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Review
. 2018 Mar 5;3(2):e634.
doi: 10.1097/PR9.0000000000000634. eCollection 2018 Mar.

Reconsidering the International Association for the Study of Pain definition of pain

Milton Cohen  1 , John Quintner  2 , Simon van Rysewyk  3
Affiliations
Review

Reconsidering the International Association for the Study of Pain definition of pain

Milton Cohen et al. Pain Rep. .

Abstract

Introduction: The definition of pain promulgated by the International Association for the Study of Pain (IASP) is widely accepted as a pragmatic characterisation of that human experience. Although the Notes that accompany it characterise pain as "always subjective," the IASP definition itself fails to sufficiently integrate phenomenological aspects of pain.

Methods: This essay reviews the historical development of the IASP definition, and the commentaries and suggested modifications to it over almost 40 years. Common factors of pain experience identified in phenomenological studies are described, together with theoretical insights from philosophy and biology.

Results: A fuller understanding of the pain experience and of the clinical care of those experiencing pain is achievable through greater attention to the phenomenology of pain, the social "intersubjective space" in which pain occurs, and the limitations of language.

Conclusion: Based on these results, a revised definition of pain is offered: Pain is a mutually recognizable somatic experience that reflects a person's apprehension of threat to their bodily or existential integrity.

Keywords: Definition of pain.

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Conflict of interest statement

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

References

    1. Anand KJS, Craig KD. New perspectives on the definition of pain. PAIN 1996;67:3–6. - PubMed
    1. Aydede M. Defending the IASP definition of pain. The Monist 2017;4:1–31.
    1. Bartlett MS, Littlewort GC, Frank MG, Lee K. Automatic decoding of facial movements reveals deceptive pain expression. Curr Biol 2014;24:738–43. - PMC - PubMed
    1. Blair G, Spivak GC. The negotiation of the third space. Eye Mind IDSVA J Phil Aesth Art Theory 2014;2, Available at: http://www.elputnam.com/eyemind/Blair.htm. Accessed December 12, 2015.
    1. Bourke J. The art of medicine: languages of pain. Lancet 2012;379:2420–1. - PMC - PubMed

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