Beyond opioid regulation: Why a social and cultural analysis of pain in America is a prerequisite for ethical evidence-based pain policy

dc.contributor.advisorWilliam J. Winsladeen_US
dc.contributor.committeeMemberMichele Carteren_US
dc.contributor.committeeMemberMelvyn Schreiberen_US
dc.contributor.committeeMemberJason E. Glennen_US
dc.contributor.committeeMemberHoward A. Brodyen_US
dc.contributor.committeeMemberBen A. Richen_US
dc.creatorDaniel Goldbergen_US
dc.date.accessioned2011-12-20T16:04:43Z
dc.date.available2010-09-28en_US
dc.date.available2011-12-20T16:04:43Z
dc.date.created2009-06-17en_US
dc.date.issued2009-05-06en_US
dc.description.abstractThis dissertation constitutes an attempt to understand the social, cultural, legal, and political reasons for the widespread undertreatment of pain in the United States, and to prescribe evidence-based policy recommendations for improving culture and practice as to the treatment of pain. Though the American problems in treating pain have, over the last three decades, produced an abundance of scholarship, practical guides, and policy analyses, relatively little progress has been made. To the contrary, there is evidence that problems in treating pain have worsened, particularly as to disparities in treating pain effectively. It is curious that virtually any handbook of pain management stresses the need for a multimodal approach, but that there exists a paucity of interdisciplinary analyses of pain. Using the lenses of the medical humanities, I complete an interdisciplinary analysis of pain in the United States. Centering on ethics, policy, and the history of medicine, this analysis forms the theoretical framework upon which I erect a series of evidence-based policy recommendations addressing the treatment of pain. The dissertation in itself makes clear to the reader the characteristics of a medical humanities approach to health, illness, and healing.en_US
dc.format.mediumelectronicen_US
dc.identifier.otheretd-06172009-114413en_US
dc.identifier.urihttp://hdl.handle.net/2152.3/120
dc.language.isoengen_US
dc.rightsCopyright © is held by the author. Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works.en_US
dc.subjectundertreatmenten_US
dc.subjectpainen_US
dc.subjectmedical humanitiesen_US
dc.subjecthistory of medicineen_US
dc.subjectethicsen_US
dc.titleBeyond opioid regulation: Why a social and cultural analysis of pain in America is a prerequisite for ethical evidence-based pain policyen_US
dc.type.genredissertationen_US
dc.type.materialtexten_US
thesis.degree.departmentMedical Humanitiesen_US
thesis.degree.grantorThe University of Texas Medical Branchen_US
thesis.degree.levelDoctoralen_US
thesis.degree.namePhDen_US

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