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August 1969

Pain, Psychological and Psychiatric Aspects.

Arch Neurol. 1969;21(2):227. doi:10.1001/archneur.1969.00480140127020

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After a misleadingly dull introduction on history and semantics, the authors provide a clear and interesting summary of current psychiatric thinking on the subject of pain as a clinical problem.

The interest of this book for the neurologist is twofold. In the first place, it provides a general view of the psychological factors which are thought to operate in the patient with a complaint of pain. While the authors pay due tribute to various psychoanalytic theories, they also report on the effects of social background and intellectual level, as well as summarizing the beliefs of ethologists and experimenters. The reader will gain an appreciation of the progress which has come from the eclecticism of modern psychiatry.

Secondly, the neurologist will find here useful summaries of some specific entities, eg, atypical facial pain, the phantom limb,

and "congenital indifference to pain." There are a few disappointing omissions, eg, postherpetic neuralgia. The

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