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

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Overview

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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Product Details

Table of Contents

List of Tables
List of Figures
Introduction
1 Worlds of Pain 1
2 Chronic Pain: Theories and Research and Treatment Approaches 7
3 A New England Study of Cultural Influences on the Chronic Pain Experience 25
4 Variations in Reported Pain Intensity in the New England Population 43
5 Inter- and Intra-Ethnic-Group Variations in Pain Responses in the New England Population 59
6 The Puerto Rican Study 99
7 Comparisons of Puerto Ricans with New England Latinos and Anglo Americans 121
8 Summary and Conclusions 135
Appendix A: English Ethnicity and Pain Survey 159
Appendix B: English and Spanish McGill Pain Questionnaires 161
Appendix C: English Ethnicity and Pain Questionnaire 165
Appendix D: Spanish Ethnicity and Pain Survey and Ethnicity and Pain Questionnaire 169
Appendix E: Pain Control Center Questionnaire 175
Appendix F: Supplemental Statistical Tables 179
Glossary 185
References 189
Index 201
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