PAINLANG THE LANGUAGE OF PAIN A PROGRAM OF RESEARCH INTO THE LANGUAGE USED ABOUT PAIN IN DIAGNOSIS, TREATMENT AND MANAGEMENT March 2008 THE ROLE OF LANGUAGE IN PAIN AND PAIN RESEARCH PainLang stands for "Pain Language" or language used about pain. PainLang is the name of an interdisciplinary research project at the University of Queensland. The goal of the PainLang project is to investigate the role of language used about pain in its diagnosis, treatment and management, and the contribution of pain language to the support and lifestyle quality of pain sufferers. The PainLang project begins from the position that there is no definitive proof of the existence or nature of pain. Neither observation nor instrumental testing is able to provide conclusive evidence. There can be pain without physical cause, and physical symptoms without pain. And there are many kinds of pain: physical, emotional and spiritual. A key source of information about pain – and much more than just information – is language: language used about pain between doctor and patient, patient and therapist, patient and patient, patient and support groups; and language used about pain more generally in the professional and public literature. Verbal communication about pain, however, can be anything but straightforward. People can under-report and over-report; be too technical, vague, evasive; be wittingly or unwittingly misleading; and much more. The accurate and appropriate interpretation of pain language is in urgent need of investigation. GOALS The goal of the PainLang project is to enhance our understanding and use of language in the diagnosis, treatment and management of pain. This involves seven key tasks: • a critical evaluation of current best practice in pain language; • the design, development, testing & validation of new pain language instruments; • the ways in which the evidence of pain language matches evidence from other sources of information and evidence about pain; • the application of the new instruments to different purposes and populations; • the investigation of pain discourses and the ways in which conversation about pain complements existing word-based models of pain language; • pain language beyond English: the role of pain language in selected languages and cultures, and the role of pain language in intercultural communication; • the development of theoretical and intellectual frameworks appropriate to the new pain language instruments, concepts and practice. PainLang is an interdisciplinary project which will involve experts from a number of domains, including: • Occupational therapy • Pain medicine • Linguistics and sociolinguistics • Psychology • Intercultural communication • Nursing • Palliative care The PainLang project will address pain sufferers, pain professionals, and people associated with pain in a variety of contexts: • chronic and acute pain; • pain sufferers of different ages, ethnic groups and language backgrounds; • different contexts of pain diagnosis, treatment and management / care; • pain physicians, people involved in the treatment and management of pain, pain carers and family and other supporters. KEY INVESTIGATORS Jenny Strong Professor of Occupational Therapy School of Health & Rehabilitation Sciences The University of Queensland Queensland 4072 Australia Telephone 07 3365 2096 email: j.strong@uq.edu.au Roland Sussex Professor of Applied Language Studies School of Languages & Comparative Cultural Studies The University of Queensland Queensland 4072 Australia Telephone: +61 7 3365 6896 email: sussex@uq.edu.au Geoff Mitchell Associate Professor in General Practice School of Medicine The University of Queensland Queensland 4072 Australia Telephone +61 7 3354 5504 email: g.mitchell@uq.edu.au Frank New Consultant Psychiatrist Professor Tess Cramond MultiDisciplinary Pain Centre Royal Brisbane & Women's Hospital Fax: +61 7 3852 4446 email: frankjnew@gmail.com Stephen Hoey Therapy Solutions Suite 6, 7 O’Connell Terrace Bowen Hills 4006 Telephone: +61 7 3852 4006 Fax: +61 7 3852 4446 Mobile: 0413 118182 email: stephen@therapysolutions.com.au Fiona Bogossian Associate Professor of Midwifery School of Nursing & Midwifery Faculty of Health Sciences The University of Queensland Room 240 Edith Cavell Building Royal Brisbane and Women's Hospital Herston QLD 4029 Telephone +61 7 3346 4853 Facsimile +61 7 3346 4851 Email: f.bogossian@uq.edu.au