Marsden C D
Ciba Found Symp. 1979(69):305-13. doi: 10.1002/9780470720523.ch18.
Pain is not an electrical impulse derived from tissue injury but an emotional experience arising when a nervous input is interpreted in the light of experience and emotional context as being 'painful'. Pain may thus signify tissue damage, vivid sensory experience or inner turmoil. Pain may be distressing but it can also be pleasurable. Whether a given stimulus provokes pain and whether that emotional feeling causes distress varies from individual to individual and from moment to moment. The brain possesses chemically mediated mechanisms that can exert control over the experience of 'pain'. An understanding of such mechanisms suggests new approaches to the relief of distressing pain (and to the artificial production of pleasurable pain).
疼痛并非源自组织损伤的电冲动,而是一种情感体验,当神经输入根据经验和情感背景被解读为“疼痛”时便会产生。因此,疼痛可能意味着组织损伤、生动的感官体验或内心的混乱。疼痛可能令人痛苦,但也可能令人愉悦。特定刺激是否引发疼痛以及那种情感感受是否导致痛苦,因人而异,且时刻不同。大脑拥有化学介导机制,可对“疼痛”体验施加控制。对这些机制的理解为缓解令人痛苦的疼痛(以及人为制造愉悦的疼痛)提示了新方法。