Chronic pain as a human rights issue: setting an agenda for preventative action.

Journal: Global health action

Volume: 10

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  a Department of Psychiatry and Mental Health , University of Cape Town , Cape Town , South Africa. b Department of Psychology , Stellenbosch University , Stellenbosch , South Africa.

Abstract summary 

Historically, chronic pain has been viewed primarily as a medical issue, and research has been focused on the individual and predominantly on pain sufferers in high-income countries.This article argues the need for a broader understanding of the context of chronic pain and its complex aetiologies and maintenance. It is suggested that the interaction between chronic pain and social context has been inadequately explored.A single case study is used of a man living in a violent urban environment in South Africa accessing a pain clinic at a tertiary hospital. Following the case-study approach, as used in the chronic traumatic stress field by Kaminer et al., the case material is utilised to develop an argument for a new research agenda.Analysis of the case material demonstrates the complex interplay between bodily and psychological experiences, with chronic pain being contextually maintained and exacerbated by very difficult life circumstances, ongoing violence, and marginalisation.It is suggested that a research agenda be developed which explores the links between chronic pain and ongoing chronic traumatisation in contexts of continuous violence, oppression, and disempowerment - common features of much of the contemporary majority world.

Authors & Co-authors:  Frenkel Louise L Swartz Leslie L

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Hauser W, Wolfe F, Henningsen P, et al. Untying chronic pain: prevalence and societal burden of chronic pain stages in the general population – a cross-sectional survey. BMC Public Health. 2014;14:352.
Authors :  2
Identifiers
Doi : 1348691
SSN : 1654-9880
Study Population
Man
Mesh Terms
Adult
Other Terms
chronic pain;continuous traumatic stress;human rights;post-traumatic stress disorder
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States