Current Review of Pain

, Volume 2, Issue 1, pp 19–28

Misdiagnosis of chronic pain as hysteria and malingering

  • Allan P. Shapiro
  • Robert W. Teasell
Article

DOI: 10.1007/s11916-998-0059-5

Cite this article as:
Shapiro, A.P. & Teasell, R.W. Current Review of Pain (1998) 2: 19. doi:10.1007/s11916-998-0059-5

Abstract

Chronic soft tissue pain disorders are not well understood from a pathophysiologic standpoint. Psychologic difficulties are common, clinical signs incompatible with conventional understanding of the nervous system are often present, and these disorders usually fail to respond to medical intervention.When this constellation of factors is combined with unresolved litigation-compensation issues, it is not surprising that chronic pain disorders are often misdiagnosed as hysteria or malingering. Unfortunately, these diagnoses may have significant negative consequences that are not often appreciated and may compromise treatment.

Copyright information

© Current Science Inc. 1998

Authors and Affiliations

  • Allan P. Shapiro
    • 1
  • Robert W. Teasell
    • 2
  1. 1.Psychological Services, Department of Physical Medicine and RehabilitationUniversity of Western Ontario and London Health Sciences CentreLondonCanada
  2. 2.Associate Professor of Medicine, Chief, Department of Physical Medicine and RehabilitationUniversity of Western Ontario and London Health Sciences CentreLondonCanada

Personalised recommendations