Why Does It Still Hurt?: How the Power of Knowledge Can Overcome Chronic Pain

Chronic pain is the single biggest cause of human suffering. Yet pain that persists for three months or more is often unrelated to any physical injury. So why does it still hurt? Research over the last few decades shows that many of us - sufferers of chronic pain and health practitioners alike - are victims of a devilish trick of the nervous system. Where we believe that pain has its root in a damaged body, it is the brain that prolongs the hurting long after the body has healed. This leads to hundreds of billions of dollars being spent each year on treatments that sometimes do nothing and sometimes make matters worse. Paul Biegler, a science journalist and former doctor who has been on his own pain journey, investigates the true source of chronic pain - our brain's so-called neuroplasticity - and emerging therapies, including cognitive therapy and graded exercise exposure, that take advantage of that same neuroplasticity to rewire the brain and end the suffering. As he knows only too well, this doesn't mean the pain is all in a person's head. The pain is real, but its meaning is often misunderstood. Through conversations with scientists, doctors, and people who have overcome chronic pain, Biegler shines a light on the rigorous new studies - and emotional personal stories - that are changing the way we understand and treat pain. Most importantly, he shows how to take control over persistent pain and truly heal. Praise for The Ethical Treatment of Depression- 'Biegler's wonderful book sheds new light on autonomy, depression, and the moral purposes of medicine, making a strong case for preferring psychotherapeutic over drug treatments for depression. His clearly written, scientifically well-informed book is essential reading for all interested in medical ethics or mental disorders.' -Richard Ashcroft, professor of bioethics at University of London Praise for The Ethical Treatment of Depression- 'No other book combines philosophy with so much empirical information to critique overreliance on drugs in the treatment of a mental illness. Biegler's message is both sobering and clear. His book is a significant contribution to the philosophy of psychiatry as well as to the key role that maximising patient autonomy should play in the choice of therapies for depression.' -George Graham, professor of philosophy and neuroscience at Georgia State University Praise for The Ethical Treatment of Depression- 'This book is long overdue. Biegler gives a compelling analysis of the impact depression has on autonomous decision making - a factor which, he argues, has important implications for its treatment. Given how many people suffer from this debilitating disease worldwide, his insight has the potential to transform the medical, moral, and social wellbeing of a substantial portion of the world's population. The Ethical Treatment of Depression is essential for clinicians, bioethicists, lawyers, and policy practitioners. -Patricia Illingworth, department of philosophy and religion at College of Business Adminstration, and School of Law, Northeastern University