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Are pain and suffering just body vs mind?

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After dropping mind/body dualism, pain cannot stay ‘only physical’ and suffering ‘only psychological’; both are whole-person experiences shaped by attitude and culture.

Source

Conceptualizing suffering and pain

Bueno-Gómez N · Philosophy, ethics, and humanities in medicine : PEHM · 2017

doi.org/10.1186/s13010-017-0049-5Read the full paper ↗56 citationscc by

What they did

The authors start from the mind/body problem and the humanistic turn (Cassell, hospice, phenomenology). They criticise medicine’s Cartesian organisation, then propose a formal, non-essential, non-naturalistic conceptualisation of suffering and pain.

What they found

Suffering is an unpleasant or anguishing experience that can hit psychophysical and existential levels. Pain is also unpleasant and likewise affects the whole person. Attitude, choice, and social patterns matter, so the humanities belong in the account. Dualism’s collapse implies a paradigm shift in medicine.

The limits

What it doesn't show

This is conceptual, not a new pain trial. It does not operationalise a clinical scale. Cassell is a source, not re-measured.

Key terms

Mind/body dualism
The Cartesian split of thinking substance and extended substance that organised modern medicine.
Suffering
An unpleasant or anguishing experience that can affect someone psychophysically and existentially.
Pain
Also an unpleasant whole-person experience, not a merely bodily event.
Humanistic turn
Movements (hospice, phenomenology, narrative medicine) that challenged dualist clinical science.

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Quiz yourself

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Pain-only-physical is?

Common questions

Can we keep pain = body, suffering = mind?

No. Once dualism is questioned, that split is no longer acceptable.

What kind of definition do they offer?

Formal, non-essential, non-naturalistic — not a hidden essence in nature.

Who else is needed besides biomedicine?

Social sciences and humanities, because attitude and culture shape the experience.

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