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“A Way of Life That is Not Entirely Unfortunate”: The Peripheral Cunning of Chronic Pain

机译:“一种并非完全不幸的生活方式”:慢性疼痛的周围狡猾

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Pain, considered an unsharable, interior experience despite its external expressions, is a phenomenon ofthe visual tradition and tends to be medically assessed visually. Western biomedicine favors brain scans,facial cues, and palpation signals to configure “authentic” pain as visually locatable, confirmable, anderadicable through targeted treatment. However, these ocularcentric medical techniques account only foracute pain, which is temporary and curable, and not chronic pain syndromes like fibromyalgia, anincurable, non-progressive disorder of unknown etiology. The fibromyalgic subject experiences paineverywhere, constantly, such that pain is normalized, infrequently noticed or made noticeable, exceptingunpredictable but anticipated flare-ups that are as interruptive and visible as acute pain. Bothcontradicting and aligning with the biomedical model of acute pain, the fibromyalgic subject obfuscatesthe medical gaze and is suspected of hypochondria, malingering, or drug addiction. To receive treatment,she must employ a multisensory peripheral cunning to intuit sensory expectations of how pain shouldappear and, accordingly, believably, perform the authentic experience of pain she stands accused offaking. Relying on mētis and kairós to deploy new modes of perceiving, knowing, affecting, and beingaffected,she must strategically occupy positions that demand the medical gaze embrace multisensoryperception over the solidified distance of image-based instrumental mediation outside of the body.
机译:尽管有外部表情,但疼痛仍被认为是一种无法共享的内部体验,是视觉传统的一种现象,并且往往会在医学上进行视觉评估。西方生物医学偏爱大脑扫描,面部提示和触诊信号,以通过目标治疗将“真实”疼痛配置为在视觉上可以定位,确认和根除的疼痛。但是,这些以眼部为中心的医疗技术只能解决暂时性和可治愈的急性疼痛,而不能解决诸如纤维肌痛,病因不明的无法治愈的非进行性疾病等慢性疼痛综合征。纤维肌痛症患者在任何地方持续经历疼痛,使得疼痛得以正常化,不经常注意到或变得明显,除了不可预测但可预见的突然发作像中断性疼痛一样可见,并且像急性疼痛一样可见。与急性疼痛的生物医学模型相矛盾并相吻合的是,纤维肌痛受试者使医学视线模糊不清,并被怀疑为软骨病,病或药物成瘾。为了接受治疗,她必须运用多感觉周围的狡猾,以直觉感觉到疼痛的出现方式,因此,可以相信的是,她表现出遭受痛苦的真实疼痛体验。她必须依靠mētis和kairós来部署新的感知,了解,影响和患病模式,她必须战略性地占据一些职位,这些职位要求医学凝视在基于图像的仪器介导的体外固定距离上接受多感觉感知。

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