Re: Digest Number 2846

[Guest guest]

Tonia,

about on-line relationships, I am not going to forward the e-mail but VERY WELL SAID!!! we should all adhere to these philosophies!!! Take care, Love Jai

[Guest guest]

In a message dated 12/8/2004 2:07:23 PM Eastern Standard Time, RSD-CRPSofAmerica writes:

be a learned behavioral syndrome that begins with a noxious stimulus thatcauses pain. This pain behavior then is rewarded externally or internally.Thus, this pain behavior is reinforced, and then it occurs without anynoxious stimulus. Internal reinforcers are relief from personal factorsassociated with many emotions (eg, guilt, fear of work, sex,responsibilities). External reinforcers include such factors as attentionfrom family members and friends, socialization with the physician,medications, compensation, and time off from work. Patients with several psychological syndromes (eg, major depression,somatization disorder, hypochondriasis, conversion disorder) are prone todeveloping CPS.

Hi Tonia,

I agree with this but for most of us the depression is secondary to the chronic pain. Had I never have had the injury I had I would not have suffered the RSD which caused the depression. My doc calls it "situational depression." Had I not been in this situation I would not have the depression. I think that this is probably true for most of us. We had full productive lives and never would have suffered depression until the dx and trying to deal with living with chronic pain. I know a lot of us have suffered loss of many things like independence, jobs, relationships, etc., the above puts the apple before the cart.

But I do appreciate the information because it is always good to get a different perspective. Thank you, Take care, Love Jai