Pain is a complex, multidimensional phenomenon, with physiological,
behav- ioral, emotional, cognitive, and developmental aspects (Zeltzer,
Barr, McGrath, & Schechter, 1992). To effectively evaluate and manage
pain in children, the clini- cian must be able to assess the unique ways
these complex dimensions interact for the individual child and integrate
these dimensions into a treatment plan. This can be a daunting task. The
purpose of this book is to provide a framework for conceptualizing pain
problems in children that can guide the practitioner in developing an
evaluation and treatment plan that is optimal for the individual child.
This book is not in- tended to be a comprehensive, exhaustive review of
the literature on pain manage- ment in children. There are several
excellent books of this nature (e.g., Bush & Harkins, 1991: McGrath,
1990; Ross & Ross, 1988). Instead, this book is an at- tempt to outline
an hypothesis testing process of case conceptualizing and treat- ment
planning that can help structure the task of sorting through the complex
interrelationships that determine children's pain.