Evaluative Processing of One’s Own Pain in Fibromyalgia

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Some medical disorders involve the greater use of evaluative pain descriptors that others. For example, a study by Marques et al. of fibromyalgia patients and osteoarthritis patients found that the fibromyalgia patients used more evaluative descriptors of their pain. (Pain evaluation of patients with fibromyalgia, osteoarthritis, and low back pain. Marques AP1, Rhoden L, de Oliveira Siqueira J, João SM Rev Hosp Clin Fac Med Sao Paulo. 2001 Jan-Feb;56(1):5-10, available in full online at: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812001000100002&lng=en&nrm=iso&tlng=en.) When a person uses and evaluative descriptor, logically, they must have a mental faculty for evaluation to which they are applying to their pain. This means that the object of their thought is their own pain, which is one of the many aspects of self. In other words, there must be activity in their mind involving the self, the experience or memory of pain, and evaluation as good, bad or evil. While a great deal is known about evaluative ideas, the scientific study of the brain processes, as of 2021, is still in its infancy.