Evidence map›Paper›PMID 40705039›Full record

ArticleOrthopadie (Heidelberg, Germany)2025

[The brain today is yesterday's psyche].

Paul Nilges

Abstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Orthopadie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Paul NilgesKlinische Psychologie, Weiterbildungsstudiengang Psychotherapie, Johannes Gutenberg-Universität Mainz, Mainz, Deutschland. nilges@uni-mainz.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite scientific advances, chronic pain remains difficult to diagnose and treat. For a long time, a dualistic understanding prevailed: pain without an identifiable organic cause was considered psychological in origin, leading to stigmatization and conflict-laden doctor-patient relationships. Imaging techniques often reveal abnormalities even in pain-free individuals, and surgical interventions are frequently unnecessary. Modern pain research understands pain as a complex interplay of biological, psychological, and social factors-not as a simple stimulus-response mechanism. Pain is learned, shaped by experience, and constructed by the brain, influenced by context and expectation. Pain is not the same as nociception; it is not a direct indicator of tissue damage, but rather a perception of potential threat. The new diagnosis of primary pain in ICD-11 integrates biological, psychological, and social factors and expands our treatment framework.

Indexed as

BrainChronic PainHumansBiopsychosocial modelChronic painInternational Classification of DiseasesNociceptionPain perception

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.