Dantzer Robert
Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Compr Psychoneuroendocrinol. 2021 May;6. doi: 10.1016/j.cpnec.2021.100032. Epub 2021 Feb 22.
Sickness induced by gastrointestinal malaise or by microbial pathogens is more than a private experience. Sick individuals share their illness within their social environment by communicating their sickness to others. In turn, recipients of the communication respond with appropriate behavioral adaptations. Avoidance of sick individuals and the events associated with their sickness is advantageous for members of the group. However, these responses can conflict with the need for comfort or social support expressed by sick individuals. There is evidence that the relationship between the sick individual and its social environment involves neurobiological mechanisms that are similar to those that mediate social bonding. Despite their commonality the feelings of love and fear/disgust that are associated with the sociality of sickness have thus far been neglected by mainstream affective neuroscience.
由胃肠道不适或微生物病原体引起的疾病不仅仅是个人的经历。患病个体通过与他人交流自己的病情,在其社会环境中分享自己的疾病。反过来,信息接收者会做出适当的行为调整。对患病个体及其患病相关事件的回避对群体成员有利。然而,这些反应可能与患病个体表达的安慰或社会支持需求相冲突。有证据表明,患病个体与其社会环境之间的关系涉及神经生物学机制,这些机制与介导社会联系的机制相似。尽管存在共性,但与疾病社会性相关的爱与恐惧/厌恶之情迄今为止一直被主流情感神经科学所忽视。