Koesling Dominik, Kieselbach Kristin, Bozzaro Claudia
Institut für Ethik und Geschichte der Medizin, Albert-Ludwigs-Universität, Stefan-Meier-Str. 26, 79104, Freiburg, Deutschland.
Interdisziplinäres Schmerzzentrum ISZ, Universitätsklinikum Freiburg, Breisacher Str. 117, 79106, Freiburg, Deutschland.
Schmerz. 2019 Jun;33(3):220-225. doi: 10.1007/s00482-019-0361-7.
The current debate about the interconnection between chronic pain and society is economically narrowed. This involves the threat of losing sight of the fact that the interconnection between society and chronic pain is a complex entanglement that goes beyond economic costs. This article addresses the mentioned entanglement by acknowledging the following four levels of society: (1) the social structure, (2) the way of life, with special reference to occupation and its counterpart, leisure time, (3) the (normative) interpretation patterns of chronic pain and (4) the treatment situation. The applied sociological perspective shows that society, and this also includes medicine, is more than a mere addressee of problems. Society has to be considered as an influencing factor with respect to the development and stabilization of chronic pain. The outlined broadening of the perspective should contribute to a better understanding of the societal impact on chronic pain in order to stimulate an improvement in care and possibly a long-term reduction in costs.
当前关于慢性疼痛与社会之间相互联系的争论在经济层面上被狭隘化了。这涉及到一种风险，即忽视了社会与慢性疼痛之间的相互联系是一种复杂的纠葛，它超越了经济成本。本文通过认可社会的以下四个层面来探讨上述纠葛：（1）社会结构；（2）生活方式，特别提及职业及其对应面休闲时间；（3）慢性疼痛的（规范性）解读模式；（4）治疗状况。所应用的社会学视角表明，社会，这也包括医学，不仅仅是问题的承受者。必须将社会视为慢性疼痛发展与稳定的一个影响因素。所概述的视角拓宽应有助于更好地理解社会对慢性疼痛的影响，以便促进护理改善并可能长期降低成本。
