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Biocultural Dimensions of Chronic Pain

Implications for Treatment of Multi-Ethnic Populations

Häftad, Engelska, 1995

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Based on qualitative and quantitative studies in the United States and Puerto Rico, this book demonstrates the significant effect of patients' and health care providers' ethnic and cultural backgrounds on chronic pain.Based on qualitative and quantitative studies in the United States and Puerto Rico, this book demonstrates the significant effects of patients' and health providers' ethnic and cultural backgrounds on the chronic pain experience. A biocultural model from medical anthropology is used to contribute to a better understanding of the interaction of biology and culture in human pain perception. In the studies described, the factors most often associated with successful adjustment to chronic pain are not biomedical but cultural, psychosocial, or the cultural, political, and economic contexts of medical care, compensation and rehabilitation. Truly multi-disciplinary chronic pain treatment programs must be staffed by providers knowledgeable in cultural relativity and cultural self-awareness and should integrate a cultural assessment with an individualized rehabilitation and biopsychosocial treatment plan for each patient.

Produktinformation

Utgivningsdatum1995-11-30
Mått149 x 228 x 14 mm
Vikt318 g
FormatHäftad
SpråkEngelska
SerieSUNY series in Medical Anthropology
Antal sidor205
FörlagState University of New York Press
ISBN9780791427361

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Antropologi inom Samhälle och politik

List of Tables List of Figures Introduction 1. Worlds of Pain 2. Chronic Pain: Theories and Research and Treatment Approaches 3. A New England Study of Cultural Influences on the Chronic Pain Experience 4. Variations in Reported Pain Intensity in the New England Population 5. Inter- and Intra-Ethnic-Group Variations in Pain Responses in the New England Population 6. The Puerto Rican Study 7. Comparisons of Puerto Ricans with New England Latinos and Anglo Americans 8. Summary and Conclusions Appendix A: English Ethnicity and Pain SurveyAppendix B: English and Spanish McGill Pain QuestionnairesAppendix C: English Ethnicity and Pain QuestionnaireAppendix D: Spanish Ethnicity and Pain Survey and Ethnicity and Pain QuestionnaireAppendix E: Pain Control Center QuestionnaireAppendix F: Supplemental Statistical Tables Glossary References Index

"What I like most about this book is that first it addresses an important issue: the role of ethnicity and culture in chronic pain.. Much of what Bates says also applies not only to chronic disease but virtually all types of disease. Second, the book is based on two major studies by the authors and her collaborators. Third, its use of quantitative methods is sound. Fourth, it successfully achieves a major goal of medical anthropology, that of bringing an anthropological approach to bear on clinical situations. Clinicians consulting this book will be impressed with the contributions an anthropological perspective can make to understanding health and disease. Fifth, the book deals adequately with the difficult issues of pain perception, intensity, and expression. Sixth, the examples of health care provider discrimination along ethnic lines are convincing, and finally, the discussion of workers' compensation problems is excellent." — Jean Jackson, Massachusetts Institute of Technology