The importance of enworlded selfhood for understanding chronic pain-related suffering.
Theoretical medicine and bioethics June 1, 2026 DOI: 10.1007/s11017-026-09747-4 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Topics | Philosophy of mind |
| Keywords | Chronic pain Lifeworld Mood Selfhood Suffering |
| Key points | Proposes that an 'enworlded self' layer between the minimal self and narrative self is necessary to fully understand pain-related suffering, and identifies three lifeworld regions—work-world, family-world, and patient-world—where chronic-pain suffering occurs. |
Abstract
In the research and literature on pain-related suffering, a difference has recently been made between suffering processes of the minimal self in contrast to the hardships of the narrative self. This article proposes that an in-between layer of selfhood needs to be distinguished and studied to understand pain-related suffering in a more thorough manner: the enworlded self. Pain-related suffering is a complex phenomenon involving mood-related processes and everyday challenges on at least three different levels: lived bodily experiences, lifeworld matters, and questions about personal identity. These three different levels correspond to three connected aspects of layered selfhood: the minimal self, the enworlded self, and the narrative self. By using a published memoire focusing on chronic pain experiences, this article attempts to enlighten the middle ground of enworlded selfhood and also identifies two different regions of the lifeworld in which the damaging and alienating experiences take their toll: the work-world and the family-world. In addition, a third region of the lifeworld is identified: the patient-world, a region which is formed and expands as the chronic-pain sufferer searches for medical-professional advice and assistance. By addressing the three different layers of selfhood and how they interact in the everyday life of the patient, chronic-pain suffering can be better understood and, also, possibly alleviated by taking appropriate measures that fit the attuned pattern of the pain experiences of each individual.
Comparable studies
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| How do the brain's time and space mediate consciousness and its different dimensions? Temporo-spatial theory of consciousness (TTC). | 2017 | Theoretical or philosophical paper | |
| The phenomenology of deep brain stimulation-induced changes in OCD: an enactive affordance-based model. | 2013 | Theoretical or philosophical paper | |
| Looking for the Self: Phenomenology, Neurophysiology and Philosophical Significance of Drug-induced Ego Dissolution | 2017 | Theoretical or philosophical paper |