Abstract
Chronic pain of obscure origin, a widespread problem, represents a distinct psychopathologic condition for which the authors propose the term “pain-prone Disorder.” Pain-prone persons present with continuous pain and a desire for surgery. Based on an evaluation of 234 patients at the Massachusetts General Hospital, the authors describe the profile of such patients. They have engaged in excessive activity (ergomania) before the onset of pain and after its onset, they become excessively passive (anergic). Interviews and psychological tests show that their pain is related to a denial of emotional and interpersonal difficulties and that they tend to idealize their family relationships. The disorder appears to be a “depression-spectrum disease,” and treatment with antidepressants is often effective.
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