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New motives and new methods for controlling pain have recently emerged. Pain control is increasingly and appropriately seen as key to patients' quality of life and satisfaction with medical care. Pain is also recognized as a biologic cascade whose early treatment (or neglect) can have long-lasting consequences for body and mind. New drugs, delivery systems, and nonpharmacologic techniques make the control of pain in many settings a feasible goal. A distinct body of specialized knowledge, applied by growing numbers of clinicians whose practices emphasize the diagnosis and treatment of pain in itself to a greater degree than do
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