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Anesth Prog. 1986 Sep-Oct; 33(5): 252–257.
PMCID: PMC2177480

Psychological and Behavioral Dynamics in Chronic Atypical Facial Pain


The authors discuss the relationship between atypical facial pain and psychiatric disturbance. They present contemporary viewpoints and describe four cases that illustrate underlying psychodynamic mechanisms associated with pain in patients who had undergone various dental procedures and other treatments without success. They identify factors which might lead to the early detection of underlying psychological problems and discuss the role of learning, the family system and other factors in producing a chronic pain syndrome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Moore DS, Nally FF. Atypical facial pain: an analysis of 100 patients with discussion. Dent J. 1975 Jul;41(7):396–401. [PubMed]
  • RUSHTON JG, GIBILISCO JA, GOLDSTEIN NP. Atypical face pain. J Am Med Assoc. 1959 Oct 3;171:545–548. [PubMed]
  • ENGEL GL. Primary atypical facial neuralgia; an hysterical conversion symptom. Psychosom Med. 1951 Nov-Dec;13(6):375–396. [PubMed]
  • Blumer D, Heilbronn M. Chronic pain as a variant of depressive disease: the pain-prone disorder. J Nerv Ment Dis. 1982 Jul;170(7):381–406. [PubMed]
  • Remick RA, Blasberg B, Campos PE, Miles JE. Psychiatric disorders associated with atypical facial pain. Can J Psychiatry. 1983 Apr;28(3):178–181. [PubMed]
  • Reich J, Tupin JP, Abramowitz SI. Psychiatric diagnosis of chronic pain patients. Am J Psychiatry. 1983 Nov;140(11):1495–1498. [PubMed]
  • Krishnan KR, France RD, Houpt JL. Chronic low back pain and depression. Psychosomatics. 1985 Apr;26(4):299–302. [PubMed]
  • ENGEL GL. Psychogenic pain and pain-prone patient. Am J Med. 1959 Jun;26(6):899–918. [PubMed]
  • Smith GR, Jr, Monson RA, Ray DC. Psychiatric consultation in somatization disorder. A randomized controlled study. N Engl J Med. 1986 May 29;314(22):1407–1413. [PubMed]

Articles from Anesthesia Progress are provided here courtesy of American Dental Society of Anesthesiology