Principles & Practice of Pain Medicine > Part III. Psychological Evaluation and Treatment of Chronic Pain >

Chapter 12. Psychological Aspects of Pain

Dennis C. Turk and Akiko Okifuji

Psychogenic Perspective

Topics Discussed:

pain; pain disorder associated with both psychological factors and a general medical condition; pain disorder associated with psychological factors.

Excerpt:

"It is important to realize that determination of whether the reported pain is disproportionate is subjective. There is no objective way to determine how much pain is proportionate. How much should a given amount of tissue pathology hurt? Similarly, determination of appropriate treatment is not totally objective. Different health care providers might recommend widely different treatments for patients with the same presenting symptoms. For example, treatments for patients with temporomandibular disorders range from surgery to psychotherapy...."

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