title: Generalised chronic musculoskeletal pain as a rational reaction to a life situation?
abstract: While the biomedical model is still the leading paradigm within modern medicine and health care, and people with generalised chronic musculoskeletal pain are frequent users of health care services, their diagnoses are rated as having the lowest prestige among health care personnel. An epistemological framework for understanding relations between body, emotions, mind and meaning is presented. An approach based on a phenomenological epistemology is discussed as a supplement to actions based on the biomedical model. Within the phenomenological frame of understanding, the body is viewed as a subject and carrier of meaning, and therefore chronic pain can be interpreted as a rational reaction to the totality of a person's life situation. Search for possible hidden individual meanings in painful muscles presupposes meeting health personnel who view the person within a holistic frame of reference.
authors.affiliation: Institute for General Practice and Community Medicine, Faculty of Medicine, University of Oslo, Blindern, Norway. eldri.steen@samfunnsmed.uio.no
authors.forename: E
authors.initials: E
authors.lastname: Steen
authors.forename: L
authors.initials: L
authors.lastname: Haugli
mesh_terms: D001294:Attitude to Health; D002908:Chronic Disease; D006801:Humans; D019359:Knowledge; D019222:Mind-Body Relations, Metaphysical; D008962:Models, Theoretical; D009140:Musculoskeletal Diseases / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology*; D010146:Pain / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology*; D010686:Philosophy, Medical; D011603:Psychophysiology