Author/Authors :
Nader, Nader Department of Anesthesiology - University at Buffalo - Buffalo - USA , Farzin, Haleh Tabriz University of Medical Sciences , Sakha, Hanieh Sociology Department - Tehran North Branch - Islamic Azad University, Tehran
Abstract :
Throughout history, pain theories have been supposed by biomedicine, especially regarding its diagnosis and
treatment aspects. Therefore, the feeling of pain is not only
personal experience and is affected by social background;
therefore, it involves extensive systems of signals.
The challenges in emotional and sentimental dimensions
of pain originate from scientific medicine (i.e., the
dominant theory is also referred to as the specificity theory);
however, this theory has acceptedsomealterations by
emerging physiology. Then, Von Frey suggested the theory
of cutaneous senses (i.e., Muller’s concept: the common
sensation of combined four major skin receptors leading
to a proper sensation), 50 years after the specificity theory.
The pain pathway was composed of spinothalamic tracts
and thalamus with an inhibitory effect of cortex. Pain is
referred to as a series of unique experiences with various
reasons and qualities. Despite the gate control theory, the
biological aspect overcomes the social aspect. Vrancken
provided a more extensive definition of pain and found
five approaches: The somatico-technical, dualistic bodyoriented,
behaviorist, phenomenological, and consciousness
approaches. TheWestem model combined physical, emotional, and
existential aspects of the human body. On the other hand,
Kotarba felt confused about the basic origins of chronic
pain. Freund demonstrated and argued with Durkhemian
about the sociological approach to emotions. Lynch provided
a piece of evidence about the correlation between
cardiovascular disease and emotionally life-threatening
occurrences. Helman supposed a distinction between private
and public pain.