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Reimagining Pain: An Integral Social Health Approach
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  • Update Date: 04 Jun 2025
  • pain
  • biopsychosocial
  • all quadrant all level integral framework
  • Ken Wilber
  • painogenic environment
  • salutogenesis
  • health promotion
Video Introduction

This video is adapted from 10.3390/bs15050703

Despite the proliferation of biomedical and psychological treatments, the global burden of chronic intractable (long-term) pain remains high—a treatment-prevalence paradox. The biopsychosocial model, introduced in the 1970s, is central to strategies for managing pain, but has been criticised for being decontextualised and fragmented, compromising the effectiveness of healthcare pain support services and patient care. This study aimed to apply a simplified version of Ken Wilber’s All Quadrant, All Levels (AQAL) framework to pain in a healthcare context, advancing a biopsychosocial understanding. Utilising domain knowledge, the author mapped features of pain and coping to intrasubjective, intraobjective, intersubjective, and interobjective quadrants (perspectives), as well as levels of psychological development. Narratives were crafted to synthesize the findings of mapping with literature from diverse disciplines within the contexts of salutogenesis and a social model of health. The findings showed that AQAL-mapping enhanced contextual biopsychosocial coherence and exposed the conceptual error of reifying pain. Its utility lay in highlighting upstream influences of the painogenic environment, supporting the reconfiguration of pain within a social model of health, as exemplified by the UK’s Rethinking Pain Service. In conclusion, a simple version of the AQAL framework served as a heuristic device to develop an integral vision of pain, opening opportunities for health promotion solutions within a salutogenic context.

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If you have any further questions, please contact Encyclopedia Editorial Office.
Johnson, M.I. Reimagining Pain: An Integral Social Health Approach. Encyclopedia. Available online: https://encyclopedia.pub/video/video_detail/1630 (accessed on 05 December 2025).
Johnson MI. Reimagining Pain: An Integral Social Health Approach. Encyclopedia. Available at: https://encyclopedia.pub/video/video_detail/1630. Accessed December 05, 2025.
Johnson, Mark I.. "Reimagining Pain: An Integral Social Health Approach" Encyclopedia, https://encyclopedia.pub/video/video_detail/1630 (accessed December 05, 2025).
Johnson, M.I. (2025, June 04). Reimagining Pain: An Integral Social Health Approach. In Encyclopedia. https://encyclopedia.pub/video/video_detail/1630
Johnson, Mark I.. "Reimagining Pain: An Integral Social Health Approach." Encyclopedia. Web. 04 June, 2025.
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