Psychiatric Understandings in Treatment


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Title Memo

As Fishbain in Wall & Melzack text. Summarize the supposed co-morbidity and his analysis of it. The critique/controversy over psychiatric diagnoses. Van Der Wolk's critique. The hobgoblin of psychosomatic pain.

Note Text: 330 Dismissive of depression

Patients with chronic pain often dismiss a depression diagnosis, stating that their depression is a "direct reaction" to their pain problem. Psychiatry has long debated a "reactive" form of depression caused by adverse life events and an endogenous form of depression caused by biological and genetic factors....Determin....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 400-401

Note Text: 343 Pain disorder

"Pain disorder" is the current psychiatric diagnosis that most closely corresponds to the concept of psychogenic pain....In DSM-II [1968] there was no specific diagnosis pertaining to pain. Painful conditions caused by emotional factors were considered part of the "psychophysiological disorders."...DSM-III [1980] intro....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 408

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Misfits between categories and experienced distress.


This page is incomplete. It displays memoes and/or notes.

Title Memo

Not sure what this was intended to be.

Note Text: 1354 Substance dependence and CPP

[DSM-IV diagnosis of "substance dependence" includes criteria that accompany medical use of opioids, so criteria are overly likely to classify CPPs as "substance dependent."]...so-called aberrant drug-related behavior (ADRB) is common in CPPs....

The prevalence of addiction in CPPs is subject to controversy.....

Fishbain, David A., "Psychiatric Pain-Associated Co-morbidities", Chapter 19 of McMahon et al. 2013, 2013, 275

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