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The emotional state can influence greatly the perception of pain and its effect upon the body in general. Ambrose Pare, a French Huguenot barber and surgeon, remarked, “There is nothing that abateth so much the strength, as pain.” Continuous pain can be observed to have an adverse effect on the entire nervous system. There is increased irritability, fatigue, troubled sleep, poor appetite, and loss of emotional stability.

Courageous men are sometimes reduced to a whimpering, pitiable state in their reaction to severe pain. They become irrational about illness and may make unreasonable demands on their family. This condition is sometimes called “pain shock,” and, when established, requires delicate, but firm management. Depression is common, especially in chronic pain syndromes. At times unfortunately, the demands for and dependency on narcotic drugs often complicate the picture.

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