Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
In Reply I appreciate the responses of Drs Oaklander and Sherry. Both of them agree with me in abandoning the term functional pain, which I perceive to be inappropriately burdened by the mantle of psychogenesis.1 Although they both disagree with the term that I have proposed as an alternative, primary pain disorders, they state opposing grounds for their objections. Dr Oaklander suggests the term implies too much, intimating an understanding of these entities that may be premature, and offers medically unexplained pain instead. Alternatively, Dr Sherry states that this term offers too little, that it merely reiterates the patient has pain and offers no further illumination. He feels the term amplified pain syndrome is more appropriate. Needless to say, I disagree with their recommendations.
Schechter NL. Pain Terminology—Reply. JAMA Pediatr. 2014;168(12):1168. doi:10.1001/jamapediatrics.2014.1778