The idea is that the colloquial descriptions people use to describe pain sensations could be linked reliably to the words and concepts doctors use to describe…
Ingenious Pain, a popular 1997 novel about an 18th century English man who did not feel pain, begins with an autopsy in a barn.
Rachel Katz, a philosopher of ethics at the University of Toronto, is making a related effort to find the philosophical foundations of pain. She thinks the standard 10-point scale of how doctors ask patients to quantify pain is inadequate to the task and “frustrating,” and so are all the pain management apps that track it.
The idea is that the colloquial descriptions people use to describe those sensations could be linked reliably to the words and concepts doctors use to describe pain, like somatic or neuropathic, acute or chronic.Article content Pain is trickier, though, because it involves subjective experience. But if you could do it for pain, you might be able to do it for other sensations like fatigue, anxiety or depression, all of which are presently tracked with clinical ten-point scales that are just as limited and coarse.
Intuitively, people tend to think of pain as the body’s fire alarm, as if there were a finely tuned evolutionary system for producing pain as an alert in response to some precise harmful stimulus. But this turns out to be simplistic. People feel pain with no understandable cause. They feel pain in limbs they no longer have. The placebo effect, still mysterious, is largely an effect on pain. Pain is susceptible to shifts in attention, to distraction, to counter-stimulation.
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