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Phantom pain is an intriguing mystery that has captured the imagination of health care providers and the public alike. How is it possible to feel pain in a limb or some other body part that has been surgically removed? Phantom pain develops among people who have lost a limb or a breast or have had internal organs removed. It also occurs in people with totally transected spinal cords. Unfortunately, phantom pain is a medical night mare. Many of the people reporting phantom pain make dispropor tionately heavy use of the medical system because their severe pains are usually not treated successfully. The effect on quality of life can be devas tating. Phantom pain has been reported at least since 1545 (Weir Mitchell as related by Nathanson, 1988) and/ or experienced by such diverse people as Admiral Lord Nelson and Ambroise Pare (Melzack & Wall, 1982; Davis, 1993). The folklore surrounding phantom pain is fascinating and mirrors the concepts about how our bodies work that are in vogue at any particu lar time. Most of the stories relate to phantom limbs and date from the mid-1800s. The typical story goes like this: A man who had his leg ampu tated complained about terrible crawling, twitching feelings in his leg. His friends found out where the leg was buried, dug it up, and found maggots eating it. They burned it, and the pain stopped. Another man complained of a swollen feeling with frequent stinging or biting pains.
Pulled back onto the Arcadia Project after losing her partner Teo to the lethal magic of an Unseelie fey countess, Millie must prove the innocence of her former boss, Caryl, when she is accused of murdering an agent, which draws Millie into an insidious, arcane terrorist plot that would leave two worlds in ruins.
Phantom limb pain is one of the most intractable and merciless pains ever known—a pain that haunts appendages that do not physically exist, often persisting with uncanny realness long after fleshy limbs have been traumatically, surgically, or congenitally lost. The very existence and “naturalness” of this pain has been instrumental in modern science’s ability to create prosthetic technologies that many feel have transformative, self-actualizing, and even transcendent power. In Phantom Limb, Cassandra S. Crawford critically examines phantom limb pain and its relationship to prosthetic innovation, tracing the major shifts in knowledge of the causes and characteristics of the phenomenon. Crawford exposes how the meanings of phantom limb pain have been influenced by developments in prosthetic science and ideas about the extraordinary power of these technologies to liberate and fundamentally alter the human body, mind, and spirit. Through intensive observation at a prosthetic clinic, interviews with key researchers and clinicians, and an analysis of historical and contemporary psychological and medical literature, she examines the modernization of amputation and exposes how medical understanding about phantom limbs has changed from the late-19th to the early-21st century. Crawford interrogates the impact of advances in technology, medicine, psychology and neuroscience, as well as changes in the meaning of limb loss, popular representations of amputees, and corporeal ideology. Phantom Limb questions our most deeply held ideas of what is normal, natural, and even moral about the physical human body.
In her seventh collection, Kocot strings one word per line into dark and dazzling recitals of her capacity for emotion.
How do you move on from an irreplaceable loss? In a poignant debut, a sixteen-year-old boy must learn to swim against an undercurrent of grief—or be swept away by it. Otis and Meg were inseparable until her family abruptly moved away after the terrible accident that left Otis’s little brother dead and both of their families changed forever. Since then, it’s been three years of radio silence, during which time Otis has become the unlikely protégé of eighteen-year-old Dara—part drill sergeant, part friend—who’s hell-bent on transforming Otis into the Olympic swimmer she can no longer be. But when Otis learns that Meg is coming back to town, he must face some difficult truths about the girl he’s never forgotten and the brother he’s never stopped grieving. As it becomes achingly clear that he and Meg are not the same people they were, Otis must decide what to hold on to and what to leave behind. Quietly affecting, this compulsively readable debut novel captures all the confusion, heartbreak, and fragile hope of three teens struggling to accept profound absences in their lives.
The phenomenon of phantom limb was described in medical literature at least as early as 1545 by Ambroise Pare, according to the notes in the translation of Lemos' dissertation, "On the Continuing Pain of an Amputated Limb", by Price and Twombly [9]. This strange experience was brought to public attention by a popular essay anonymously published 1866 by Mitchell concerning the story of George Dedlow, a quadriamputee who described his invisible limbs [7]. In 1871 Mitchell wrote under his own name, and was the. first to use the term "phantom limb" [8]. In this work, he also corrected some erroneous beliefs that had arisen from his 1866 essay [13]. Most amputees report feeling a phantom limb almost immediately after amputation of an arm or a leg [11]. It is a positive sensation, usually described as tingling or numbness, which is not painful. The most distal parts of the limb, particulary the digits, thumb, and index, are the strongest and most persisting phantom sites, and may be the only parts to appear even after removal of a whole limb. The elbow or knee is sometimes involved, the forearm or lower leg rarely, and the upper arm and thigh almost never [5]. The phantom thus appears to consist predominantly of those parts which have the most extensive representa tion in the thalamus and in the cerebral cortex.
Whether you are a student or a clinician, if you work with patients with neuromuscular and musculoskeletal impairments, you will find this text supplies a strong foundation in and appreciation for the field of orthotics and prosthetics that will give you the critical skills you need when working with this unique client population.
'Phantom limb pain' designates the sensations which seem to emanate from limbs that in reality are missing. The phrase was coined by the American Civil War surgeon, Weir Mitchell, in reference to his fictional amputee, George Dedlow. Contemporary neuroscience holds that the brain encloses a schema which covers the whole body, and asserts its unity even if certain parts are missing. Reading backwards from Dedlow's sufferings, Alastair Minnis traces the medieval precedents and parallels, focusing on Augustine and Dante, who subscribed to the notion of a 'body in the soul'. Dante's souls in purgatory self-prosthesize with aerial phantoms as they long for the full embodiment which only the resurrection can bring. Is a complete body necessary for personhood? And how can the gamut of human feelings be run if parts or the entirety of one's body does not exist? Combining medieval studies and contemporary neuroscience, this absorbing study explores the fascinating and surprising history of phantom pain.
Implements stories of surgical alteration to consider how early modern individuals conceived the relationship between body, mind, and self.
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