Mehling Wolf E
Department of Family and Community Medicine, Osher Center for Integrative Health, University of California, San Francisco, San Francisco, CA, USA.
Curr Top Behav Neurosci. 2024 Oct 23. doi: 10.1007/7854_2024_521.
With his elegant studies, Bud Craig determined the structural neural basis for interoception and critically expanded our conceptual understanding of it. Importantly, he placed pain in the framework of interoception and redefined pain as a homeostatic emotion. Craig understood emotions and pain as experiences based on inferential brain processes within the theoretical model of prediction processing. This chapter aims to give a brief overview of relevant research. Mind-body therapies, such as meditation, mindfulness, yoga, Tai Chi, and others, are included as first-line non-pharmacological approaches in clinical guidelines for the management of chronic pain. Craig's groundbreaking work provided the background for our contemporary understanding of mind-body therapies and for the key role that interoceptive processes play in these therapies as they apply to a wide range of clinical conditions, including pain. This chapter reviews the tremendous influence that Craig's work had on the current state of research on mind-body therapies for managing chronic pain and how it led to new directions for cutting-edge clinical and neuroscientific research.
通过其精湛的研究,巴德·克雷格确定了内感受的结构性神经基础,并极大地扩展了我们对它的概念理解。重要的是,他将疼痛置于内感受的框架中,并将疼痛重新定义为一种稳态情绪。克雷格将情绪和疼痛理解为基于预测处理理论模型中的推理大脑过程的体验。本章旨在简要概述相关研究。冥想、正念、瑜伽、太极等身心疗法被列为慢性疼痛管理临床指南中的一线非药物方法。克雷格的开创性工作为我们当代对身心疗法的理解以及内感受过程在这些疗法中所起的关键作用提供了背景,因为这些疗法适用于包括疼痛在内的广泛临床病症。本章回顾了克雷格的工作对当前慢性疼痛身心疗法研究现状的巨大影响,以及它如何为前沿临床和神经科学研究带来新方向。