Coninx, Sabrina and Stilwell, Peter (2023) Chronic Pain, Enactivism, & the Challenges of Integration. [Preprint]
This is the latest version of this item.
|
Text
Coninx&Stilwell_Chronic Pain, Enactivism, & the Challenges of Integration.pdf Download (525kB) | Preview |
|
|
Text
Chronic Pain, Enactivism, and the Challenges of Integration_Final.pdf Download (524kB) | Preview |
Abstract
Chronic pain is one of the most disabling conditions globally, yet we are still missing a satisfying theoretical framework to guide research and clinical practice. This is highly relevant as research and practice are not taking place in a vacuum but are always shaped by a particular philosophy of pain, that is, a set of implicitly or explicitly prevailing assumptions about what chronic pain is and how it is to be addressed. In looking at recent history, we identify a promising trend from neuro-centrism to the application of the biopsychosocial model. Unfortunately, due to its limited theoretical foundation, the biopsychosocial model is too often implemented in a reductionist, fragmented, and linear manner. In particular, it remains too vague concerning the relation between involved biological, psychological, and social processes. Sanneke de Haan prominently labeled this the integration problem. In this paper, we introduce five different facets of the integration problem that every philosophy of pain needs to address: (i) ontological, (ii) conceptual, (iii) explanatory, (iv) methodological, and (v) therapeutic. We develop an enactive theory of chronic pain and outline how far it provides solutions to these different integration challenges.
| Export/Citation: | EndNote | BibTeX | Dublin Core | ASCII/Text Citation (Chicago) | HTML Citation | OpenURL |
| Social Networking: |
| Item Type: | Preprint | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Creators: |
|
|||||||||
| Additional Information: | Coninx, S. & Stilwell, P. (forthcoming). Chronic Pain, Enactivism, and the Challenges of Integration. In M.-O. Casper & G. F. Artese (eds.) Methodology of Situated Cognition Research. Springer. | |||||||||
| Keywords: | biopsychosocial models, network models, biomedical models, integration problem, neuro-centrism, naturalism, emergence, reductionism, organization hierarchy, enmeshed hierarchy, integrative pluralism, multiplexes | |||||||||
| Subjects: | General Issues > Causation Specific Sciences > Complex Systems Specific Sciences > Medicine > Health and Disease General Issues > Natural Kinds Specific Sciences > Medicine > Psychiatry Specific Sciences > Psychology General Issues > Science and Society |
|||||||||
| Depositing User: | Dr. Sabrina Coninx | |||||||||
| Date Deposited: | 25 Apr 2023 12:26 | |||||||||
| Last Modified: | 25 Apr 2023 12:26 | |||||||||
| Item ID: | 22014 | |||||||||
| Subjects: | General Issues > Causation Specific Sciences > Complex Systems Specific Sciences > Medicine > Health and Disease General Issues > Natural Kinds Specific Sciences > Medicine > Psychiatry Specific Sciences > Psychology General Issues > Science and Society |
|||||||||
| Date: | 24 April 2023 | |||||||||
| URI: | https://philsci-archive.pitt.edu/id/eprint/22014 |
Available Versions of this Item
-
Chronic Pain, Enactivism, & the Challenges of Integration. (deposited 27 Jun 2022 18:09)
- Chronic Pain, Enactivism, & the Challenges of Integration. (deposited 25 Apr 2023 12:26) [Currently Displayed]
Monthly Views for the past 3 years
Monthly Downloads for the past 3 years
Plum Analytics
Actions (login required)
 |
View Item |
![[feed]](http://philsci-archive.pitt.edu/style/images/feed-icon-32x32.png){kind=icon}