Chronic Pain, Enactivism, &amp; the Challenges of Integration

Coninx, Sabrina; Stilwell, Peter

doi:10.1007/978-3-031-39744-8_15

Cited by 3 publications

(2 citation statements)

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“…Several interpretations and applications of the biopsychosocial model have however been criticized 8 of 15 -CONINX for being overly biomedicalized and fragmented, failing to give sufficient attention to the relevance of psychological and social factors and their dynamic interaction with biological factors (Cormack et al, 2022;Mescouto et al, 2020;Ng et al, 2021;Stilwell & Harman, 2019). What seems needed is a stronger theoretical foundation regarding the relation between the involved factors to overcome these problems of the biopsychosocial model (Coninx & Stilwell, 2023). In this context, strong parallels can be drawn to more general discussions about the causation and maintenance of somatic and mental illnesses (Aftab & Nielsen, 2021;Benning, 2015;Bolton & Gillett, 2019;de Haan, 2020;Ghaemi, 2009;Lehman et al, 2017).…”

Section: Future Directions Of Interdisciplinary Researchmentioning

confidence: 99%

Pain Philosophy: Recent Debates and Future Challenges

Coninx

2024

Philosophy Compass

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In the last decades, pain has moved more and more into the foreground of philosophical discussion. Still, there exists substantial disagreement concerning the exact nature of pain. The paper provides an overview concerning central topics in recent pain philosophy, indicating remaining challenges and outlining promising directions for future research. Starting point is the assumption that broadly constructed pain episodes are composed of at least four paradigmatic components: (a) physiological disturbance, (b) phenomenal experience (sensory + affective), (c) action tendency, and (d) alteration in a broader mental network. On that basis, the paper first addresses the challenge to fathom which of these components provides the necessary and sufficient condition for an episode being a pain episode. This involves discussions on the folk concept of pain as well as the closer examination of dissociative cases in which some components are apparently absent. Second, the paper addresses the challenge to define how the relevant components relate to each other, for example, how closely the phenomenal experience of pain is bound to the presence of a particular physiological disturbance or action tendency. This debate takes place mainly in the context of strong intentionalist theories—indicative, evaluative, and imperative. Third, the paper argues for the future development of a research program that centrally resolves around the challenges that chronic pain poses. This focus may open stronger interdisciplinary connections to clinical research and practice and advance considerations on topics that have so far received insufficient attention in pain philosophy (e.g., pain‐related suffering).

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Section: Future Directions Of Interdisciplinary Researchmentioning

confidence: 99%

Pain Philosophy: Recent Debates and Future Challenges

Coninx

2024

Philosophy Compass

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“…And it cannot be because of evidence, because the current evidence for the efficacy of psychological management of pain is hardly any more convincing than the evidence for the manual therapies that psychological management claims to supersede. 7–8 And the reason is just as unlikely to be because physical therapists suddenly now want to give greater attention to individual, subjective understandings of the lived experience, 9–13 given that the methodologies these approaches demand cannot be addressed through randomized controlled trials and the manipulation of objective variables that are the currency of contemporary scientific health care. These approaches are also more time consuming and costly to deliver, which is exactly the opposite of what most governments and funders are calling for.…”

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confidence: 99%