1991
DOI: 10.1111/j.2044-8341.1991.tb01643.x
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A semiotic perspective on chronic pain: Implications for the interaction between patient and physician

Abstract: A semiotic conceptualization of pain in the chronic pain syndrome is proposed. It is suggested that among chronic pain patients pain ceases to be an icon or an index and acquires a symbolic structure: this transformation interferes with the usual patient-physician relationship. The semiotic perspective on the structure of meaning in the chronic pain syndrome underlines the need to include a psychotherapeutic approach in the patient-physician relationship; specific aspects of the approach to chronic pain as a s… Show more

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Cited by 22 publications
(6 citation statements)
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“…Analysis of this data, incorporating responses to visual imagery revealed that the meanings and definitions of pain for both men and women were not confined to physical sensations, but included feelings and emotions, also spiritual and existential notions. Priel et al (1991) demonstrate how the patient in pain needs to find a meaning for their symptoms, even if it is 'dysfunctional'. Without such a meaning feelings of despair and isolation may develop.…”
Section: Discibsionmentioning
confidence: 99%
“…Analysis of this data, incorporating responses to visual imagery revealed that the meanings and definitions of pain for both men and women were not confined to physical sensations, but included feelings and emotions, also spiritual and existential notions. Priel et al (1991) demonstrate how the patient in pain needs to find a meaning for their symptoms, even if it is 'dysfunctional'. Without such a meaning feelings of despair and isolation may develop.…”
Section: Discibsionmentioning
confidence: 99%
“…Jak się okazuje, sensowność przeżywania bólu, nadanie sensu swoim doświadczeniom jest bardzo istotnym elementem tego doświadczania i interpretowania. Nawet jeśli te przekonania są destrukcyjne i z perspektywy lekarza niekorzystne dla procesu leczenia, pozwalają one zachować tożsamość jednostki (Priel i in. 1991, zob.…”
Section: Doświadczanie Bólu Chronicznegounclassified
“…En la FM, como en la histeria, resulta esencial atendender al valor simbólico y comunicacional del dolor y de la queja (46). Pero si carecemos de la complejidad conceptual que la histeria nos aporta, el sufrimiento de los afectados, el soportado por sus familiares y, especialmente, por sus parejas (47, 39) -y que, por otro lado, tampoco debería ser escuchado con ingenuidad (48)-, la crispación y frustración del médico y la desesperación y extenuación del paciente que se despliegan en el encuentro que tiene lugar en el escenario de la consulta (49)(50)(51)(52)(53)46), todo aquello que debe ser escuchado y comprendido y que nos permitirá, cuando menos, no dañar, quedará entre brumas.…”
Section: Aspectos Socialesunclassified