Existential pain—an entity, a provocation, or a challenge?
“Existential pain” is a widely used but ill-defined concept. Therefore the aim of this study was to let hospital chaplains ( n = 173), physicians in palliative care ( n = 115), and pain specialists ( n = 113) respond to the question: “How would you define the concept existential pain?” A combined qu...
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| Veröffentlicht in: | Journal of pain and symptom management 2004-03, Vol.27 (3), p.241-250 |
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| container_title | Journal of pain and symptom management |
| container_volume | 27 |
| creator | Strang, Peter Strang, Susan Hultborn, Ragnar Arnér, Staffan |
| description | “Existential pain” is a widely used but ill-defined concept. Therefore the aim of this study was to let hospital chaplains (
n
=
173), physicians in palliative care (
n
=
115), and pain specialists (
n
=
113) respond to the question: “How would you define the concept existential pain?” A combined qualitative and quantitative content analysis of the answers was conducted. In many cases, existential pain was described as suffering with no clear connection to physical pain. Chaplains stressed significantly more often the guilt issues, as well as various religious questions (
P |
| doi_str_mv | 10.1016/j.jpainsymman.2003.07.003 |
| format | Article |
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n
=
173), physicians in palliative care (
n
=
115), and pain specialists (
n
=
113) respond to the question: “How would you define the concept existential pain?” A combined qualitative and quantitative content analysis of the answers was conducted. In many cases, existential pain was described as suffering with no clear connection to physical pain. Chaplains stressed significantly more often the guilt issues, as well as various religious questions (
P<0.001). Palliative physicians (actually seeing dying persons) stressed more often existential pain as being related to annihilation and impending separation (
P<0.01), while pain specialists (seeing chronic patients) more often emphasized that “living is painful” (
P<0.01). Thirty-two percent (32%) of the physicians stated that existential suffering can be expressed as physical pain and provided many case histories. Thus, “existential pain” is mostly used as a metaphor for suffering, but also is seen as a clinically important factor that may reinforce existing physical pain or even be the primary cause of pain, in good agreement with the current definition of pain disorder or somatization disorder.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2003.07.003</identifier><identifier>PMID: 15010102</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cancer and Oncology ; Cancer och onkologi ; Caregivers - psychology ; Existential ; Existentialism ; hospital chaplain ; Humans ; Medical sciences ; pain ; Pain - psychology ; Palliative Care ; Pastoral Care ; Pharmacology. Drug treatments ; suffering</subject><ispartof>Journal of pain and symptom management, 2004-03, Vol.27 (3), p.241-250</ispartof><rights>2004 U.S. Cancer Pain Relief Committee</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c561t-ead0f18babb4d3953fd1f0367823cf4fd8c275ed4d4a655989bb9bbc27cd3c763</citedby><cites>FETCH-LOGICAL-c561t-ead0f18babb4d3953fd1f0367823cf4fd8c275ed4d4a655989bb9bbc27cd3c763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpainsymman.2003.07.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,551,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15612136$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15010102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/44342$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1935019$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Strang, Peter</creatorcontrib><creatorcontrib>Strang, Susan</creatorcontrib><creatorcontrib>Hultborn, Ragnar</creatorcontrib><creatorcontrib>Arnér, Staffan</creatorcontrib><title>Existential pain—an entity, a provocation, or a challenge?</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>“Existential pain” is a widely used but ill-defined concept. Therefore the aim of this study was to let hospital chaplains (
n
=
173), physicians in palliative care (
n
=
115), and pain specialists (
n
=
113) respond to the question: “How would you define the concept existential pain?” A combined qualitative and quantitative content analysis of the answers was conducted. In many cases, existential pain was described as suffering with no clear connection to physical pain. Chaplains stressed significantly more often the guilt issues, as well as various religious questions (
P<0.001). Palliative physicians (actually seeing dying persons) stressed more often existential pain as being related to annihilation and impending separation (
P<0.01), while pain specialists (seeing chronic patients) more often emphasized that “living is painful” (
P<0.01). Thirty-two percent (32%) of the physicians stated that existential suffering can be expressed as physical pain and provided many case histories. Thus, “existential pain” is mostly used as a metaphor for suffering, but also is seen as a clinically important factor that may reinforce existing physical pain or even be the primary cause of pain, in good agreement with the current definition of pain disorder or somatization disorder.</description><subject>Biological and medical sciences</subject><subject>Cancer and Oncology</subject><subject>Cancer och onkologi</subject><subject>Caregivers - psychology</subject><subject>Existential</subject><subject>Existentialism</subject><subject>hospital chaplain</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>pain</subject><subject>Pain - psychology</subject><subject>Palliative Care</subject><subject>Pastoral Care</subject><subject>Pharmacology. Drug treatments</subject><subject>suffering</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqNkd-K1DAUxoMo7rj6ClIv1JtpTZp_LSzIMqx_YMEbvQ5pcjpmbNOatKtztw_hE_okpkzRvVGEwAkfv_Odk3wIPSO4IJiIV4fiMGrn47HvtS9KjGmBZZHKPbQhlaS54ITeRxtcVTyndcnO0KMYDxhjTgV9iM4Ix8kIlxt0cfXdxQn85HSXLaY_b39ony3CdNxmOhvDcDMYPbnBb7MhJMV81l0Hfg-vH6MHre4iPFnrOfr05urj7l1-_eHt-93ldW64IFMO2uKWVI1uGmZpzWlrSYupkFVJTctaW5lScrDMMi04r6u6adJJorHUSEHPUX7yjd9gnBs1BtfrcFSDdmqVvqQbKF4JRnjit3_l9_OokrSfF54xysqEvzzh6a1fZ4iT6l000HXawzBHJQUrCed0IV_8mySSiFriBNYn0IQhxgDt7x0IVkuG6qDuZKiWDBWWKpXU-3QdMjc92D-da2gJeL4COhrdtUF74-IdTpCS0OXbdicOUjY3DoKKxoE3YF0AMyk7uP9Y5xfG_8IX</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>Strang, Peter</creator><creator>Strang, Susan</creator><creator>Hultborn, Ragnar</creator><creator>Arnér, Staffan</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20040301</creationdate><title>Existential pain—an entity, a provocation, or a challenge?</title><author>Strang, Peter ; Strang, Susan ; Hultborn, Ragnar ; Arnér, Staffan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c561t-ead0f18babb4d3953fd1f0367823cf4fd8c275ed4d4a655989bb9bbc27cd3c763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Cancer and Oncology</topic><topic>Cancer och onkologi</topic><topic>Caregivers - psychology</topic><topic>Existential</topic><topic>Existentialism</topic><topic>hospital chaplain</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>pain</topic><topic>Pain - psychology</topic><topic>Palliative Care</topic><topic>Pastoral Care</topic><topic>Pharmacology. Drug treatments</topic><topic>suffering</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strang, Peter</creatorcontrib><creatorcontrib>Strang, Susan</creatorcontrib><creatorcontrib>Hultborn, Ragnar</creatorcontrib><creatorcontrib>Arnér, Staffan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strang, Peter</au><au>Strang, Susan</au><au>Hultborn, Ragnar</au><au>Arnér, Staffan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Existential pain—an entity, a provocation, or a challenge?</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>27</volume><issue>3</issue><spage>241</spage><epage>250</epage><pages>241-250</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>“Existential pain” is a widely used but ill-defined concept. Therefore the aim of this study was to let hospital chaplains (
n
=
173), physicians in palliative care (
n
=
115), and pain specialists (
n
=
113) respond to the question: “How would you define the concept existential pain?” A combined qualitative and quantitative content analysis of the answers was conducted. In many cases, existential pain was described as suffering with no clear connection to physical pain. Chaplains stressed significantly more often the guilt issues, as well as various religious questions (
P<0.001). Palliative physicians (actually seeing dying persons) stressed more often existential pain as being related to annihilation and impending separation (
P<0.01), while pain specialists (seeing chronic patients) more often emphasized that “living is painful” (
P<0.01). Thirty-two percent (32%) of the physicians stated that existential suffering can be expressed as physical pain and provided many case histories. Thus, “existential pain” is mostly used as a metaphor for suffering, but also is seen as a clinically important factor that may reinforce existing physical pain or even be the primary cause of pain, in good agreement with the current definition of pain disorder or somatization disorder.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15010102</pmid><doi>10.1016/j.jpainsymman.2003.07.003</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; SWEPUB Freely available online; EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Cancer and Oncology Cancer och onkologi Caregivers - psychology Existential Existentialism hospital chaplain Humans Medical sciences pain Pain - psychology Palliative Care Pastoral Care Pharmacology. Drug treatments suffering |
| title | Existential pain—an entity, a provocation, or a challenge? |
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