Pain: The Science of Suffering

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Columbia University Press, 2000 - Medical - 184 pages
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Pain is one of medicine's greatest mysteries. When farmer John Mitson caught his hand in a baler, he cut off his trapped hand and carried it to a neighbor. "Sheer survival and logic" was how he described it. "And strangely, I didn't feel any pain". How can this be? We're taught that pain is a warning message to be heeded at all costs, yet it can switch off in the most agonizing circumstances or switch on for no apparent reason. Many scientists, philosophers, and laypeople imagine pain to operate like a rigid, simple signaling system, as if a particular injury generates a fixed amount of pain that simply gets transmitted to the brain; yet this mechanistic model is woefully lacking in the face of the surprising facts about what people and animals do and experience when their bodies are damaged.

Patrick Wall -- one of the world's foremost authorities on pain -- looks at these questions and sets his scientific account in a broad context, interweaving it with a wealth of fascinating and sometimes disturbing historical detail, such as famous characters who derived pleasure from pain, the unexpected reactions of injured people, the role of endorphins, and the power of placebo. He covers cures of pain, ranging from drugs and surgery, through relaxation techniques and exercise, to acupuncture, electrical nerve stimulation, and herbalism.

Pain involves our state of mind, our social mores and beliefs, and our personal experiences and expectations. Stepping beyond the famous neurologic gate-control theory for which he is known, Wall shows that pain is a matter of behavior and its manifestation differs among individuals, situations, and cultures. "The way we deal with pain is an expression ofindividuality".

 

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Pain: the science of suffering

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A British neuroscientist and physiologist who has written several books on pain, Wall provides a broad scientific account of the enigma of the brain and specifically its interpretation and use of pain ... Read full review

Contents

Private Pain and Pub1ic Disp1ay
1
The Phi1osophy of Pain
17
The Body Detects the Brain Reacts
31
The Who1e Body
47
A Norma1 Pain Response
59
Pain with Obvious Causes
79
Pain Without a Cause
93
How Treatments Work
107
The Placebo Response
125
Your Pain
141
Other Peop1es Pain
159
EPILOGUE
177
INDEX
179
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About the author (2000)

The late Patrick Wall was professor of physiology at St. Thomas's Hospital Medical School, London and a fellow of the Royal Society. His books include Defeating Pain, The Challenge of Pain, Natural Pain Relief, and Textbook of Pain.

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