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sensation. Touching adjacent cold and pressure spots triggers a sense of wetness (which
you can experience by touching dry, cold metal). Activating receptors for cold and warmth
produces a hot sensation.
Touch sensations involve more than tactile stimulation, however. A self-administered
tickle produces less somatosensory cortex activation than does the same tickle from some-
thing or someone else ( Blakemore et al., 1998 ). Likewise, a leg caress evokes a different
somatosensory cortex response when a straight man believes it comes from an attractive
woman rather than a man ( Gazzola et al., 2012 ). Such responses reveal how quickly cogni-
tion influences our brain’s sensory response.
CONNECT 1.6-13 Pain What biological, psychological, and social-cultural influences af fect our
1.6-13
1.6-13 What biological, psychological, and social-cultural influences affect our
experience of pain? How do placebos and distraction help control pain?
Explain to students that pain is mainly Photo by Jeff Riedel/Contour by Getty Images experience of pain? How do placebos and distraction help control pain?
governed by nerves known as “free Be thankful for occasional pain. Pain is your body’s way of telling you something has gone
wrong. By drawing your attention to a burn, a break, or a sprain, pain orders you to change your
nerve endings,” which are not directly behavior — “Stay off that ankle!” Pain also serves a psychological purpose, enhancing our self-
connected to any specific nervous awareness, arousing others’ empathy, and promoting social connections ( Bastian et al., 2014 ).
“Pain is a gift.” So said a doctor
system. Pain is regulated within its studying Ashlyn Blocker, who has a The rare people born without the ability to feel pain are at risk of severe injury or even
Distributed by Bedford, Freeman & Worth Publishers. Not for redistribution.
rare genetic mutation that prevents early death ( Habib et al., 2019 ). Without the discomfort that makes the rest of us shift posi-
own system, working where needed her from feeling pain. At birth, she tion, their joints can fail from excess strain. Without the warnings of pain, infections can run
to alert the body to a painful stimulus. didn’t cry. As a child, she ran around wild and injuries can accumulate ( Neese, 1991 ).
for 2 days on a broken ankle. She
Nervous systems are discussed in has put her hands on a hot machine More numerous are the people who live with chronic pain, which is rather like an
and burned the flesh off. And she has alarm that won’t shut off. Persistent backaches, arthritis, headaches, and cancer-related pain
more detail in Module 1.2. reached into boiling water to retrieve a prompt two questions: What is pain? How might we control it?
dropped spoon. “Everyone in my class
asks me about it, and I say, ‘I can feel
pressure, but I can’t feel pain.’ Pain! Understanding Pain
)
I cannot feel it!” ( Heckert, 2012 .
TEACH 1.6-13 Our experience of pain reflects both bottom-up sensations and top-down cognition. Pain is
a biopsychosocial phenomenon ( Hadjistavropoulos et al., 2011 ). As such, pain experiences
Teaching Tip vary widely, both from group to group and from person to person. Viewing pain from many
perspectives can help us better understand how to cope with it and treat it ( Figure 1.6-22 ).
Reinforce the biopsychosocial
approach to pain for students by using Figure 1.6-22 Biological influences: Psychological influences:
Figure 1.6-22. Students should leave Biopsychosocial approach • activity in spinal cord’s large and small fibers • attention to pain
• learning based on experience
• genetic differences in endorphin production
to pain
®
AP Psychology knowing that psycho- Our experience of pain is much • the brain’s interpretation of CNS activity • expectations
logical phenomena are complex and more than the neural messages
Barros & Barros/Getty Images Halfpoint/Shutterstock
sent to our brain.
influenced by multiple variables. Copyright © Bedford, Freeman & Worth Publishers.
Social-cultural influences:
• presence of others
• empathy for others’ pain
• cultural expectations Pe r son al
Personal
e
experience
of pain
Robert Nickelsberg/ Getty Images
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