The Painful Analgesia of Cotard’s Syndrome

The Painful Analgesia of Cotard’s Syndrome

In the present paper, we look into what is painful psychical analgesia in relation to what 19 century clinicians have named “moral pain” in melancholia, and more particularly in the delusion of negation described by the French psychiatrist Jules Cotard in 1880, a form of delusion that can be seen mostly in cases of chronic anxious melancholia. This condition is characterized by a painful absenc...

Patient-controlled analgesia: Is it worth the painful prescribing process?

Consequences of inadequate analgesia during painful procedures in children.

OBJECTIVE To explore the effect of inadequate analgesia for painful procedures (bone marrow aspiration, lumbar puncture, or both) on the pain of subsequent procedures. DESIGN A cohort of patients with cancer who had participated in a placebo-controlled, randomized study that documented the efficacy of oral transmucosal fentanyl citrate for painful procedures rated the pain associated with sub...

Painful rib syndrome.

Painful rib syndrome EDITOR,-The painful rib syndrome recently described by Scott and Scott is, in my opinion, a misnomer. Over the years I have seen numerous cases similar to the ones they report, and have found that the tender spots they allude to are not in the ribs but in the muscles. They are, in fact, myofascial trigger points. Pain develops because of trauma induced activation ofnocicept...

Effectiveness of sucrose analgesia in newborns undergoing painful medical procedures.

BACKGROUND Sucrose is widely used to manage procedural pain in term newborns despite a lack of evidence of its effectiveness for different procedures and infant populations. Our objectives were to evaluate the effectiveness and safety of sucrose in newborns undergoing various medical procedures within 2 days of birth. METHODS We performed a double-blind, randomized controlled trial. We includ...