Abstract
Psychological suffering does not always present itself through immediately recognizable signs. Often, it remains hidden by the continuity of daily activities, the fear of judgment, and the difficulty of translating into words an experience that threatens identity, relationships, and the meaning attributed to one's own life. This article aims to reflect on the invisibility of psychological suffering, the processes that favor its silencing, and the ethical commitments necessary for care. This is a theoretical-reflective study developed through a critical reading of six scientific articles, published between 2020 and 2026, that address suffering, mental pain, self-compassion, pain related to suicide, and person-centered care. The reflection shows that psychological suffering, psychiatric symptoms, and physical pain are related phenomena, but not equivalent. The experience of suffering involves the interpretation of a threat to the person's integrity and can reach affective, cognitive, social, cultural, existential, and spiritual dimensions. Its invisible nature does not mean an absence of manifestations, but rather an insufficiency of listening and recognition in family, social, and care settings. It is concluded that breaking the silence requires a clinical approach that goes beyond symptom reduction, embraces the individual narrative, directly investigates psychological pain, and shares decision-making. Recognizing suffering before it becomes unbearable is a collective responsibility and a condition for comprehensive, timely, and non-stigmatizing care.
References
BAXTER, Rebecca; SIROIS, Fuschia M. Self-compassion and psychological distress in chronic illness: a meta-analysis. British Journal of Health Psychology, [S. l.], v. 30, n. 1, e12761, 2025. DOI: https://doi.org/10.1111/bjhp.12761.
COMENDADOR, Laura et al. Targeting psychological pain after a suicide attempt: scoping review and intervention protocol. Journal of Clinical Medicine, Basel, v. 15, n. 8, art. 3124, 2026. DOI: https://doi.org/10.3390/jcm15083124.
COWDEN, Richard G. et al. Suffering, mental health, and psychological well-being during the COVID-19 pandemic: a longitudinal study of U.S. adults with chronic health conditions. Wellbeing, Space and Society, [S. l.], v. 2, art. 100048, 2021. DOI: https://doi.org/10.1016/j.wss.2021.100048.
DURANTÉ, Etienne K. et al. Biological research on mental pain, social pain and other pains not primarily felt in the body: methodological systematic review. The British Journal of Psychiatry, Cambridge, v. 227, n. 4, p. 707-717, 2025. DOI: https://doi.org/10.1192/bjp.2024.292.
NOE-STEINMÜLLER, Niklas et al. Defining suffering in pain: a systematic review on pain-related suffering using natural language processing. Pain, [S. l.], v. 165, n. 7, p. 1434-1449, 2024. DOI: https://doi.org/10.1097/j.pain.0000000000003195.
SENSKY, Tom. Mental pain and suffering: the ‘universal currencies’ of the illness experience? Psychotherapy and Psychosomatics, Basel, v. 89, n. 6, p. 337-344, 2020. DOI: https://doi.org/10.1159/000509587.
