An Ethical Issue in the Psychotherapy of Pain and Other Symptoms
Bioethics. 1990 Jan; 4(1): 22-32.
Pain presents an ethical problem in psychotherapy which it shares with other symptoms. It presents this problem because initially it does not give rise to the same expectations as overt psychological complaints such as depression or anxiety. At first glance pain appears to represent an obvious example of the traditional doctor/patient relationship...I hope to demonstrate that what began as a transaction in the medicine of organic disease, may become, before the patient recognizes it, a process of personal change of which the consequences may often not be foreseen. Such a development poses a problem in bioethics. If the development can be foreseen, the problem may be forestalled. If not, the proceedings may reflect paternalism and we need to consider if that is acceptable. The problem is not unique to pain but tends to be masked by the initial context of somatic treatment.
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Death and Dying Sourcebook: Basic Consumer Health Information About End-of-Life Care and Related Perspectives and Ethical Issues, Including End-of-Life Symptoms and Treatments, Pain Management, Quality-of-Life Concerns, the Use of Life Support, Patients' Rights and Privacy Issues, Advance Directives, Physician-Assisted Suicide, Caregiving, Organ and Tissue Donation, Autopsies, Funeral Arrangements, and Grief, Along With Statistical Data, Information About the Leading Causes of Death, A Glossary, and Directories of Support Groups and Other Resources Shannon, Joyce Brennfleck (2006)