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Why isn’t chronic pain just tissue damage?

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Chronic pain is an individual, more-than-physical experience; the authors oppose a Cartesian healthcare model with Husserlian intentionality and the lived person in pain.

Source

The phenomenological-existential comprehension of chronic pain: going beyond the standing healthcare models

Lima DD, Alves VL, Turato ER · Philosophy, ethics, and humanities in medicine : PEHM · 2014

doi.org/10.1186/1747-5341-9-2Read the full paper ↗14 citationscc by

Study at a glance

Design
Other — Phenomenological psychology critique of Cartesian biomedical models of chronic pain
N
Theoretical collaboration; not an empirical sample
Population
Health-science understandings of chronic pain versus lived pain experience
Outcome
Chronic pain as more-than-physical intentional experience of the lived person

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

A theoretical collaboration from phenomenological psychology critiques how health sciences understand chronic pain and proposes seeing the individual against the Cartesian model, using Husserl’s intentionality.

What they found

Pain today is treated as a sum of physical and psychological parts, but the biomedical paradigm still cannot grasp it as lived. Care should work with the lived experience of the person in pain, not only nociception.

The limits

What it doesn't show

This is a theoretical essay, not a new pain trial or prevalence study. Economic remarks in the paper are not independently verified here.

Key terms

Biomedical paradigm
A model that treats chronic pain as if it were exhausted by physical (and maybe add-on psychological) mechanisms.
Lived experience of pain
Pain as it is undergone by a person, not as a detached tissue event.
Cartesian model
Mind/body split the authors want to replace with an intentional, embodied individual.
Intentionality
Husserl’s claim that consciousness is always consciousness of something — used here against a thing-like pain object.

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See its role on concept claims, tensions it is part of, placement history, and related discoveries.

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Chronic pain on the biomedical paradigm?

Common questions

Why not only biomedicine?

Chronic pain is an individual experience with more than physical aspects.

What do they propose?

A way of seeing the individual opposed to the Cartesian model.

What should teams work with?

The lived experience of the person in pain.

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