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疼痛、苦难与自我。一种主动的稳态推理解释。

Pain suffering and the self. An active allostatic inference explanation.

作者信息

Gerrans Philip

机构信息

Department of Philosophy, University of Adelaide, Adelaide, SA, Australia.

出版信息

Neurosci Conscious. 2024 Feb 8;2024(1):niae002. doi: 10.1093/nc/niae002. eCollection 2024.

DOI:10.1093/nc/niae002
PMID:38348334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10860504/
Abstract

Distributed processing that gives rise to pain experience is anchored by a multidimensional self-model. I show how the phenomenon of pain asymbolia and other atypical pain-related conditions (Insensitivity to Pain, Chronic Pain, 'Social' Pain, Insensitivity to Pain, Chronic Pain, 'Social' Pain, empathy for pain and suffering) can be explained by this idea. It also explains the patterns of association and dissociation among neural correlates without importing strong modular assumptions. It treats pain processing as a species of allostatic active inference in which the mind co-ordinates its processing resources to optimize basic bodily functioning at different time scales. The self is inferred to be source and target of regulation in this process. The self-modelling account reconciles conflicting deaffectualization and depersonalization accounts of pain asymbolia by showing how depersonalization and pain asymbolia arise at different levels of hierarchical self modelling.

摘要

产生疼痛体验的分布式处理以多维自我模型为基础。我展示了无痛觉缺失现象及其他非典型疼痛相关状况（对疼痛不敏感、慢性疼痛、“社交”疼痛、对疼痛不敏感、慢性疼痛、“社交”疼痛、对疼痛和痛苦的共情）如何能用这一观点来解释。它还解释了神经关联之间的关联和分离模式，而无需引入强烈的模块假设。它将疼痛处理视为一种适应性主动推理，其中大脑协调其处理资源，以在不同时间尺度上优化基本身体功能。在这个过程中，自我被推断为调节的源头和目标。自我建模理论通过展示人格解体和无痛觉缺失如何在层次化自我建模的不同层面出现，调和了关于无痛觉缺失的相互矛盾的情感脱失和人格解体理论。