Abstract
The Diagnostic and Statistical Manual, DSM-IV-TR (American Psychiatric Association 2000) includes the diagnosis of pain disorder, and it has been revised in major ways in the DSM-5 draft (American Psychiatric Association 2010). Pain disorder has been relegated as a specifier of the new diagnosis of complex somatic symptom disorder. It cannot be diagnosed prior to 6 months of the pain’s onset. Also, there are still the pejorative connotations with which the disorder is associated. In terms of treatment, it might be more difficult to get treatment plans accepted as a result of the changes, and in terms of the legal arena, it might prove more difficult to have the disorder serve as the basis of action in legal proceedings.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
American Educational Research Association, American Psychological Association, National Council on Measurement in Education, & Joint Committee on Standards for Educational and Psychological Testing (U.S.). (1999). Standards for educational and psychological testing. Washington: American Educational Research Association.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders: Text revision (4th ed.). Washington: American Psychiatric Association.
American Psychiatric Association (2010). Proposed draft revisions to DSM disorders and criteria. Arlington, VA: American Psychiatric Association. Retrieved from http://www.dsm5.org/Pages/Default.aspx.
Apkarian, A. V., Baliki, M. N., & Geha, P. Y. (2009). Towards a theory of chronic pain. Progress in Neurobiology, 87, 81–97.
Gatchel, R. J., Bo Peng, Y., Fuchs, P. N., Peters, M. L., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133, 581–624.
Gatchel, R. J., Theodore, B. R., & Kishino, N. D. (2008). Treatment of chronic pain consequent to motor vehicle collisions. In M. P. Duckworth, T. Iezzi, & W. T. O’Donahue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 229–242). New York: Elsevier.
Kroenke, K. (2006). Physical symptom disorder: A simpler diagnostic category for somatization-spectrum conditions. Journal of Psychosomatic Research, 60, 335–339.
Kroenke, K. (2007). Somatoform disorders and recent diagnostic controversies. The Psychiatric Clinics of North America, 30, 593–619.
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.
Melzack, R., & Katz, J. (2006). Pain in the 21st century: The neuromatrix and beyond. In G. Young, A. W. Kane, & K. Nicholson (Eds.), Psychological knowledge in court: PTSD, pain, and TBI (pp. 129–148). New York: Springer Science + Business Media.
Pilowsky, I. (1967). Dimensions of hypochondriasis. Psychiatry, 113, 89–93.
Turk, D. C., & Robinson, J. P. (2008). Assessment of patients with whiplash-associated disorders consequent to motor vehicle collisions: A comprehensive approach. In M. P. Duckworth, T. Iezzi, & W. T. O’Donahue (Eds.), Motor vehicle collisions: Medical, psychosocial, and legal consequences (pp. 187–227). New York: Elsevier.
van Ravesteijn, H., Wittkampf, K., Lucassen, P., van de Lisdonk, E., van den Hoogen, H., van Weert, H., et al. (2009). Detecting somatoform disorders in primary care with the PHQ-15. Annals of Family Medicine, 7, 232–238.
Welch, P. G., Carleton, R. N., & Asmundson, G. J. G. (2009). Measuring health anxiety: Moving past the dichotomous response option of the original Whiteley Index. Journal of Anxiety Disorders, 23, 1002–1007.
Wolraich, M., Dworkin, P., Drotar, D., & Perrin, E. (2008). Developmental-behavioral pediatrics: Evidence and practice. Philadelphia: Elsevier.
Young, G. (2008a). Psychotherapy for psychological injury: A biopsychosocial and forensic perspective. Psychological Injury and Law, 1, 287–310.
Young, G. (2008b). Causality and causation in law, medicine, psychiatry, and psychology: Progression or regression? Psychological Injury and Law, 1, 161–181.
Young, G. (2010). Trends in psychological/psychiatric injury and law: Practice comments, recommendations. Psychological Injury and Law, 3. doi:10.1007/s12207-010-9092-x.
Young, G., & Chapman, C. R. (2006). Chronic pain and affect as a nonlinear dynamical system. In G. Young, A. W. Kane, & K. Nicholson (Eds.), Psychological knowledge in court: PTSD, pain, and TBI (pp. 181–192). New York: Springer Science + Business Media.
Young, G., & Chapman, C. R. (2007). Pain, affect, nonlinear dynamical systems, and chronic pain: Bringing order to disorder. In G. Young, A. W. Kane, & K. Nicholson (Eds.), Causality of psychological injury: Presenting evidence in court (pp. 197–241). New York: Springer Science + Business Media.
Acknowledgments
Many thanks to Michael Schatman and Eric Drogin for their helpful comments, as well as to two anonymous reviewers for their erudite improvements of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Young, G. Chronic Pain in the DSM-IV and the DSM-5 Draft: The Pain of It All. Psychol. Inj. and Law 3, 289–294 (2010). https://doi.org/10.1007/s12207-010-9089-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12207-010-9089-5