In Thinking, Fast and Slow, Daniel Kahneman cites the difficulty we have distinguishing experience from memory as the reason why we retrospectively underrate our suffering in a variety of contexts. Given the same painful medical procedure, one would expect an individual suffering for twenty minutes to report a far greater amount than an individual suffering for half that time or less. Such is not the case. As it turns out duration has “no effect whatsoever on the ratings of total pain” (380). Retrospective assessments, rather, seem determined by the average of the pain’s peak and its coda.
Absent intellectual effort, the default is to remove the band-aid slowly.
Far from being academic, this ‘duration neglect,’ as Kahneman calls it, places the therapist in something of a bind. What should the physician’s goal be? The reduction of the pain actually experienced, or the reduction of the pain remembered…
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