ArticleAtencion primaria2026
[Chronic Pain and the Redistribution of Epistemic Power: From Technological Reductionism to Clinical Generalism].
Article in Atencion primaria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic pain is a highly prevalent condition with major impact on disability, quality of life, and healthcare system sustainability. The reductionist biomedical paradigm, focused on tissue injury and pharmacological suppression of symptoms, has revealed significant explanatory and therapeutic limitations, contributing to clinical, social, and cultural iatrogenesis. Through a genealogical analysis, this paper examines the historical evolution of pain from the premodern "domesticated pain" to the mechanistic modern "wild pain." The current crisis of chronic pain is argued to be fundamentally epistemic. Gate Control Theory and contemporary models of central sensitization support a more integrative paradigm in which pain is understood as a complex and modifiable experience. Within this framework, primary care-grounded in clinical generalism and longitudinal continuity-emerges as the structural setting best suited to redistribute epistemic power and reorient care toward functionality, autonomy, and quality of life rather than mere symptom suppression.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.