By Stephen P. Tyrer (Eds.)
Geared toward those that paintings with people who be afflicted by power discomfort, this booklet is designed to let readers larger to evaluate and deal with the linked mental and psychiatric issues
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Extra info for Psychology, Psychiatry and Chronic Pain
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I n c h r o n i c p a i n m a n y of these a n x i e t y - o r s t r e s s - i n d u c i n g t h o u g h t s m a y b e p a i n related, b u t o t h e r daily hassles a n d life events will p r o d u c e s t r e s s - p r o d u c i n g t h o u g h t s . It c a n b e seen t h a t p a i n s e n s a t i o n itself t e n d s t o a u t o m a t i c a l l y c a u s e a physical r e a c t i o n ; it is like a u n i v e r s a l stressor, a n d s o c a u s e s g r e a t e r e m o t i o n a l i t y . U n f o r t u n a t e l y t h o s e w i t h a p r e m o r b i d t e n d e n c y t o s t r o n g e m o t i o n s will find t h e p a i n p u s h e s t h e m t o u n a c c e p t a b l e e m o t i o n a l levels in t h e a b s e n c e of o t h e r stressors.
P e n g u i n B o o k s , Harmondsworth P e n n e b a k e r , J. W . (1982) The Psychology of Physical Symptoms. SpringerVerlag, N e w Y o r k S t e r n b a c h , R. A. (1986) The Psychology of Pain. R a v e n P r e s s , N e w Y o r k W o r d e n , J. W . (1991) Grief Counselling and Grief Therapy. Routledge, London 4 Chronic pain problems and psychiatry H. Merskey and P. Chandarana T h e r e l a t i o n s h i p b e t w e e n p a i n a n d p s y c h o l o g i c a l factors h a s b e e n d e s c r i b e d in full in earlier c h a p t e r s .
T h e s e c o n d v a r i a n t of d e p r e s s i o n results from perceived loss (see p a i n e v a l u a t i o n d i m e n s i o n s ) , t h e p a i n affect t h e n is seen as p a r t of a n u n a v o i d a b l e b e r e a v e m e n t r e a c t i o n . T h e r e will be a p e r i o d of grieving for w h a t t h i n g s w e r e like, similar t o t h a t resulting from t h e loss of s o m e o n e close. T y p i c a l l y t h e r e a r e a variety of s t r o n g e m o t i o n s i n c l u d i n g a n g e r ( p r o b a b l y at t h e h e a l t h service), frustration, a n d d e p r e s s i o n w h i c h it w o u l d seem n e e d expressing o p e n l y to facilitate t h e b e r e a v e m e n t p r o c e s s ( W o r d e n , 1991).
