Lecture 1 Flashcards

1
Q

What is the relation of pain to psychology?

A

perception
emotion
strong motivator of behaviour

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2
Q

Pain affects

A

psychological health and well being

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3
Q

If you compare pain to other senses

A

weaker link between the stimulus and our perception of it

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4
Q

Henry Beecher

A

the placebo effect

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5
Q

people with __ refused narcotics more often than __

A

war wounds, injuries post-surgeries

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6
Q

what did Beecher conclude from this study

A

the reason was different psychological contexts, their pain thresholds were different and age couldve been a factor

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7
Q

what might have also affected Beechers study

A

time from when the injury occurred to when the question for the survey was asked. soldiers had to be evacuated whereas others were asked 4 hours post op

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8
Q

osteoarthritis

A

when joints narrow, and the tissue between the joints thins until the bones touch each other

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9
Q

osteoarthritis is not always

A

painful

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10
Q

pain and the conditions that cause pain can be

A

disassociated from each other

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11
Q

There is __ correlation between how bad your pain is and how bad your osteoarthritis is

A

NO

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12
Q

pain is the __ reason to seek healthcare

A

1

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13
Q

if you give surveys to people who have chronic diseases their number one concern is

A

whether their pain will be controlled

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14
Q

doctors are taught

A

that pain is not important because it can’t kill you; it is the symptom of a different disease or condition

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15
Q

lifetime prevalence of chornic pain is

A

1 in 2

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16
Q

the chance that you have chronic pain right now (point prevalence)

A

1 in 4

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17
Q

point prevalence can be affected by

A
  • people dying
    new cases being diagnosed
    people recovering from chronic pain
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18
Q

with severe pain men older than 51 whereas women over 51

A

tend to lose their friends whereas women tend not to

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19
Q

pain is comorbid with

A

sleep problems
anxiety
depression
cognitive issues
drowsiness
lack of energy

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20
Q

the direction of causation is usually

A

unclear but usually yes, it goes both directions and they both cause each other

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21
Q

people with chronic pain are more likely to be at risk for

A

suicidal thoughts, ideation, and attempts

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22
Q

Kaplan-Meier plot

A

starts at certain point, with everyone alive, and everytime someone dies, the line ticks down one and creates a curve to show the death rate over time

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23
Q

pain increases

24
Q

the top 3 causes of death are

A

cardiovascular disease
cancer
pulmonary disease

25
___ for headaches
14 billion
26
____ for back pain
200 billion
27
___ for arthritis
189 billion
28
pain costs more per year than
cancer, heart disease, and diabetes combined
29
pain was a direct punishment for
sin in the old testament: both adam and eve were kicked out of the garden of eden. even had extra punishment which from that point was why women were going to give birth in pain
30
in christianity
jesus' pain from dying on the cross was a redemption for our sins
31
the word pain comes from
poine/poena: the greek spirit of punishment
32
aristotle
pain is an emotion; like all emotions it lives in the heart
33
galen
pain is a sensation; like all sensations it lives in the brain
34
avicenna
pain is an independent sensation from touch or temperature
35
descartes
the first to talk about a pain pathway from the body to the brain
36
people have been talking about pain since almost
400 BCE
37
theodicy
the question of why god would permit evil in the world if god is good
38
the mind-body problem
issue of how is it possible that the body can produce the minds, and they the same or are they different
39
dual perspective on the mind-body problem
descartes; a soul lived in the body and when you died it left
40
monist perspective on the mind-body problem
the mind is a secretion of the brain- what the brain does, feeling as though it were a separate thing is an epiphenomenon
41
old definition of pain created
1979
42
old definition of pain
an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage
43
current hypothesis on masochists
they do find pain unpleasant; however pain is the only way for them to achieve sexual gratification so they make the trade
44
pain could be a stimulus but
the stimulus/response mismatch opposes this as well as sensitization vs habitutation
45
the intensity of the stimulus
does not predict the pain levels
46
the correlation between actual phsyical stimulus and the perceptual response is
really good in most sensations but in pain its reall bad
47
habituation
phenomenon whereby repeated continuous exposure to a stimulus decreases the subjective strength of the perception
48
all sensations habituate except
pain; the longer you are exposed to pain the less habituated you get to it the more pain you feel
49
much evidence shows that pain is processed in the same parts as
other emotions
50
pain could be a
drive state (homeostatic emotion)
51
a drive states demands
an action to restore homeostasis
52
what is the adequate stimulus for pain?
pungent natural compounds noxious cold heat environmental irritants inflammatory peptides noxious mechanical stimuli
53
why did they change the definition of pain
because things like phantom limb pain exist- meaning even though its healed it still hurts
54
the new definition of pain created in
2020
55
new definition of pain
an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage
56
what is pain not
not touch (somatosensation) which means anesthesia is not analgesia
57
analgesia
the inability to feel pain