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A Philosophical Handbook for Pain Medicine Practice : Medicine (R0) - Milton Cohen

A Philosophical Handbook for Pain Medicine Practice

By: Milton Cohen, John Quintner

eText | 7 September 2026

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This book shares a number of novel perspectives on the intricate subject of pain in the clinical setting, offering a comprehensive examination of its multifaceted nature and the challenges it presents to both clinicians and patients. At the heart of this book is the matter of pain as an aporia—a mystery that defies simple categorisation and challenges our understanding. Through this book, readers will learn about the evolution of pain medicine from a traditional biomedical model to a more comprehensive sociopsychobiomedical framework, emphasising the importance of intersubjectivity and reframing in pain management.

The chapters cover a wide range of topics, including the language of pain, the nuances of the clinical encounter, and the centrality of nociception. The authors, experienced practitioners in the field, provide an expert analysis of philosophical dilemmas and epistemological errors that often arise in pain medicine. Particular attention is given to the distinction between nociception, pain and suffering, the problems of considering chronic pain as a disease, and the challenges of language and logic in pain medicine. Readers are invited to think through difficult questions such as the role of uncertainty, empathy and trust in the clinical encounter and their implications for both patient and clinician dealing with a pain experience.

A Philosophical Handbook for Pain Medicine Practice is an invaluable resource for practitioners, researchers, and scholars in the field of pain medicine, as well as for anyone interested in the philosophical and clinical challenges of understanding pain. It offers a unique blend of theoretical insights and practical guidance, making it a must-read for those seeking to deepen their understanding of this challenging subject. Whether you are a seasoned professional or a newcomer to the field, this book will provide you with tools and insights needed to navigate the complexities of pain medicine in theory and practice, and thus improve patient care.

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