France R D, Houpt J L
Gen Hosp Psychiatry. 1984 Jan;6(1):37-41. doi: 10.1016/0163-8343(84)90057-4.
In this article, the authors present a rationale for considering pain to be a major health problem in the United States, based on epidemiologic data. They then define the nature of pain disorders in terms of their acute and chronic forms. By extending the definition of pain into a psychogenic/organic dichotomy, the authors introduce the concept of personality variables and psychodynamic considerations that have been attributed to patients with chronic pain. Finally, the overlap and evidence for depression as a coexisting variable with chronic pain is considered. Throughout the article, the authors are arguing implicitly for a multimodal approach to therapy.
在本文中，作者基于流行病学数据提出了将疼痛视为美国主要健康问题的理由。然后，他们根据疼痛的急性和慢性形式定义了疼痛障碍的本质。通过将疼痛的定义扩展为心理性/器质性二分法，作者引入了人格变量的概念以及归因于慢性疼痛患者的心理动力学因素。最后，考虑了抑郁症作为与慢性疼痛共存变量的重叠情况及证据。在整篇文章中，作者隐含地主张采用多模式治疗方法。
