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  • Journal
    Digital Access
    Provider
    Version
    Wiley
    v. 1-, 2014-
    PubMed Central
    v. 1-, 2014-
  • Article
    Sternbach RA.
    J Human Stress. 1978 Sep;4(3):11-5.
    A small percentage of patients with persistent pain are sufficiently angry, demanding, and manipulative to require the negotiation of an explicit treatment and/or management contract. The very few studies in this field suggest that pain is both a function of and a stimulus to abnormal illness behavior, thus requiring special attention to therapeutic "ground rules." Treatment requires an unequivocal assertion by the patient that he wishes to get better and is willing to work at doing so; the specification of clearcut goals and the means of working towards them ("pacing behavior"); and the possible use of electrical neurostimulation and/or weak analgesics for pain control. Explicit understanding of mutual expectations and the patient's and doctor's "rights" is also helpful in fostering goodwill and desirable results.
    Digital Access Access Options