RT Book, Section A1 Richeimer, Steven H. A1 Case, Gretchen A. A2 Warfield, Carol A. A2 Bajwa, Zahid H. SR Print(0) ID 3423323 T1 Chapter 87. Ethical Issues and Problems of Trust in the Management of Chronic Pain T2 Principles & Practice of Pain Medicine, 2e YR 2004 FD 2004 PB The McGraw-Hill Companies PP New York, NY SN 9780071443494 LK accessanesthesiology.mhmedical.com/content.aspx?aid=3423323 RD 2024/03/28 AB The ethics literature regarding pain management has typically focused on end-of-life issues involved with the treatment of patients experiencing terminal pain. But many if not most of the problems that arise with pain treatment involve problems with the treatment of chronic nonmalignant pain. A large portion of these problems can be traced to underlying problems with the ability of the physician to trust the patient. In this chapter I describe some of these ethical dilemmas, examine the underlying problems with trust, then propose how reconceptualizing some of the pain clinic treatment systems might serve to diminish some of the ethical problems.