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Chronic Pain, Enactivism, & the Challenges of Integration

Coninx, Sabrina and Stilwell, Peter (2023) Chronic Pain, Enactivism, & the Challenges of Integration. [Preprint]

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Abstract

Chronic pain is one of the most disabling conditions globally, yet we are still missing a satisfying theoretical framework to guide research and clinical practice. This is highly relevant as research and practice are not taking place in a vacuum but are always shaped by a particular philosophy of pain, that is, a set of implicitly or explicitly prevailing assumptions about what chronic pain is and how it is to be addressed. In looking at recent history, we identify a promising trend from neuro-centrism to the application of the biopsychosocial model. Unfortunately, due to its limited theoretical foundation, the biopsychosocial model is too often implemented in a reductionist, fragmented, and linear manner. In particular, it remains too vague concerning the relation between involved biological, psychological, and social processes. Sanneke de Haan prominently labeled this the integration problem. In this paper, we introduce five different facets of the integration problem that every philosophy of pain needs to address: (i) ontological, (ii) conceptual, (iii) explanatory, (iv) methodological, and (v) therapeutic. We develop an enactive theory of chronic pain and outline how far it provides solutions to these different integration challenges.


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Item Type: Preprint
Creators:
CreatorsEmailORCID
Coninx, Sabrinasabrina.coninx@gmail.com0000-0003-1209-4609
Stilwell, Peterpeterstilwell@dal.ca0000-0002-2858-9588
Additional Information: Coninx, S. & Stilwell, P. (forthcoming). Chronic Pain, Enactivism, and the Challenges of Integration. In M.-O. Casper & G. F. Artese (eds.) Methodology of Situated Cognition Research. Springer.
Keywords: biopsychosocial models, network models, biomedical models, integration problem, neuro-centrism, naturalism, emergence, reductionism, organization hierarchy, enmeshed hierarchy, integrative pluralism, multiplexes
Subjects: General Issues > Causation
Specific Sciences > Complex Systems
Specific Sciences > Medicine > Health and Disease
General Issues > Natural Kinds
Specific Sciences > Medicine > Psychiatry
Specific Sciences > Psychology
General Issues > Science and Society
Depositing User: Dr. Sabrina Coninx
Date Deposited: 25 Apr 2023 12:26
Last Modified: 25 Apr 2023 12:26
Item ID: 22014
Subjects: General Issues > Causation
Specific Sciences > Complex Systems
Specific Sciences > Medicine > Health and Disease
General Issues > Natural Kinds
Specific Sciences > Medicine > Psychiatry
Specific Sciences > Psychology
General Issues > Science and Society
Date: 24 April 2023
URI: https://philsci-archive-dev.library.pitt.edu/id/eprint/22014

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