{"id":25,"date":"2007-01-19T16:36:36","date_gmt":"2007-01-19T23:36:36","guid":{"rendered":"http:\/\/www.howtocopewithpain.org\/blog\/25\/is-the-pain-real-and-other-questions-your-family-member-might-have\/"},"modified":"2016-11-12T16:00:28","modified_gmt":"2016-11-12T20:00:28","slug":"is-the-pain-real-and-other-questions-your-family-member-might-have","status":"publish","type":"post","link":"https:\/\/www.howtocopewithpain.org\/blog\/25\/is-the-pain-real-and-other-questions-your-family-member-might-have\/","title":{"rendered":"&#8220;Is the pain real?&#8221; and other questions your family member might have"},"content":{"rendered":"<p><strong><em>Family Issues #2<\/em><\/strong><\/p>\n<p>Today&#8217;s post is the second in our\u00a0series about family issues and your pain.<\/p>\n<p><strong><em>Is the pain all in my loved one&#8217;s head?<\/em><\/strong><\/p>\n<p>Chronic pain is rarely imaginary (psychogenic) or simply a way for your loved one&#8217;s psychological problems to come out. Even if a patient is referred to a <a href=\"http:\/\/www.howtocopewithpain.org\/resources\/should-i-see-a-pain-management-psychiatrist-psychologist-or-therapist.html\">pain management psychiatrist or psychologist<\/a>, this rarely means they&#8217;re imagining pain. The pain is real. However, negative emotions such as depressed mood, anger, or anxiety can play an important role in making pain worse.<\/p>\n<p>For example, anxiety or anger can cause an increase in muscle tension leading to more pain. Post-Traumatic Stress Disorder (PTSD) causes one&#8217;s nervous system to become very sensitive and can make it harder to recover from a physical injury. Certain types of personalities may find it more difficult to cope with pain and\/or the losses and disabilities it brings. For example, some people get much of their self-esteem from working and can&#8217;t tolerate being disabled.<\/p>\n<p><strong><em>Could they be faking it, say, to get out of work?<\/em><\/strong><\/p>\n<p>Faking pain, on purpose, to get out of something or to get a reward is known as malingering. While it does occur, it&#8217;s rare. Most patients feel very guilty about not being able to do the things they used to do, whether working at a job or taking care of their family around the house. Very few patients with pain make more money out of work than working. Most suffer severe financial losses.<\/p>\n<p>Unconsciously producing symptoms to get rewards or get out of unpleasant things is called &#8220;secondary gain.&#8221; It&#8217;s rarely the cause of someone&#8217;s pain, although it sometimes may reinforce a negative situation. For example, someone on disability may fear vocational training because they&#8217;re afraid to lose their income, in case going back to work doesn&#8217;t work out. For some, there may be positive outcomes that make it easier to accept one&#8217;s situation. However, for most pain patients, the losses far outweigh the gains. Remember, this is a <em>family challenge<\/em>, not just an individual one. Try to see it as one that you&#8217;ll face together &#8211; &#8216;we,&#8217; not &#8216;he&#8217; or &#8216;she,&#8217; will fight this together.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Family Issues #2 Today&#8217;s post is the second in our\u00a0series about family issues and your pain. Is the pain all in my loved one&#8217;s head? Chronic pain is rarely imaginary (psychogenic) or simply a way for your loved one&#8217;s psychological problems to come out. Even if a patient is referred to a pain management psychiatrist [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-25","post","type-post","status-publish","format-standard","hentry","category-1"],"_links":{"self":[{"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/posts\/25","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/comments?post=25"}],"version-history":[{"count":7,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/posts\/25\/revisions"}],"predecessor-version":[{"id":7516,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/posts\/25\/revisions\/7516"}],"wp:attachment":[{"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/media?parent=25"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/categories?post=25"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.howtocopewithpain.org\/blog\/wp-json\/wp\/v2\/tags?post=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}