Banner Portal
Chronic pain - a psychological approach


Chronic pain. Temporomandibular disorder (TMD). Psychodinamic characteristics. Interdisciplinary approach. Personal and professional requirements

How to Cite

Bérzin M da GR. Chronic pain - a psychological approach. Braz. J. Oral Sci. [Internet]. 2015 Nov. 16 [cited 2024 May 19];3(10):480-3. Available from:


The article presents some relative considerations of bio-psycho-social nature to chronic pain, emphasizing to Temporomandibular Disorders (TMD). It describes some consequences triggered by chronic pain on the every life and points the main psychodynamic characteristics of the TMD carrier. It still stresses the necessity of a diagnostic and therapeutical interdisciplinary and personalized approach, and the importance of a adequate preparation of the health professionals in general, regarding the methods and appropriate cares, destined to patients bearing painful syndromes. The good relation between professional and patient is pointed as one of the most important tools of work that makes possible more efficient and human treatments.


Bonica JJ. The management of pain. 2.ed. Philadelphia: Febiger Publisher; 1990.

Teixeira MJ, Okada M. Historical evolution of the knowledge of pain. In: Teixeira MJ. Editor. Pain - interdisciplinary context. Curitiba: Maio; 2003. p.18-51.

Carlson CH, Reid KI, Curran SL, Studts J, Okeson JP, Falace D et al. Psychological and physiological parameters of masticatory muscle’s Pain. Pain. 1998; 76: 297-307.

Okeson JP. Psychological factors and bucofacial pain. In: Okeson JP. Editor. Bell’s bucofacial pain. 5.ed. Curitiba: Quintessence; 1998. p.457-78.

Bérzin MGR. Psychodynamics and social characteristics of patient with cranio mandibular pain. In: Annals of 4th International Symposium of Pain. São Paulo; 1999. p.398.

Seger L. Applied psychology to temporomandibular joint dysfunction. In: Seger L. Editor. Psychology & dentistry-an integrated approach. 3.ed. São Paulo: Santos; 1998. p.203-42.

Siqueira JTT. Diagnosis in pain - the challenge of the dentistry. In: Siqueira JTT, Ching LH. Editors. Pain - orofacial/TMJ, bases for the clinical diagnosis. Curitiba: Maio; 1999. p.29-37.

IASP. International Association for the Study of Pain. Subcommitte on Taxonomy. Classification of Chronic Pain, Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Pain.1986; 3: S1-225.

World Health Organization. ICD-10 Classification of Mental and Behavioural Disorders-Clinical Descriptions and Diagnostic Guidelines. Porto Alegre: Artes Médicas; 1993.p.158-67.

Okeson JP. The nature of the pain. In: Okeson JP. Editor. Bell’s bucofacial pain. 5.ed. São Paulo: Quintessence; 1998. p.3-11.

Loduca A. Psychodramatic strategies for the patient with chronic pain. In: Annals of 5th International Symposium of Pain. São Paulo; 2001. p.172-5.

Carlsson GE. Introduction to study of craniomandibular disfunction. In: Barros JJ. Editor. Treatment of the craniomandibular dysfunction-TMJ. São Paulo: Santos; 1995. p.3-5.

Loduca A, Samuelian C. Patients’ psychological evaluation with pain. In: Teixeira MJ, Ching LH. Editors. PainInterdisciplinary Context, Curitiba: Maio; 2003. p.191-212.

Boever JA, Steenks MH. Epidemiology, symptomatology and etiology of the craniomandibular dysfunction. In: Steenks MH, Wijer A. Editors. Craniomandibular dysfunction of the point of view of the physiotherapy and of the dentistry-diagnosis and treatment. São Paulo: Santos; 1996. p.35-43.

Bérzin F. Electromyographic study of the hyperactivity in chewing muscles in craniomandibular disorders’ patients (CMD) with myofascial pain. In: Annals of 4th International Symposium of Pain. São Paulo; 1999. p.405.

Teixeira M J. General aspects of the pain treatment. Doctor. 1997; 76: 46-7.

Barbosa CMR, Pedro VM, Martinelli DA, Silvério KCA, Di Hipólito Jr O, Grosso DB et al. Craniomandibular dysfunction: interdisciplinary treatment developed at Dental School of Piracicaba/UNICAMP. Braz J Physiother. 1997; 2: 67-70.

Portnoi AG. Facing the pain. In: Teixeira MJ. Editor. Paininterdisciplinary context. Curitiba: Maio; 2003. p.205-12.

Okeson JP. The psychology of the pain. In: Okeson JP. Editor. Bell’s bucofacial pain. 5.ed. São Paulo: Quintessence; 1998. p.93-102.

Teixeira MJ, Valverde JF. Acute pain. In: Teixeira MJ. Editor. Pain-interdisciplinary context. Curitiba: Maio; 2003. p.241- 69.

Amaral LMTB. The century XXI’s professional and the impact of the transformations in the multidisciplinary team of pain treatment. In: Siqueira JTT, Ching LH. Pain – orofacial pain/ ATM - bases for the clinical diagnosis. Curitiba: Maio; 1999. p.79-82.

Pini MHM. Sharing the pain and reducing the abandonment. In: Annals of 6th International Symposium of Pain. São Paulo: 2003. p.269-70.

The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.


Download data is not yet available.