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Related Experiment Videos

The disability determination dilemma: toward a multiaxial solution.

Dennis C Turk1, Thomas E Rudy, Richard L Stieg

  • 1Departments of Psychiatry, and Center for Pain Evaluation and Treatment, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213 U.S.A. Departments of Anesthesiology, and Center for Pain Evaluation and Treatment, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213 U.S.A.

Pain
|September 1, 1988
PubMed
Summary

The Social Security Administration needs clear criteria for evaluating disability claims primarily due to pain. A proposed multiaxial system offers a more equitable and scientific approach to disability determination for pain impairments.

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Area of Science:

  • Social Sciences
  • Public Health Policy
  • Disability Studies

Background:

  • The United States Social Security Administration (SSA) faces challenges in determining disability for claimants alleging pain as the primary impairment.
  • Existing processes may lack specificity and equity in addressing pain-related disability claims.

Purpose of the Study:

  • To describe the SSA disability determination process for pain impairments.
  • To review proposed criteria for a listing of 'impairment due primarily to pain'.
  • To introduce a multiaxial taxometric system for evaluating pain-related disability.

Main Methods:

  • Review of SSA's current disability determination process.
  • Analysis of proposed criteria for pain impairment listings.
  • Description of a novel multiaxial taxometric system for disability assessment.

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  • Discussion of social implications and impediments to current SSA practices.

    • Main Results:

    • The paper outlines a proposed multiaxial taxometric system designed for a more objective and equitable evaluation of pain-related disability.
    • It contrasts a scientific approach with the current legalistic decision-making framework within the SSA.
    • Social implications of implementing new criteria and approaches are considered.

    Conclusions:

    • Developing specific criteria and a structured system, like the proposed multiaxial approach, is crucial for equitable Social Security disability determinations for pain impairments.
    • A scientific framework is advocated over the current legalistic system to improve the disability evaluation process.