What is pain?
The International Association for the Study of Pain (IASP) defines pain as:
'An unpleasant, sensory and emotional experience, associated with actual or potential tissue damage, or defined in terms of such damage'
This definition recognises that:
- Extensive tissue damage may occur without pain
- Pain may occur in the total absence of tissue damage
This means that:
- Pain is more than just a physical sensation. Pain is always a psychological state.
- Activity induced in the nociceptor and nociceptive pathways is not pain.
- The way we respond to painful stimuli is a learned response
- The intensity of pain the experience is not directly associated with the intensity of tissue damage.
- The experience of pain is always unpleasant and therefore it is always an emotional experience.
- We should always accept the subjective report of pain, even when no tissue damage is evident.
Pain should be understood from a Bio-Psycho-Social perspective. That is, that while biological and neurological factors play a significant role, psychological factors and environmental and social influences are just as important in understanding the way a person is expereincing pain.
It is essential that ALL of these factors are considered to understand the personal expereince of pain.
