In recent years, the societal and personal impacts of pain, and the fact that we still lack an effective method of treatment, has motivated researchers from diverse disciplines to try to think in new ways about pain and its management. In this paper, we aim to develop an enactive approach to pain and the transition to chronicity. Two aspects are central to this project. First, the paper conceptualizes differences between acute and chronic pain, as well as the dynamic process of pain chronification, in terms of changes in the field of affordances. This is, in terms of the possibilities for action perceived by subjects in pain. As such, we aim to do justice to the lived experience of patients as well as the dynamic role of behavioral learning, neural reorganization, and socio-cultural practices in the generation and maintenance of pain. Second, we aim to show in which manners such an enactive approach may contribute to a comprehensive understanding of pain that avoids conceptual and methodological issues of reductionist and fragmented approaches. It proves particularly beneficial as a heuristic in pain therapy addressing the heterogenous yet dynamically intertwined aspects that may contribute to pain and its chronification.

近年来，疼痛的社会和个人影响以及我们仍然缺乏有效的治疗方法这一事实，激发了来自各个学科的研究人员尝试以新的方式思考疼痛及其治疗方法。在本文中，我们旨在开发一种积极的方法来缓解疼痛和过渡到慢性病。该项目有两个方面很重要。首先，本文从负担能力领域的变化概念化了急性和慢性疼痛之间的差异，以及疼痛时效性的动态过程。就受治疗者在疼痛中所采取的行动的可能性而言。因此，我们的目标是公正对待患者的生活经验，以及行为学习，神经重组和社会文化习俗在疼痛产生和维持中的动态作用。第二，我们的目的是表明这种积极的方法可以以何种方式有助于对疼痛的全面理解，从而避免了还原论和零散方法的概念和方法问题。它被证明是一种特别有益的疼痛治疗启发式方法，可以解决可能导致疼痛及其历时性的异质但动态交织的各个方面。