Research paradigms in psychosomatic medicine with special emphasis on whiplash - cervical hyperextension flexion injury (CHFI).
There have been a number of attempts, particularly in the last five decades to understand the origins of pain in terms of psychological or psychosomatic patterns. These include psychoanalytic explanations relying on hysterical mechanisms, and psychophysiological proposals. The occurrence of pain in the course of psychiatric illness and its remission after the illness, has long been known and is not a controversial issue. However, the reported explanations of pain without overt and obvious prior psychiatric illness have largely failed to convince a significant portion of the professional establishment. These explanations have very often coincided with the interests of insurance companies, whether those insurance companies were providing medical benefits, disability insurance or workers' or accident compensation. Critical examination of the evidence generated by insurance company related research indicates profound weaknesses in it.
Merskey
Harold
H
University of Western Ontario, London, Canada. merskey@on.aibn.com
D015928:Cognitive Behavioral Therapy; D035881:Compensation and Redress; D003863:Depression / Q000150:complications; D004185:Disability Evaluation; D006801:Humans; D018868:Insurance, Disability; D010146:Pain / Q000209:etiology* / Q000523:psychology; D011611:Psychosomatic Medicine / Q000379:methods*; D012106:Research; D014911:Whiplash Injuries / Q000150:complications* / Q000523:psychology*