Chronic pain as a posture towards the world

Authors
Citation
Ml. Honkasalo, Chronic pain as a posture towards the world, SC J PSYCHO, 41(3), 2000, pp. 197-208
Citations number
61
Categorie Soggetti
Psycology
Journal title
SCANDINAVIAN JOURNAL OF PSYCHOLOGY
ISSN journal
00365564 → ACNP
Volume
41
Issue
3
Year of publication
2000
Pages
197 - 208
Database
ISI
SICI code
0036-5564(200009)41:3<197:CPAAPT>2.0.ZU;2-G
Abstract
This article discusses what chronic pain is "about", what the intentional o bject is of pain, and what is the intentional relation like? My approach is based on Maurice Merleau-Ponty's phenomenology, with an aim is to understa nd a two-way relationship: how the sufferers bestow meaning on chronic pain , and how pain, on the other hand, signifies peoples' life. In contra st to biomedical and cognitive-behavioral theories, chronic pain is not only mea ningful, but as an intentional emotion as well; it does not simply "happen" in the nervous system. I analyzed meanings assigned to pain through the na rratives of three patients with chronic pain. Pain is described as creating a discontinuity in the patient's Lebenswelt at the narrative level. When a ttempting to find meaning to their pain, patients point both to everyday li fe and biomedical referents. The structure of bestowing meaning is, metaphorically, like a necklace with everyday world and biomedical interpretations strung like beads, one after the other. The intentional object of pain, on the contrary, is constituted of the patients' world in its wholeness. My results don't confirm Drew Led er's idea of disrupted intentionality, but underline directness as the basi c relation of human experience also in case of pain and disease. Pain in it self is an e-movere, an intense passionate movement, an intentional relatio n with and a bodily posture taken towards the world.