Patti Neighmond, reporting for NPR, wrote a piece on how the medical establishment's method for assessing patient pain is evolving . This is a good example of why it can be so tricky to operationalize the abstract. Here, the abstract notion in pain. And the story discusses shortcomings of the traditional numeric, Wong-Baker pain scale, as well as alternatives or complements to the pain scale. No one is vilifying the scale, but recent research suggests that what a patient reports and how a medical professional interprets that report are not necessarily the same thing. From Dr. John Markman's unpublished research: I think this could also be a good example of testing for construct validity. The researcher asked if the pain was tolerable and found out that their numerical scale was NOT detecting intolerable. This is a psychometric issue. One of the recommendations for better operationalization: Asking a patient how pain effects their ability to perform every day tas...