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Re: how physicians evaluate our pain....Margaret

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OMG How can a doctor take an oath and say these statements..if they

walked into our shoes they would eat their words....I am want to

scream at these statements:

* Sternbach's 6 D's of CPS are as follows:

1. Dramatization of complaints

2. Drug misuse

3. Dysfunction/disuse

4. Dependency

5. Depression

6. Disability

Also these words:

Pathophysiology: The pathophysiology of CPS is multifactorial and

complex and still is poorly understood. Some authors have suggested

that CPS might be a learned behavioral syndrome that begins with a

noxious stimulus that causes pain. This pain behavior then is rewarded

externally or internally. Thus, this pain behavior is reinforced, and

then it occurs without any noxious stimulus. Internal reinforcers are

relief from personal factors associated with many emotions (eg, guilt,

fear of work, sex, responsibilities). External reinforcers include

such factors as attention from family members and friends,

socialization with the physician, medications, compensation, and time

off from work.

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I'm sorry, i must have missed the posts leading up to this... What exacctly

is this list for? Is it to determine medication misuse or something. I gotta

go read all my mails, i am behind lol.

> OMG  How can a doctor take an oath and say these statements..if they

> walked into our shoes they would eat their words....I am want to

> scream at these statements:

>

>     * Sternbach's 6 D's of CPS are as follows:

>

>          1. Dramatization of complaints

>

>          2. Drug misuse

>

>          3. Dysfunction/disuse

>

>          4. Dependency

>

>          5. Depression

>

>          6. Disability

>

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