Chronic Pain and Family A Clinical Perspective
Chronic pain affects every facet of a patient’s life, and nowhere is this more evident than in the complex arena of family life. Chronic Pain and Family: a Clinical Perspective examines typical family issues associated with prolonged illness, offering rea
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About the Author
Ranjan Roy is a professor in the Faculty of Social Work and in the Department of Clinical Health Psychology, Faculty of Medicine, University of Manitoba, and a consultant (scientific) in the Department of Anesthesia, Health Sciences Center. Professor Roy is a Fellow of the Royal Society of Canada and the Canadian Academy of Science and the Humanities. He has published and lectured extensively on the biopsychosocial aspects of chronic pain.
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Chronic Pain and Family A Clinical Perspective
Ranjan Roy
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Ranjan Roy Faculty of Social Work University of Manitoba Winnipeg, Manitoba R3T 2N2, Canada
C Getty Images, Inc. Cover photograph copyright
Library of Congress Control Number: 2005935290 ISBN 10: 0-387-29648-4 ISBN 13: 978-0387-29648-7
e-ISBN 0-387-29649-2
Printed on acid-free paper. C 2006 Springer Science+Business Media, Inc. All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.
Printed in the United States of America.
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For Rebekah
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Contents
Preface Acknowledgments
viii x
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The Changing Nature of Families in the West ..............................
1
2
The Impact of Chronic Pain on Marriage and Family .....................
16
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The Health of the Partners (Spouses) and the Children ...................
29
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Chronic Pain and Sexual Relations............................................
42
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The Meaning and Function of Pain in Marriage: The International Perspective ..................................................
53
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What Happens to Communication? ...........................................
65
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Who Does What? An Exploration of Family Roles........................
75
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What Happens to the Children?................................................
88
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Partner Abuse and Chronic Pain............................................... 100
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Issues in Couple Therapy .......................................................
114
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Family Therapy ...................................................................
127
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Some Further Thoughts .........................................................
136
References
140
Index
150 vii
Preface
The importance of the family in the management of chronic pain and illness is widely recognized. It is surprising to realize that in the late 1970s and early 1980s, there was very little literature on
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