Hardcastle Valerie Gray
Institute of Health Innovation, Northern Kentucky University, Highland Heights, KY, United States.
Front Psychol. 2024 Mar 15;15:1359687. doi: 10.3389/fpsyg.2024.1359687. eCollection 2024.
The International Association for the Study of Pain (IASP) revised its definition of pain to "an unpleasant sensory and emotional experience." Three recent recommendations for understanding pain if there are no clear brain correlates include eliminativism, multiple realizability, and affordance-based approaches. I adumbrate a different path forward. Underlying each of the proposed approaches and the new IASP definition is the suspicion that there are no specific correlates for pain. I suggest that this basic assumption is misguided. As we learn more about brain function, it is becoming clear that many areas process many different types of information at the same time. In this study, I analogize how animal brains navigate in three-dimensional space with how the brain creates pain. Underlying both cases is a large-scale combinatorial system that feeds back on itself through a diversity of convergent and divergent bi-directional connections. Brains are not like combustion engines, with energy driving outputs via the structure of the machine, but are instead more like whirlpools, which are essentially dynamic patterns in some substrates. We should understand pain experiences as context-dependent, spatiotemporal trajectories that reflect heterogeneous, multiplex, and dynamically adaptive brain cells.
国际疼痛研究协会(IASP)将疼痛的定义修订为“一种不愉快的感觉和情感体验”。如果没有明确的大脑关联,近期有三项关于理解疼痛的建议,分别是消除主义、多重可实现性和基于可供性的方法。我提出一条不同的前进道路。在每种提议的方法以及IASP的新定义背后,都存在一种怀疑,即疼痛没有特定的关联物。我认为这个基本假设是错误的。随着我们对大脑功能了解得越来越多,很明显许多区域同时处理许多不同类型的信息。在本研究中,我将动物大脑在三维空间中的导航方式与大脑产生疼痛的方式进行类比。这两种情况的基础都是一个大规模的组合系统,该系统通过各种收敛和发散的双向连接进行自我反馈。大脑不像内燃机,能量通过机器结构驱动输出,而是更像漩涡,本质上是某些基质中的动态模式。我们应该将疼痛体验理解为依赖于上下文的时空轨迹,这些轨迹反映了异质、多重且动态适应的脑细胞。