The Experience of Pain Dismissal in Adolescence.

CONTEXT: Pain in adolescence has psychosocial effects lasting into adulthood, including increased likelihood of pain in adulthood and higher rates of depression and anxiety. Many adolescents with chronic pain describe skepticism of pain reports, but this has not yet been evaluated in a sample of typically developing adolescents. OBJECTIVE: The current study sought to describe the experience of perceived pain dismissal during adolescence in a community sample. METHOD: Nearly 2000 (1931) emerging adults were recruited from the community and answered open-ended questions regarding whether they had experienced dismissal of their pain in adolescence, who dismissed their pain, characteristics of the dismisser, and what that experience was like. Qualitative responses were coded using a Delphi method. RESULTS: One in 10 young adults reported an experience of pain dismissal during adolescence. Young adults reported that dismissals by parents and physicians were the most distressing. Often, this experience was associated with a lasting sense of hostility toward the person who dismissed their pain, as well as anger, self-directed negativity, damage to the relationship, and feelings of isolation. CONCLUSIONS: One in 10 young adults reported at least one instance of dismissed pain and half of these instances involved a parent or medical provider. Results suggest a lasting negative impact of perceived dismissal. Pain in adolescence is a complicated experience and the current study indicates that parents and physicians need further guidance on how best to respond to reports of pain.

The Memory Art Project: medical students and older adults.

BACKGROUND: The humanities are increasingly recognized as an important component of medical student education. This study addresses whether early exposure to healthy older adults through the humanities may prepare medical students for positive relationships with aging patients. Few studies have presented a detailed example of a humanistic endeavor organized by medical students to facilitate student interactions with healthy older adults. OBJECTIVE: To report the results of a unique art project organized to promote rapport between medical students and healthy older adults. METHODS: Twelve first- and second-year students at the Medical College of Wisconsin were paired with 12 older adult residents at a local independent living facility. Participation was voluntary, and all participants were asked to complete 3 sessions over the course of 2 months. During the first session, partners met each other and formed a relationship. A professional art instructor provided a lesson and supervised practice in acrylic painting. In the second session, all student and older adult participants created a painting to represent their partner. The third session featured a reception to celebrate the artwork and new friendships. RESULTS: Ten medical student/older adult pairs completed the project. Reactions were positive, and the project was perceived as beneficial to both students and older adults. CONCLUSION: The Memory Art Project effectively promoted positive communication between medical students and an aging population that will need to interact meaningfully with medical professionals in the future.