Pain pp 135-145 | Cite as

Pain: Past, Present, and Future

  • Ronald Melzack

Abstract

The recent descriptions of major surgery carried out in China with “acupuncture analgesia” have evoked enormous excitement in Western countries. There are frequent descriptions and evaluations of the phenomenon in the popular press. Many Western governments--particularly the United States, Canada, and Britain--have received large quantities of mail demanding close examination and evaluation of this method of pain control. Administrative officials who never gave pain research a moment’s thought are now in the position of having to make decisions about it. “Acupuncture analgesia,” whatever the underlying mechanisms turn out to be, may have the same catalytic impact on pain research in the United States that the Russian Sputnik had on the U.S. space program. Certainly it means that pain has become a major research problem that involves widespread segments of the medical and biological research community. It will undoubtedly receive increasing attention and, therefore, will generate increasing demands for financial support.

Keywords

Placebo Titration Morphine Carbamazepine Tegretol 

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References

  1. Beecher, H.K. (1959) Measurement of Subjective Responses, Oxford University Press.Google Scholar
  2. Casey, K.L. (1973) ‘ Pain: a current view of neural mechanisms.’ American Scientist, vol. 61, p. 194.PubMedGoogle Scholar
  3. Conant, J.B. (1947) On Understanding Science. Yale University Press.Google Scholar
  4. Hardy, J.D., Wolff, H.G., and Goodell, H. (1952) Pain Sensations and Reactions, Williams and Wilkins.Google Scholar
  5. Kuhn, T.S. (1962) The Structure of Scientific Revolutions. University of Chicago Press.Google Scholar
  6. Livingston, W.K. (1943) Pain Mechanisms, MacMillan.Google Scholar
  7. Mayer, D.J. and Liebeskind, J.C. (1974) ‘Pain reduction by focal electrical stimulation of the brain: an anatomical and behavioral analysis.’ Brain Research, vol. 68, p. 73.PubMedCrossRefGoogle Scholar
  8. Melzack, R. and Torgerson, W.S. (1971) ‘On the language of pain.’ Anesthesiology, vol. 34, p. 50.PubMedCrossRefGoogle Scholar
  9. Melzack, R. and Wall, P.D. (1965) ‘Pain mechanisms: a new theory.’ Science, vol. 150, p. 971.PubMedCrossRefGoogle Scholar
  10. Noordenbos, W. (1959) Pain. Elsevier Press.Google Scholar
  11. Reynolds, D.V. (1969) ‘Surgery in the rat during electrical analgesia induced by focal brain stimulation.’ Science, vol. 164, p. 444.PubMedCrossRefGoogle Scholar
  12. Spencer, W.A. and April, R.S. (1970) ‘Plastic properties of monosynaptic pathways in mammals.’ in G. Horn and R. A. Hinde (eds.), Short-Term Changes in Neural Activity and Behaviour, Cambridge, University Press.Google Scholar
  13. Sweet, W.H. (1959) ‘Pain’ Handbook of Physiology, vol. 1, p. 459.Google Scholar
  14. Wagman, I.H. and Price, P.D. (1969) ‘Responses of dorsal horn cells of M. mulatta to cutaneous and sural nerve A and C fibre stimuli.’ J. Neurophysiol., vol. 32, p. 803.PubMedGoogle Scholar
  15. Weddell, G. (1955) ‘Somesthesis and the chemical senses.’ Annual Review of Psychol., vol. 6, p. 119.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1976

Authors and Affiliations

  • Ronald Melzack
    • 1
  1. 1.McGill UniversityMontrealCanada

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