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The definition of pain

Published online by Cambridge University Press:  16 April 2020

H Merskey
H Merskey*
Affiliation:
University of Western Ontario, London Psychiatric Hospital, 850 Highbury Avenue, PO Box 2532, London, Ontario, N6A 4H1, Canada

Summary

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What we ordinarily call pain can arise either as a consequence of physical events or as a result of psychological processes. Both situations can be covered in one definition by treating pain as a word which applies only to subjective experience and not to nociception or to physiological processes. A definition of pain, framed in this fashion by the subcommittee on taxonomy of the International Association for the Study of Pain (IASP), was adopted by the IASP in 1979 and has been widely accepted since that date. Behavioural phenomena should not be confused with this definition. It implies a monistic view of the experience of pain and it is inappropriate to encumber it with concepts of “pain behaviour”. At the same time dual or multiple causes of pain are recognized. Thus physical causes, psychological causes or both may produce the unitary experience.

Keywords

painmeaningconceptdefinition
Type
Editorial
Information
European Psychiatry , Volume 6 , Issue 4 , 1991 , pp. 153 - 159
Copyright
Copyright © Elsevier, Paris 1991

References

Aquinas St, Thomas (1914) Summa Theologica. Part II, Treatise on Human Acts (Dominican Fathers, trans), Burns, Oates and Washbourne, London, XXXII, XXXVGoogle Scholar
Beecher, HK (1959) Measurement of Subjective Responses. Quantitative Effects of Drugs Oxford University Press, NYGoogle Scholar
Behan, RJ (1914) Pain. Its Origin, Conduction, Perception and Diagnostic Significance Appleton, NYGoogle Scholar
Bishop, GH (1946) Neural mechanisms of cutaneous sense Physiol Rev 26, 77–102CrossRefGoogle ScholarPubMed
Devine, RMerskey, H (1965) The description of pain in psychiatric and general medical patients J Psychosom Res 9, 311–316CrossRefGoogle ScholarPubMed
Ellis, H (1898) Studies in the Psychology of Sex Random House, NY, 1936 ppGoogle Scholar
Gardiner, PL (1964) Pain and evil Proc Aristot Soc (suppl) 38, 107–124Google Scholar
Goodhart, SPSavitsky, N (1933) Self-mutilation in chronic encephalitis Am J Med Sci 185, 674–683CrossRefGoogle Scholar
Hall, KRL (1953) Studies of cutaneous pain: a survey of research since 1940 Br J Psychol 44, 281–294Google ScholarPubMed
Hardy, JDWolf, HGGoodell, H (1952) Pain Sensations and Reactions Williams and Wilkins, Baltimore, MDGoogle Scholar
Hare, RM (1964) Pain and evil Proc Aristot Soc (suppl) 38, 91–106CrossRefGoogle Scholar
Holmes, G (1950) Some clinical aspects of painIn: Pain and Its Problems (Ogilvie, HThomson, WAR, eds) Eyre and Spottiswoode, LondonGoogle Scholar
International Association for the Study of Pain (1979) Pain terms: a list with definitions and notes on usage. Recommended by an IASP subcommittee on taxonomy Pain 6, 249–252Google Scholar
Jaspers, K (1963) General Psychopathology (Hoenig, JHamilton, MW, transl), Manchester, Manchester University Press, 7th ednGoogle Scholar
Keele, CA (1962) Adendum. In: The Assessment of Pain in Man and Animals (Keele, CASmith, R, eds) Universities Federation for Animal Welfare: distributed by E and S Livingstone, London, 41–42Google Scholar
Krafft-Ebing, R von (1965) Psychopathia Sexualis: A Medico-Forensic Study (Wedeck, HE, transl). GP Putman, NYGoogle Scholar
Kolb, LC (1954) The Painful Phantom. Psychology, Physiology and Treatment Charles C, Thomas, Springfield, ILGoogle Scholar
Leavitt, FGarron, DC (1979) Psychological disturbance and pain report differences in both organic and nonorganic low back pain patients Pain 7, 187–195CrossRefGoogle Scholar
Lewis, T (1942) Pain Macmillan, LondonGoogle Scholar
Lhermitte, J (1957) Les algo-hallucinoses: les hallucinations de la douleurIn: La Douleur et Les Douleurs (Alajouanine, T, ed) Masson, ParisGoogle Scholar
Livingston, WK (1943) Pain Mechanisms: a Physiologic Interpretation ofCausalgia and its Related States Macmillan, LondonGoogle Scholar
Marshall, HR (1889) The classification of pleasure and pain Mind 14, 511–536CrossRefGoogle Scholar
Medvei, VC (1949) The Mental and Physical Effects of Pain E and S Livingstone, EdinburghGoogle Scholar
Melzack, R (1975) The McGill Pain Questionnaire: major properties and scoring methods Pain 1, 277–299CrossRefGoogle ScholarPubMed
Melzack, RWall, PDTy, TC (1982) Acute pain in an emergency clinic: latency of onset and descriptor patterns related to different injuries Pain 14, 33–43CrossRefGoogle Scholar
Merskey, H (1964) An investigation of pain in psychological illness DM thesis, OxfordGoogle Scholar
Merskey, H (1965) The characteristics of persistent pain in psychological illness, J Psychosom Res 9, 291–298CrossRefGoogle Scholar
Merskey, HSpear, FG (1967a) Pain: Psychological and Psychiatric Aspects Bailliere, Tindall and Cassell, LondonGoogle Scholar
Merskey, HSpear, FG (1967b) The concept of pain Proc 10th Annu ConfSoc Psychosom Res Psychosom Res 11, 59–67Google Scholar
Montaigne, ME de (1580) Essais (Le Clerc, JV, ed) Garnier Frères, Paris (1865). Book I, ch 40, 374–375, Essais (Trechmann, EJ, transl) Oxford University Press (1927). Book I, ch 14 (NB: in some editions, ch 14 and 40 are transposed)Google Scholar
Strong, CA (1985) The psychology of pain Psychol Rev 2, 329–347CrossRefGoogle Scholar
Szasz, TS (1957) Pain and Pleasure. A Study of Bodily Feelings Tavistock Publ, LondonGoogle Scholar
Watson, GDChandarana, PCMerskey, H (1981) Relationships between pain and schizophrenia Br J Psychiatry 138, 33–36CrossRefGoogle Scholar
Wolff, HG (1943) Discussion of the relation of attitude and suggestion to the perception of and reaction to pain. In: Proc Ass Res Nerv Ment Dis (Wolf, HGGoodbell, H, eds) Williams and Wilkins, Baltimore, MD, 23, 447Google Scholar
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