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The Assessment of Pain Perception

Published online by Cambridge University Press:  08 February 2018

Phyllis G. Croft*
Affiliation:
Universities' Federation for Animal Welfare. From Neuropsychiatric Research Centre, Whitchurch Hospital, Cardiff

Extract

The assessment of pain perception is a subject of great importance from both the practical and the theoretical aspect. The increasing use of curare-like drugs as muscular relaxants and basal anaesthetics (Mushin, 1951), and in conjunction with electro-convulsant therapy (E.C.T.), has made the orthodox tests for depth of anaesthesia unreliable because they depend on the activity of voluntary muscle. E.C.T. itself (Morgan, 1950) and industrial electrical accidents (Hume, 1935) have given rise to unusual states of consciousness which cannot be fully understood until more is known about the way in which electric shock affects the central nervous system. On the theoretical side many explanations of the essential features of a state of consciousness have been given, but none of them accounts completely for all the observed phenomena; investigations designed to improve methods of assessment should provide useful information which, when correlated with that from other fields, may ultimately lead to a better understanding of the conscious state. The object of the experiments described in this paper has been the development of tests which will indicate the level of consciousness, and in particular the appreciation of pain, when the voluntary muscles are paralysed.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1952 

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