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Current Review of Pain

, Volume 2, Issue 1, pp 19–28 | Cite as

Misdiagnosis of chronic pain as hysteria and malingering

  • Allan P. Shapiro
  • Robert W. Teasell
Article

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.

Keywords

Chronic Pain Fibromyalgia Myofascial Pain Whiplash Injury Pain Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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

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