One of the most critical issues in health care today—chronic pain—affects 34 million people. Causing untold suffering, pain also carries an enormous price tag for medical expense and lost income and productivity.
This succinct and expertly written volume offers the most current thinking on pain assessment and management. As effective pain management begins with thorough assessment, so does this book, by presenting biomedical, conceptual, and biopsychosocial models. Although patients present a daunting array of idiosyncratic symptoms, clinicians are reassured that numerous viable strategies exist for tailoring treatment to the individual: pharmacologic, anesthetic, neuro-stimulatory, physiatric, surgical, psychological, and complementary. The importance of approaching pain as a multivariate syndrome is cogently emphasized in a review and analysis of psychogenic pain, an enigmatic form for which the biopsychosocial model is especially efficacious.
In a uniquely formatted and practical chapter, readers accompany experts on "pain rounds," visiting patients with four common syndromes: lower back pain, neuropathic pain, migraine, and fibromyalgia. From initial consultation to case conference, diverse specialists offer professional opinions on evaluation, treatment, and difficulties that are likely to be encountered. The chapter is an elegant and useful demonstration of the multimodal approach.
As this volume attests, researchers have successfully unraveled the complex physiology of pain. Now, with this book, clinicians have management models that rightly move beyond a view of pain as simply a mind-body, sensory-neural phenomenon.
Foreword. Pain: definition and assessment. Pain management: pharmacological and nonpharmacological treatments. Psychogenic models of chronic pain. Pain rounds: the experts comment. Afterword. Index.
"Psychiatrists are confronted with pain in many of their patients, often as the chief complaint, including headache, back pain, fibromyalgia, and chronic pelvic pain. This book combines a superb comprehensive yet concise, up-to-date review of pain—its definitions, classification, principles of assessment, and pharmacological and nonpharmocological treatment—with a critical analysis of models of psychogenic pain. But there's more: a multidisciplinary panel of expert clinicians provides lively commentary on detailed case histories of challenging patients with pain and psychopathology."—James L. Levenson, M.D., Professor of Psychiatry, Med, and Surgery, Chairman, Div of Consultation-Liaison Psychiatry, Vice-Chair, Dept of Psychiatry, Med Col of Virginia/Virginia Commonwealth Univ
"Pain is a biopsychosocial phenomenon. As physicians, it is essential for psychiatrists to understand proper diagnosis and management of pain syndromes. Pain: What Psychiatrists Need to Know offers a clear and comprehensive review of current treatments for both acute and chronic pain states. This volume should be on the shelves of all psychiatric physicians."—Thomas N. Wise, M.D., Professor of Psychiatry, The Johns Hopkins School of Medicine, Baltimore, Maryland
Mary Jane Massie, M.D., is Attending Psychiatrist and Director of the Barbara White Fishman Center for Psychological Counseling in the Memorial Sloan-Kettering Cancer Center and Professor of Clinical Psychiatry at the Joan and Sanford I. Weill Medical College of Cornell University in New York, New York.