Abstract
Secondary gain is claimed to be important to the generation and maintenance of disease or illness behavior. This concept is of major interest to the clinician dealing with the chronic pain patient, as these clinicians often encounter patients with whom secondary gain factors are suspected or inferred, or both. The author begins a critical examination of the concept of secondary gain. Primary, secondary, and tertiary gains and secondary losses are defined and described. Difficulties with and abuses of the secondary gain concept in chronic pain treatment are presented.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 264-273 |
| Number of pages | 10 |
| Journal | APS Journal |
| Volume | 3 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 1994 |
Keywords
- abuse of the secondary gain concept
- primary gain
- reinforcers
- secondary gain
- secondary losses
- tertiary gain
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
- Clinical Neurology
- Neuroscience(all)
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Cite this
Fishbain, D. A. (1994). Secondary gain concept. Definition problems and its abuse in medical practice. APS Journal, 3(4), 264-273. https://doi.org/10.1016/S1058-9139(05)80274-8