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现代神经科学中对“疼痛”的客观化:关于“致痛病理学”发展中所使用的可视化技术的历史记述,1850年至2000年

Objectifying "Pain" in the Modern Neurosciences: A Historical Account of the Visualization Technologies Used in the Development of an "Algesiogenic Pathology", 1850 to 2000.

作者信息

Stahnisch Frank W

机构信息

Department of Community Health Sciences & Department of History, The University of Calgary, 3280 Hospital Drive NW, Calgary T2N 4Z6, AB, Canada.

出版信息

Brain Sci. 2015 Nov 17;5(4):521-45. doi: 10.3390/brainsci5040521.

Abstract

Particularly with the fundamental works of the Leipzig school of experimental psychophysiology (between the 1850s and 1880s), the modern neurosciences witnessed an increasing interest in attempts to objectify "pain" as a bodily signal and physiological value. This development has led to refined psychological test repertoires and new clinical measurement techniques, which became progressively paired with imaging approaches and sophisticated theories about neuropathological pain etiology. With the advent of electroencephalography since the middle of the 20th century, and through the use of brain stimulation technologies and modern neuroimaging, the chosen scientific route towards an ever more refined "objectification" of pain phenomena took firm root in Western medicine. This article provides a broad overview of landmark events and key imaging technologies, which represent the long developmental path of a field that could be called "algesiogenic pathology."

摘要

尤其是在莱比锡实验心理生理学学派的基础著作(19世纪50年代至80年代)的影响下,现代神经科学对将“疼痛”作为一种身体信号和生理值进行客观化的尝试表现出越来越浓厚的兴趣。这一发展催生了精细的心理测试方法和新的临床测量技术,这些技术逐渐与成像方法以及关于神经病理性疼痛病因的复杂理论相结合。自20世纪中叶脑电图出现以来,通过脑刺激技术和现代神经成像的应用,这条朝着对疼痛现象进行更精细“客观化”的科学道路在西方医学中深深扎根。本文全面概述了具有里程碑意义的事件和关键成像技术,它们代表了一个可称为“致痛病理学”领域的漫长发展历程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fad/4701026/45354e18caf8/brainsci-05-00521-g001.jpg

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