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Psychological pain

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185:, the term social pain is used to denote psychological pain caused by harm or threat to social connection; bereavement, embarrassment, shame and hurt feelings are subtypes of social pain. From an evolutionary perspective, psychological pain forces the assessment of actual or potential social problems that might reduce the individual's fitness for survival. The way people display their psychological pain socially (for example, crying, shouting, moaning) serves the purpose of indicating that they are in need. 58: 280:, and a range of other conditions. Although the excruciatingly painful inner experience of the borderline patient is both unique and perplexing, it is often linked to severe childhood trauma of abuse and neglect. In clinical populations, the rate of suicide of patients with borderline personality disorder is estimated to be 10%, a rate far greater than that in the general population and still considerably greater than for patients with 144:, but it may also be called mental pain, emotional pain, psychic pain, social pain, spiritual or soul pain, or suffering. While these clearly are not equivalent terms, one systematic comparison of theories and models of psychological pain, psychic pain, emotional pain, and suffering concluded that each describe the same profoundly unpleasant feeling. Psychological pain is widely believed to be an inescapable aspect of human existence. 221:. Some advocate that, because similar brain regions are involved in both physical pain and psychological pain, pain should be seen as a continuum that ranges from purely physical to purely psychological. Moreover, many sources mention the fact that many metaphors of physical pain are used to refer to psychologically painful experiences. Further connection between physical and psychological pain has been supported through proof that 2587: 2581: 225:, an analgesic, can suppress activity in the anterior cingulate cortex and the insular cortex when experiencing social exclusion, the same way that it suppresses activity when experiencing physical pain, and reduces the agitation of people with dementia. However, use of paracetamol for more general psychological pain remains disputed. 288:, though studies on suicidality in bipolar subjects have found that 4-19% of bipolar patients (mostly untreated) commit suicide. However, 60–70% of patients with borderline personality disorder make suicide attempts, so suicide attempts are far more frequent than completed suicides in patients with BPD. 307:
conditions. In a 1998 study entitled "The Pain of Being Borderline: Dysphoric States Specific to Borderline Personality Disorder", 146 diagnosed borderline patients took a 50-item self-report measure test. The conclusions from this study suggest "that the subjective pain of borderline patients may be
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The adjective "psychological" is thought to encompass the functions of beliefs, thoughts, feelings, and behaviors, which may be seen as an indication for the many sources of psychological pain. One way of grouping these different sources of pain was offered by Shneidman, who stated that psychological
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Other descriptions of psychological pain are "a wide range of subjective experiences characterized as an awareness of negative changes in the self and in its functions accompanied by negative feelings", "a diffuse subjective experience ... differentiated from physical pain which is often localized
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instead of sadness, shame and humiliation instead of mild embarrassment, rage instead of annoyance, and panic instead of nervousness. People with BPD are especially sensitive to feelings of rejection, isolation and perceived failure. Both clinicians and laymen alike have witnessed the desperate
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in 1938 as needs that motivate human behavior. Shneidman maintained that people rate the importance of each need differently, which explains why people's level of psychological pain differs when confronted with the same frustrated need. This needs perspective coincides with
136:, described it as "how much you hurt as a human being. It is mental suffering; mental torment." There are numerous ways psychological pain is referred to, using a different word usually reflects an emphasis on a particular aspect of mind life. Technical terms include 311:
Feelings of emptiness are a central problem for patients with personality disturbances. In an attempt to avoid this feeling, these patients employ defences to preserve their fragmentary selves. Feelings of emptiness may be so painful that suicide is considered.
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attempts to escape these subjective inner experiences of these patients. Borderline patients are severely impulsive and their attempts to alleviate the agony are often very destructive or self-destructive. Suicidal ideation, suicide attempts, eating disorders (
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Borderline personality disorder (BPD) has long been believed to be a disorder that produces the most intense emotional pain and distress in those who have this condition. Studies have shown that borderline patients experience chronic and significant emotional
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Unmet psychological needs in youth may cause an inability to meet human needs later in life. As a consequence of neglectful parenting, children with unmet psychological needs may be linked to psychotic disorders in childhood throughout life.
265:(cutting, overdosing, starvation, etc.), compulsive spending, gambling, sex addiction, violent and aggressive behavior, sexual promiscuity and deviant sexual behaviors, are desperate attempts to escape this pain. 1378:
Dewall CN, Macdonald G, Webster GD, Masten CL, Baumeister RF, Powell C, Combs D, Schurtz DR, Stillman TF, Tice DM, Eisenberger NI (July 2010). "Acetaminophen reduces social pain: behavioral and neural evidence".
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Stiglmayr CE, Grathwol T, Linehan MM, Ihorst G, Fahrenberg J, Bohus M (May 2005). "Aversive tension in patients with borderline personality disorder: a computer-based controlled field study".
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Physical pain and psychological pain share common underlying neurological mechanisms. Brain regions that were consistently found to be implicated in both types of pain are the anterior
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both more pervasive and more multifaceted than previously recognised and that the overall "amplitude" of this pain may be a particularly good marker for the borderline diagnosis".
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and associated with noxious physical stimuli", and "a lasting, unsustainable, and unpleasant feeling resulting from negative appraisal of an inability or deficiency of the self."
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pain is caused by frustrated psychological needs. For example, the need for love, autonomy, affiliation, and achievement, or the need to avoid harm, shame, and embarrassment.
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Meerwijk EL, Ford JM, Weiss SJ (March 2013). "Brain regions associated with psychological pain: implications for a neural network and its relationship to physical pain".
201:(some subregions more than others), and may extend to other regions as well. Brain regions that were also found to be involved in psychological pain include the 1422:
Randles D, Heine SJ, Santos N (June 2013). "The common pain of surrealism and death: acetaminophen reduces compensatory affirmation following meaning threats".
414: 3169: 1875: 1783:, DeLuca CJ, Hennen J, Khera GS, Gunderson JG (1998). "The pain of being borderline: dysphoric states specific to borderline personality disorder". 1634: 1609: 1467:"Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial" 1135: 943: 268:
The intrapsychic pain experienced by those diagnosed with BPD has been studied and compared to normal healthy controls and to others with
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Orbach I, Mikulincer M, Sirota P, Gilboa-Schechtman E (2003). "Mental pain: a multidimensional operationalization and definition".
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states which patients diagnosed with BPD endure on a regular basis distinguishes them from those with other personality disorders:
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Orbach I, Mikulincer M, Gilboa-Schechtman E, Sirota P (2003). "Mental pain and its relationship to suicidality and life meaning".
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Eisenberger NI, Lieberman MD (July 2004). "Why rejection hurts: a common neural alarm system for physical and social pain".
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Suffering, mental agony, mental pain, emotional pain, algopsychalia, psychic pain, social pain, spiritual pain, soul pain
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Joffe WG, Sandler J (1967). "On the concept of pain, with special reference to depression and psychogenic pain".
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Mee S, Bunney BG, Reist C, Potkin SG, Bunney WE (December 2006). "Psychological pain: a review of evidence".
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Rehnsfeldt A, Eriksson K (September 2004). "The progression of suffering implies alleviated suffering".
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and mental agony. Borderline patients may feel overwhelmed by negative emotions, experiencing intense
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This article is about non-physical pain. For physical pain caused by psychological factors, see
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Fertuck EA, Jekal A, Song I, Wyman B, Morris MC, Wilson ST, et al. (December 2009).
1153:"The neural bases of social pain: evidence for shared representations with physical pain" 1041:
DeVylder, Jordan E.; Oh, Hans Y.; Corcoran, Cheryl M.; Lukens, Ellen P. (June 20, 2014).
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Oldham JM (January 2006). "Borderline personality disorder and suicidality".
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Spiritual pain: 60,000 Google results. Soul pain: 237,000 Google results.
206: 75:, where a man weeps due to the unpleasant feelings of psychological pain. 1604:(4th ed.). Washington, DC: American Psychiatric Association. 1994. 3058: 2638: 2506: 2466: 2452: 2447: 2437: 2348: 2208: 2107: 2070: 2040: 2035: 2000: 1980: 1970: 1955: 1897: 1884: 321: 1482: 3088: 2422: 2410: 2405: 2400: 2254: 2201: 2060: 1975: 1335:
Flaskerud JH (2011). "Heartbreak and physical pain linked in brain".
128:) of a psychological, non-physical origin. A pioneer in the field of 1465:
Husebo BS, Ballard C, Sandvik R, Nilsen OB, Aarsland D (July 2011).
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Morse JM (September 2001). "Toward a praxis theory of suffering".
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Cognitive-behavioral treatment of borderline personality disorder
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Interactions between the emotional and executive brain systems
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Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
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Shneidman ES (1996). "Appendix A Psychological Pain Survey".
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Dome, Peter; Rihmer, Zoltan; Gonda, Xenia (August 2019).
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The Australian and New Zealand Journal of Psychiatry
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Shneidman 114:Psychological pain 66:Vincent van Gogh's 43:Psychological pain 3147: 3146: 2734:Appeal to emotion 2512:Social connection 1826:Singer M (1977). 1699:Medicina (Kaunas) 1636:978-0-89862-183-9 1611:978-0-89-042061-4 1519:alzheimers.org.uk 1483:10.1136/bmj.d4065 1137:978-0-89672-161-6 945:978-0-19-530506-7 781:Wille RS (2011). 367:The Suicidal Mind 199:prefrontal cortex 179:social psychology 177:In the fields of 111: 110: 37:Medical condition 16:(Redirected from 3182: 3122:discrete emotion 3022:in the workplace 2918:Empathy quotient 2649: 2589: 2583: 2488: 2479: 2470: 2345: 2246: 2212: 1878: 1871: 1864: 1855: 1848: 1847: 1845: 1843: 1823: 1817: 1816: 1776: 1770: 1769: 1741: 1735: 1734: 1724: 1714: 1690: 1684: 1683: 1647: 1641: 1640: 1622: 1616: 1615: 1596: 1590: 1589: 1579: 1547: 1541: 1540: 1529: 1523: 1522: 1511: 1505: 1504: 1494: 1462: 1456: 1455: 1419: 1413: 1412: 1375: 1369: 1368: 1332: 1326: 1325: 1315: 1283: 1277: 1276: 1240: 1234: 1233: 1197: 1191: 1190: 1180: 1148: 1142: 1141: 1119: 1113: 1112: 1096: 1087: 1081: 1080: 1070: 1038: 1032: 1031: 999: 993: 992: 956: 950: 949: 931: 925: 924: 914: 890: 884: 883: 855: 846: 845: 817: 811: 810: 778: 772: 771: 739: 728: 727: 699: 693: 692: 664: 658: 655: 649: 648: 646: 640:. Archived from 607: 598: 589: 588: 554: 545: 539: 538: 510: 504: 503: 497: 489: 465: 459: 458: 430: 424: 423: 408:Weiss E (1934). 405: 399: 396:psychogenic pain 388: 382: 381: 361: 342:Sensory overload 301:bipolar disorder 286:bipolar disorder 270:major depression 251:anorexia nervosa 195:cingulate cortex 60: 40: 32:psychogenic pain 21: 3190: 3189: 3185: 3184: 3183: 3181: 3180: 3179: 3150: 3149: 3148: 3143: 3133: 3074:Jealousy in art 2817:in conversation 2739:Amygdala hijack 2652: 2590: 2584: 2575: 2564:sense of wonder 1892: 1882: 1852: 1851: 1841: 1839: 1825: 1824: 1820: 1778: 1777: 1773: 1743: 1742: 1738: 1692: 1691: 1687: 1649: 1648: 1644: 1637: 1624: 1623: 1619: 1612: 1598: 1597: 1593: 1562:(12): 1979–88. 1549: 1548: 1544: 1531: 1530: 1526: 1513: 1512: 1508: 1464: 1463: 1459: 1421: 1420: 1416: 1377: 1376: 1372: 1334: 1333: 1329: 1285: 1284: 1280: 1242: 1241: 1237: 1199: 1198: 1194: 1150: 1149: 1145: 1138: 1121: 1120: 1116: 1109: 1094: 1089: 1088: 1084: 1040: 1039: 1035: 1001: 1000: 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2216:Homesickness 2192: 2118:Enthrallment 2103:Emotion work 1966:Anticipation 1840:. 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2268:Infatuation 2236:Humiliation 2158:Frustration 2031:Contentment 1842:25 February 1752:(1): 20–6. 1251:(1): 1–14. 130:suicidology 118:mental pain 48:Other names 18:Mental pain 3154:Categories 3084:Pathognomy 2985:well-being 2901:and gender 2896:expression 2891:exhaustion 2876:detachment 2861:competence 2842:Emotional 2824:regulation 2807:perception 2802:in animals 2752:and memory 2688:Affective 2596:Worldviews 2458:melancholy 2443:Resentment 2313:Loneliness 2288:Irritation 2273:Insecurity 2263:Indulgence 2138:Excitement 2123:Enthusiasm 2056:Depression 2016:Confidence 2011:Compassion 1986:Attraction 1911:Admiration 1906:Acceptance 1705:(8): 403. 1537:www.nhs.uk 563:(5): 344. 348:References 219:cerebellum 142:psychalgia 97:Medication 90:psychology 86:Psychiatry 3165:Suffering 3112:appraisal 3052:sociology 3003:Emotions 2975:symbiosis 2960:reasoning 2930:isolation 2871:contagion 2856:blackmail 2782:expressed 2777:evolution 2767:and sleep 2757:and music 2692:computing 2639:Reclusion 2634:Pessimism 2609:Defeatism 2539:Suffering 2485:Sehnsucht 2428:Rejection 2379:self-pity 2354:Nostalgia 2323:limerence 2293:Isolation 2231:Hostility 2188:Happiness 2168:Gratitude 2113:Emptiness 2096:vicarious 2046:Curiosity 2021:Confusion 1961:Annoyance 1941:Amusement 1931:Agitation 1926:Affection 1921:Aesthetic 1916:Adoration 1477:: d4065. 807:144997538 793:: 23–30. 768:144462525 293:dysphoric 263:self-harm 242:suffering 126:suffering 81:Specialty 2970:security 2950:literacy 2935:lability 2925:intimacy 2866:conflict 2846:aperture 2743:Emotion 2727:negative 2722:positive 2712:spectrum 2677:measures 2629:Optimism 2624:Nihilism 2614:Fatalism 2604:Cynicism 2549:Sympathy 2544:Surprise 2386:Pleasure 2308:Kindness 2298:Jealousy 2283:Interest 2250:Hysteria 2133:Euphoria 2076:Distrust 2026:Contempt 2006:Calmness 1898:Emotions 1885:Emotions 1813:10093822 1805:10370445 1766:16390884 1731:31344941 1680:30951552 1672:15819731 1586:19460187 1501:21765198 1444:23579320 1409:13800603 1401:20548058 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20:)

Index

Mental pain
psychogenic pain

Vincent van Gogh's
Sorrowing old man ('At Eternity's Gate')
Specialty
Psychiatry
psychology
Medication
Antidepressant medication
Analgesic medication
suffering
suicidology
Edwin S. Shneidman
Psychological needs
Henry Murray
Patrick David Wall
social psychology
personality psychology
cingulate cortex
prefrontal cortex
insular cortex
thalamus
parahippocampal gyrus
basal ganglia
cerebellum
acetaminophen
Borderline personality disorder
suffering
grief

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