Born for Love-Empathy, the Brain, and Human Connections by Maia Szalavitz and Bruce D. , MD, PhD

September 11, 2010

Chronic Pain and Empathy

Opioid addiction risk without past drug history is between 0.3 and 3%.

By Maia Szalavitz on February 24, 2010

In today's Time Magazine online, I look at new research on the use of opioids in

the treatment of chronic pain. In fact, one of the things that got me

interested in writing about empathy was the problem of untreated chronic pain-

and the way that efforts to prevent addiction can interfere with our compassion

for the suffering.

As I note in the article, the actual risk of addiction during pain treatment

for most patients-who are middle aged and have no history of addiction-is

between less than one third of a percent and 3%, according to the research. So

why do so many people think the risk of addiction from taking these drugs is

much higher?

Mainly, it's because addicts go where the drugs are-and so, if they can get

them from doctors, they will. And, because doctors tend to have compassion for

patients-and there's no objective way to measure pain-they will sometimes be

fooled by those who are faking.

Some of those people will even later claim that the doctor turned them into an

addict! Research finds, however, that 80% of people misusing the painkiller

Oxycontin have also taken cocaine. Unless you want to believe that granddad

decided to try coke when he realized how great Oxy was and went off to find a

connection, prior history of drug problems is a better explanation for most

patients' drug problems than addiction caused by pain treatment.

This tendency to falsely blame doctors for addiction problems is linked to

empathy, too-or rather, lack of it. If we had more empathy for addicts-most of

whom are trying to cope with serious psychological pain-there would be much

less shame attached to the condition and much better treatment. Under those

circumstances, perhaps they wouldn't feel compelled to explain their behavior

as the innocent result of getting pain treatment- and pain patients would be

able to get better care, too.

posted by Bobby from Psychology Today magazine online

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