Biocultural Dimensions of Chronic Pain: Implications for Treatment of Multi-Ethnic Populations

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SUNY Press, 1996 - Medical - 205 pages
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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.
 

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Contents

Worlds of Pain
1
Chronic Pain Theories and Research and Treatment Approaches
7
A New England Study of Cultural Influences on the Chronic Pain Experience
25
Variations in Reported Pain Intensity in the New England Population
43
Inter and IntraEthnicGroup Variations in Pain Responses in the New England Population
59
The Puerto Rican Study
99
Comparisons of Puerto Ricans with New England Latinos and Anglo Americans
121
Summary and Conclusions
135
English and Spanish McGill Pain Questionnaires
161
English Ethnicity and Pain Questionnaire
165
Spanish Ethnicity and Pain Survey and Ethnicity and Pain Questionnaire
169
Pain Control Center Questionnaire
175
Supplemental Statistical Tables
179
Glossary
185
References
189
Index
201

English Ethnicity and Pain Survey
159

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Page 196 - Pain terms: a list with definitions and notes on usage. Recommended by the IASP subcommittee on taxonomy.

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About the author (1996)

Maryann S. Bates is Assistant Professor, Division of Human Development, School of Education and Human Development at the State University of New York at Binghamton.

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