FEATURE ARTICLEChronic Pain and
Biopsychosocial Disorders:
The BHI™ 2 Approach to Classification
and Assessment
By Daniel Bruns, PsyD and John Mark Disorbio, EdD
“While chronic pain is generally recognized as being a
bio-psychosocial phenomenon, what is often overlooked is that
illness, injury, psychological and social factors interact over the
course of time to produce distinctly different types of
bio-psychosocial disorders. Effective treatment requires that the
clinician not only identify the biological, psychological and social
aspects of a condition, but also understand how each component
interacts.
“For the patient who is psychologically healthy, there are numerous
motivations to recover. However, in some cases, whether due to the
severity of the medical condition, incorrect diagnosis, inadequate
treatment, preexisting psychological vulnerabilities, complicating
psychological reactions, or factors in the social environment, some
patients fail to recover and instead enter a downward spiral.” The
authors call this spiral “The Biopsychosocial Vortex”. View an
illustration of “The Biopsychosocial Vortex” and read the entire
article, published in Practical Pain Management Vol. 5,
Issue 7, by
clicking on this link to the article.
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