear, that the theory is not detectable. So probably they themselves apply something unconsciously but aren´t really aware what they are doing.
 
You must log in or register to reply here.
Back
Top Bottom