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Article ID: CBB121363856

A history of psychogenic pain and its relevance for chronic pain medical understanding (2018)

Arnaudo, Elisa (Author)

Mefisto: Rivista di medicina, filosofia, storia
Volume: 2
Issue: 1
Pages: 9-30

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Psychosomatic medicine Psychophysiology Medicine Psychology Medicine and society Clinical psychology Psychiatry Pain Hysteria 20th century 21st century

Chronic pain has been institutionally recognised as a disease in its own right even if a full acknowledgment of its pathological nature is still lacking. Even if it is well known that chronic pain is characterised by physiological, psychological and socio-cultural factors, the lack of a direct relationship between the pain and any organic damage often leads to psychogenic interpretations of the condition. These are grounded on the concept of psychogenic pain, i.e. pain of psychological origin. In this work, I present a historical overview of the concept of psychogenic pain in the psychiatric debate from the second half of the 20th century to date, in order to show that this entity does not identify a specific clinical entity but it is an umbrella term used to account for poorly medically understood conditions; a reflection on the potential harm of the use of this classification in chronic pain is also presented.

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