DOI: https://doi.org/10.17072/2078-7898/2020-4-579-595

Modeling the subject areas of psychological research on pain

Alexey I. Chuloshnikov
Assistant Lecturer of the Department of General and Clinical Psychology

Perm State University,
15, Bukirev st., Perm, 614990, Russia;
e-mail: sintekatzy@rambler.ru
ORCID: https://orcid.org/0000-0003-1891-4305

The article is devoted to the description and justification of the author’s model representing possible demarcation of subject areas in psychological and non-psychological studies of the phenomenon of pain. In the first part of the paper, the deficiencies of existing approaches to the study and explanation of pain are analyzed, and the need for rethinking the existing biopsychosocial approach is indicated, which can be done based on the understanding of pain as a phenomenon of mental reflection. As prerequisites for solving and concretizing these problems, we briefly analyze the historically established non-psychological areas of the pain study (physiological, algometric, and humanities-based), within which we identify the main issues and statements about the nature of pain (particularly as a phenomenon of the subjective world). These issues are considered in a more specific form on the basis of methodological difficulties in psychological research on pain. The main questions are formulated, including the following: the relation of the objective basis of pain to the subjective experience; determination of the subject area of psychological research into pain; determination of the categorical status of pain and its relation to other phenomena of the psyche, to the categories of «subject», «personality». In the second part of the article, based on the indicated theoretical and empirical assumptions, a graphical model illustrating potential subject areas of psychological and non-psychological research is derived. The model reflects the place of various pain phenomena within a single selection process, and the exclusion of the information necessary to reflect and regulate the interaction of an organism and a destructive agent at the physiological, mental (direct behavioral regulation), and sociopsychological levels (socially-mediated regulation). In accordance with the levels of ‘pain’ regulation and reflection, we formulate the following: hypothetical scope of the pain concept (the narrow and broad definition); subject areas and their specifics; possible determinants that represent their phenomenology; possible hierarchical relationships of pain reflection levels. The paper also provides an outline of a hypothetical mechanism that connects the process of selecting pain experiences (the content of the subjective picture of pain) to the individual personality characteristics of the subject experiencing pain.

Keywords: pain, pain experience, biopsychosocial approach, psychology of pain, subjective representation of pain.

References

Baliki, M.N., Geha, P.Y., and Apkarian, A.V. (2009). Parsing pain perception between nociceptive representation and magnitude estimation. Journal of Neurophysiology. Vol. 101, iss. 2, pp. 875–887. DOI: http://doi.org/10.1152/jn.91100.2008

Ball, C., and Westhorpe, R.N. (2011). The history of pain measurement. Anaesthesia and Intensive Care. Vol. 39, iss. 4, pp. 529–529. DOI: https://doi.org/10.1177/0310057X1103900401

Barsky, A., Wyshak, G. and L. Klerman, G. (1990). The somatosensory amplification scale and its relatonship to hypochondriasis. Journal of Psychiatric Research. Vol. 24, iss. 4, pp. 323–334. DOI: https://doi.org/10.1016/0022-3956(90)90004-a

Biro, D. (2010). The language of pain: finding words, compassion, and relief. New York: W.W. Norton Publ., 256 p.

Brand, P.Ya. (2011). Osobennosti bolevogo sindroma u patsientov s travmoy spinnogo mozga: avtoref. dis. … kand. med. nauk [Features of pain syndrome in patients with spinal cord injury: Abstract of Ph.D. dissertation]. Moscow, 24 p.

Cassil, G.N (1975). Nauka o boli. 2-e izd. [Science of pain. 2nd ed.]. Moscow: Nauka Publ. 400 p.

Chizh, V.F. (1899). Bol’. Rech’ na aktakh Yur’evskogo un-ta 12 dek. 1898 g. [Speech at the acts of Yuryevsky University of December 12, 1898]. Voprosy filosofii i psikhologii [Questions of philosophy and psychology]. Book 48(III), pp. 269–303.

Chukurov, A.Yu. (2017). Fenomen boli v kontekste sotsiokul’turnoy dinamiki XXI veka [The phenomenon of pain in the context of socio-cultural dynamics of the 21th century]. Obschestvo. Sreda. Razvitie [Society. Environment. Development]. No. 4(45), pp. 116–123.

Chuloshnikov, A.I. and Levchenko, E.V. (2018). Psikhologiya boli: klassifikatsiya vidov boli, osnovannykh na sub’ektivnom opyte [Psychology of pain: classification of types of pain, based on subjective experience]. Sotsial’nye i gumanitarnye nauki: teoriya i praktika [Social Sciences and Humanities: Theory and Practice]. No. 1(2), pp. 714–723.

Clark, D. (2000). Total pain: the work of Cicely Saunders and the hospice movement. American Pain Society Bulletin. Vol. 10, iss. 4, pp. 13–15.

Dallenbach, K.M. (1939). Pain: history and present status. American Journal of Psychology. Vol. 52, no. 3, pp. 331–347. DOI: https://doi.org/10.2307/1416740

Danilov, A.B. and Danilov. Al.B. (2013). Biopsikhosotsiokul’turnaya model’ i khronicheskaya bol’ [Biopsychosocial model and chronic pain]. Sovremennaya terapiya v psikhiatrii i nevrologii [Modern Therapy in Psychiatry and Neurology]. No. 1, pp. 30–36.

DeGood, D.E. and Tait, R.C. (2001). Assessment of pain beliefs and pain coping. Handbook of pain assessment, ed. by D.C. Turk, R. Melzack. New York: The Guilford Press, pp. 320–345.

Eisenberger, N.I., Lieberman, M.D. and Williams, K.D. (2003). Does rejection hurt? An fMRI study of social exclusion. Science. Vol.302, iss. 5643, pp. 290–292. DOI: https://doi.org/10.1126/science.1089134

Fakhrutdinova, L.R. (2006). Psikhologiya perezhivaniya: sovremennoe sostoyanie, aktual’nye issledovaniya, perspektivy razvitiya [Psychology of emotional experience: current state, current research, development prospects]. Materialy mezhdunarodnogo foruma i shkoly molodykh uchenykh IP RAN «Obraz rossiyskoy psikhologii v regionakh strany i v mire», 24–28 sentyabrya 2006 g. [Proceeings of the International Forum and School of Young Scientists IP RAS «The Image of Russian Psychology in the Regions of the Country and in the World», September 24–28, 2006]. Moscow: IP RAS Publ., pp. 101–104.

Flor, H., Turk, D.C. and Rudy, T.E. (1987). Pain and families II. Assessment and treatment. Pain. Vol. 30, iss. 1, pp. 29–45. DOI: https://doi.org/10.1016/0304-3959(87)90081-9

Ganzen, V.A. (1984). Sistemnye opisaniya v psikhologii [System descriptions in psychology]. Leningrad: Leningrad University Publ., 176 p.

Gatchel, R.J., Peng, Y.B., Peters, M.L., Fuchs, P.N., and Turk, D.C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin. Vol. 133, iss. 4, pp. 581–624. DOI: https://doi.org/10.1037/0033-2909.133.4.581

Gusev, A.N. (2007). Obschaya psikhologiya v 7 t., pod red. B.S. Bratusya. T. 2. Oschuschenie i vospriyatie [General psychology in 7 vols, ed. by B.S. Bratus’. Vol. 2. Sensation and perceptions]. Moscow: Academia Publ., 416 p.

Haggard, P., Iannetti, G.D. and Longo, M.R. (2013). Spatial sensory organization and body representation in pain perception. Current Biology. Vol. 23, iss. 4, pp. 164–176. DOI: https://doi.org/10.1016/j.cub.2013.01.047

International Association for the Study of Pain (IASP). Available at: https://www.iasp-pain.org/ (accessed 29.06.2020).

Kamper, D. (2010). Telo. Nasilie. Bol’ [Body. Violence. Pain]. Saint Petersburg: RCHA Publ., 174 p.

Khaidarova, G.R. (2010). MEDIUM boli [MEDIUM of pain]. Vestnik Leningradskogo universiteta im. A.S. Pushkina [Pushkin Leningrad State University Journal]. Vol. 2, no. 3, pp. 200–207.

Khaidarova, G.R. (2013). Fenomen boli v kul’ture [The phenomenon of pain in culture]. Saint Petersburg: RCHA Publ., 317 p.

Legrain, V., Mancini, F., Sambo, C.F., Torta, D.M., Ronga, I. and Valentini, E. (2012). Cognitive aspects of nociception and pain. Bridging neurophysiology with cognitive psychology. Neurophysiol Clin. Vol. 42, pp. 325–336. DOI: https://doi.org/10.1016/j.neucli.2012.06.003

Leont’ev, A.N. (2005). Deyatel’nost’, soznanie, lichnost’ [Activity, consciousness and personality]. Moscow: Smysl Publ., 352 p.

Linton, S.J. (2013). A transdiagnostic approach to pain and emotion. Journal of Applied Biobehavioral Research. Vol. 18, iss. 2, pp. 82–103. DOI: https://doi.org/10.1111/jabr.12007

Main, C.J., Sullivan, M.J. and Watson, P.J. (2008). Pain management: practical applications of the biopsychosocial perspective in clinical and occupational settings, 2nd ed. Edinburgh: Churchill Livingston Publ., 432 p.

Melzack, R. (1993). Pain: Past, present and future. Canadian Journal of Experimental Psychology. Vol. 47, iss. 4, pp. 615–629. DOI: https://doi.org/10.1037/h0078871

Melzack, R. and Katz, J. (2004). The Gate Control Theory: Reaching for the Brain. Pain: Psychological perspectives, ed. by T. Hadjistavropoulos, K.D. Craig. Mahwah, NJ: Lawrence Erlbaum Associates Publ., pp. 13–34.

Moayedi, M. and Davis, K.D. (2013). Theories of pain: from specificity to gate control. Journal of Neurophysiol. Vol. 109, iss. 1, pp. 5–12. DOI: https://doi.org/10.1152/jn.00457.2012

Moroz, V.V., Vasiliev, V.Yu. and Kuzovlev, A.N. (2009). Istoricheskie aspekty anesteziologii-reanimatologii: chast’ IV [Historical aspects of anesthesiology-resuscitation: part 4th]. Obschaya reanimatologiya [General Reanimatology]. Vol. 5, no. 3, pp. 81–83.

Noble, B., Clark, D., Meldrum, M., Have, H., Seymour, J., Winslow, M. and Paz, S. (2005). The measurement of pain, 1945–2000. Journal of Pain and Symptom Management. Vol. 29, iss. 1, pp. 14–21. DOI: https://doi.org/10.1016/j.jpainsymman.2004.08.007

Nourkova, V.V. and Berezanskaya, N.B. (2013). Obschaya psikhologiya. 3-e izd. [General psychology. 3rd ed.]. Moscow: Yurayt Publ., 604 p.

Osipova, V.V. (2010). Psikhologicheskie aspekty boli [Psychological aspects of pain]. Nevrologiya, neyropsikhiatriya, psikhosomatika [Neurology, Neuropsychiatry, Psychosomatics]. Vol. 2, no. 1, pp. 4–9. DOI: https://doi.org/10.14412/2074-2711-2010-62

Reshetnyak, V.K. (2014). Gendernye razlichiya korkovo-podkorkovykh struktur mozga, uchastvuyuschikh v vospriyatii boli [Gender differences in the cortical-subcortical brain structures involved in pain perception]. Rossiyskiy zhurnal boli [Russian Journal of Pain]. No. 1(42), pp. 20–21.

Sapon, N.A. and Chebotareva, L.L. (2004). Ispol’zovanie instrumental’nykh metodov issledovaniya dlya otsenki neyrofiziologicheskikh korrelyatov boli [Instrumental methods applying for pain correlates neurophysiological estimation]. Ukrainskiy neyrokhіrurgіcheskiy zhurnal [Ukrainian Neurosurgical Journal]. No. 4, pp. 69–75.

Schleifer, R. (2015). Uzhaschayuschayya faktural’nost’ boli: semiotika i vozmozhnost’ reprezentatsii chuvstvennogo opyta [The terrible facticity of pain: semiotics and the possibility of representing sensate experience]. Novoe literaturnoe obozrenie [New Literary Review]. No. 5(135), pp. 16–27.

Sever’yanova, L.A., Plotnikov, D.V., Kryukov, A.A. and Dolgintsev, M.E. (2017). Perezhivanie

boli pri razlichnykh aktsentuatsiyakh svoystv temperamenta [Pain experience and accentuated traits of temperament]. Kurskiy nauchno-prakticheskiy vestnik «Chelovek i ego zdorov’e» [Kursk Scientific and Practical Bulletin «Man and His Health»]. No. 1, pp. 98–106. DOI: https://doi.org/10.21626/vestnik/2017-1/18

Shostak, N.A. and Pravdyuk, N.G. (2012). Bol’ kak mezhdistiplinarnaya problema [Pain as an interdisciplinary problem]. Klinitsist [The Clinician]. No. 2, pp. 5–8.

Shtrakhova, A.V. (2009). Psikhosemantika boli v strukture vnutrenney kartiny bolezni u nevrologicheskikh bol’nykh [Psychosemantics of pain in the structure of the internal picture of the disease in neurological patients]. Vestnik Yuzhno-Ural’skogo gosudarstvennogo universiteta. Seriya: Psikhologiya [Bulletin of the South Ural State University. Series: Psychology]. No. 30, pp. 76–82.

Stepanova, Ya.V., Mazurok, V.A., Mikhaleva, Yu.B. and Schelkova, O.Yu. (2012). Vzaimosvyaz’ vospriyatiya boli v perioperatsionnom periode i psikhologicheskikh kharakteristik patsientov [The relationship between the perception of pain in the perioperative period and the psychological characteristics of patients]. Vestnik Yuzhno-Ural’skogo gosudarstvennogo universiteta. Seriya: Psikhologiya [Bulletin of the South Ural State University. Series: Psychology]. No. 45, pp. 100–107.

Thostov, A.Sh. (1993). Bolezn’ kak semioticheskaya sistema [Disease as a semiotic system]. Vestnik MGU. Seriya «Psikhologiya» [Bulletin of Moscow State University. Series «Psychology»]. No. 4, pp. 13–24.

Tkhostov, A.Sh. (2002). Psikhologiya telesnosti [Psychology of corporeality]. Moscow: Smysl Publ, 287 p.

Thostov, A.Sh. and Elshanskiy, S.P (2003). Metodicheskoe posobie po primeneniyu testa «Vybor deskriptorov intratseptivnykh oschuscheniy» dlya issledovaniya osobennostey verbalizatsii vnutrennego opyta [Methodical textbook for the application of the test «Selecting descriptors intratseptivnyh feelings» for studies of the verbalization of inner experience]. Мoscow, 24 p.

Turk, D.C. and Melzack, R. (eds.). (2011). Handbook of pain assessment. 3rd ed. New York: The Guilford Press., 524 p.

Vetlesen, A. and Irons, J. (2009). Filosofiya boli [A philosophy of pain]. Moscow: Progress-Traditsiya Publ., 240 p.

Waddell, G., Pilowsky, I., and Bond, M. R. (1989). Clinical assessment and interpretation of abnormal illness behavior in low back pain. Pain. Vol. 39, iss. 1, pp. 41–53. DOI: https://doi.org/10.1016/0304-3959(89)90174-7

Weisenberg, M. (1980). The regulation of pain. Annals of the New York Academy of Sciences. Vol. 340, iss. 1, pp. 102–114. DOI: https://doi.org/10.1111/j.1749-6632.1980.tb35163.x

Received 14.07.2020

For citation:

Chuloshnikov A.I. [Modeling the subject areas of psychological research on pain]. Vestnik Permskogo universiteta. Filosofia. Psihologia. Sociologia [Perm University Herald. Philosophy. Psychology. Sociology], 2020, issue 4, pp. 579–595 (in Russian). DOI: ps://doi.org/10.17072/2078-7898/2020-4-579-595