Fear of Suffering Is Worse Than Suffering Itself 

Critics:

The word suffering is sometimes used in the narrow sense of physical pain, but more often it refers to psychological pain, or more often yet it refers to pain in the broad sense, i.e. to any unpleasant feeling, emotion or sensation. The word pain usually refers to physical pain, but it is also a common synonym of suffering. The words pain and suffering are often used both together in different ways. For instance, they may be used as interchangeable synonyms.

Or they may be used in ‘contradistinction’ to one another, as in “pain is physical, suffering is mental”, or “pain is inevitable, suffering is optional”. Or they may be used to define each other, as in “pain is physical suffering”, or “suffering is severe physical or mental pain”. Qualifiers, such as physical, mental, emotional, and psychological, are often used to refer to certain types of pain or suffering.

In particular, mental pain (or suffering) may be used in relationship with physical pain (or suffering) for distinguishing between two wide categories of pain or suffering. A first caveat concerning such a distinction is that it uses physical pain in a sense that normally includes not only the ‘typical sensory experience of physical pain’ but also other unpleasant bodily experiences including air hunger, hunger, vestibular suffering, nausea, sleep deprivation, and itching.

A second caveat is that the terms physical or mental should not be taken too literally: physical pain or suffering, as a matter of fact, happens through conscious minds and involves emotional aspects, while mental pain or suffering happens through physical brains and, being an emotion, involves important physiological aspects. The word unpleasantness, which some people use as a synonym of suffering or pain in the broad sense, may refer to the basic affective dimension of pain (its suffering aspect), usually in contrast with the sensory dimension, as for instance in this sentence:

Pain-unpleasantness is often, though not always, closely linked to both the intensity and unique qualities of the painful sensation.” Other current words that have a definition with some similarity to suffering include distress, unhappiness, misery, affliction, woe, ill, discomfort, displeasure, disagreeableness. 

Social suffering, according to Arthur Kleinman and others, describes “collective and individual human suffering associated with life conditions shaped by powerful social forces”. Such suffering is an increasing concern in medical anthropology, ethnography, mass media analysis, and Holocaust studies, says Iain Wilkinson, who is developing a sociology of suffering.

The Encyclopedia of World Problems and Human Potential is a work by the Union of International Associations. Its main databases are about world problems (56,564 profiles), global strategies and solutions (32,547 profiles), human values (3,257 profiles), and human development (4,817 profiles). It states that “the most fundamental entry common to the core parts is that of pain (or suffering)” and “common to the core parts is the learning dimension of new understanding or insight in response to suffering”.

Ralph Siu, an American author, urged in 1988 the “creation of a new and vigorous academic discipline, called panetics, to be devoted to the study of the infliction of suffering”, The International Society for Panetics was founded in 1991 to study and develop ways to reduce the infliction of human suffering by individuals acting through professions, corporations, governments, and other social groups.

In economics, the following notions relate not only to the matters suggested by their positive appellations, but to the matter of suffering as well: Well-being or Quality of life, Welfare economics, Happiness economics, Gross National Happiness, genuine progress indicator. In law, “Pain and suffering” is a legal term that refers to the mental distress or physical pain endured by a plaintiff as a result of injury for which the plaintiff seeks redress.

Assessments of pain and suffering are required to be made for attributing legal awards. In the Western world these are typical made by juries in a discretionary fashion and are regarded as subjective, variable, and difficult to predict, for instance in the US, UK,Australia and New Zealand. See also, in US law, Negligent infliction of emotional distress and Intentional infliction of emotional distress.

In management and organization studies, drawing on the work of Eric Cassell, suffering has been defined as the distress a person experiences when they perceive a threat to any aspect of their continued existence, whether physical, psychological, or social. Other researchers have noted that suffering results from an inability to control actions that usually define one’s view of one’s self and that the characteristics of suffering include the loss of autonomy, or the loss of valued relationships or sense of self.

Suffering is therefore determined not by the threat itself but, rather, by its meaning to the individual and the threat to their personhood. Disease and injury may contribute to suffering in humans and animals. For example, suffering may be a feature of mental or physical illness such as borderline personality disorder and occasionally in advanced cancer.

 Health care addresses this suffering in many ways, in subfields such as medicine, clinical psychology, psychotherapy, alternative medicine, hygiene, public health, and through various health care providers. However…”If people feel unhappy when burdened by negative life events, this is no mental disorder, but “healthy suffering” . It is of great importance not to medicalize such everyday problems.”

 Health care approaches to suffering, however, remain problematic. Physician and author Eric Cassell, widely cited on the subject of attending to the suffering person as a primary goal of medicine, has defined suffering as “the state of severe distress associated with events that threaten the intactness of the person”.

 Cassell writes: “The obligation of physicians to relieve human suffering stretches back to antiquity. Despite this fact, little attention is explicitly given to the problem of suffering in medical education, research or practice.” Mirroring the traditional body and mind dichotomy that underlies its teaching and practice, medicine strongly distinguishes pain from suffering, and most attention goes to the treatment of pain. Nevertheless, physical pain itself still lacks adequate attention from the medical community, according to numerous reports.

Besides, some medical fields like palliative care, pain management (or pain medicine), oncology, or psychiatry, do somewhat address suffering ‘as such’. In palliative care, for instance, pioneer Cicely Saunders created the concept of ‘total pain’ (‘total suffering’ say now the textbooks), which encompasses the whole set of physical and mental distress, discomfort, symptoms, problems, or needs that a patient may experience hurtfully.