"The field of pain has long needed a philosopher's voice. Now it has
one."
-- C. Richard Chapman, University of Washington
Pain, although very common, is little understood. Worse still,
according to Valerie Gray Hardcastle, both professional and lay
definitions of pain are wrongheaded--with consequences for how pain
and pain patients are treated, how psychological disorders are
understood, and how clinicians define the mind/body relationship.
Hardcastle offers a biologically based complex theory of pain
processing, inhibition, and sensation and then uses this theory to
make several arguments: (1) psychogenic pains do not exist; (2) a
general lack of knowledge about fundamental brain function prevents us
from distinguishing between mental and physical causes, although the
distinction remains useful; (3) most pain talk should be eliminated
from both the folk and academic communities; and (4) such a biological
approach is useful generally for explaining disorders in pain
processing. She shows how her analysis of pain can serve as a model
for the analysis of other psychological disorders and suggests that
her project be taken as a model for the philosophical analysis of
disorders in psychology, psychiatry, and neuroscience.
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