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Some Foundational Problems in the Scientific Study of Pain

Published online by Cambridge University Press:  01 January 2022

Murat Aydede  and
Güven Güzeldere
Murat Aydede*
Affiliation:
University of Florida
Güven Güzeldere*
Affiliation:
Duke University
*
Send requests for reprints to the authors. Aydede: Department of Philosophy, 330 Griffin-Floyd Hall, Box 118545, University of Florida, Gainesville, FL 32611–8545; email: maydede@phil.ufl.edu; Güzeldere: Department of Philosophy, 201 West Duke Bldg., Box 90743, Duke University, Durham, NC 27708; guven.guzeldere@duke.edu.
Send requests for reprints to the authors. Aydede: Department of Philosophy, 330 Griffin-Floyd Hall, Box 118545, University of Florida, Gainesville, FL 32611–8545; email: maydede@phil.ufl.edu; Güzeldere: Department of Philosophy, 201 West Duke Bldg., Box 90743, Duke University, Durham, NC 27708; guven.guzeldere@duke.edu.
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Abstract

This paper is an attempt to spell out what makes the scientific study of pain so distinctive from a philosophical perspective. Using the IASP definition of ‘pain’ (1986) as our guide, we raise a number of questions about the philosophical assumptions underlying the scientific study of pain. We argue that unlike the study of ordinary perception, the study of pain focuses from the very start on the experience itself and its qualities, without making deep assumptions about whether pain experiences are perceptual. This in turn puts scientific explanation in a curious position due to pain's inherently subjective epistemic nature. The reason for this focus on the experience itself and its qualities, we argue, has to do with pain's complex phenomenology involving an affective/motivational dimension. We argue for the scientific legitimacy of first-person phenomenological studies and attempts to correlate phenomenology with neural events. We argue that this methodological procedure is inevitable and has no anti-physicalist ontological implications when properly understood. We end the paper by commenting on a discussion between two prominent pain scientists in the field, Don Price and Howard Fields, about the need to distinguish more dimensions in the phenomenology of pain and how to classify them vis-à-vis the recent scientific findings. Our interest in this discussion is not only to introduce some clarifications but also to show how “neurophenomenology” has already been shaping the scientific research and to back our claim about why this methodology is inevitable with an example.

Type
Research Article
Information
Philosophy of Science , Volume 69 , Issue S3 , September 2002 , pp. S265 - S283
Copyright
Copyright © The Philosophy of Science Association

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References

Armstrong, D. M. (1968), A Materialist Theory of Mind. London: Routledge.Google Scholar
Aydede, M. (2000), “An Analysis of Pleasure vis-à-vis Pain”, An Analysis of Pleasure vis-à-vis Pain 61(3): 537–570.Google Scholar
Aydede, M. (2001), “Naturalism, Introspection, and Direct Realism about Pain”, Naturalism, Introspection, and Direct Realism about Pain 2:29–73.Google Scholar
Aydede, M., and Güzeldere, Güven (ms.), “Concepts, Introspection and Phenomenal Consciousness: An Information-Theoretic Approach”, available at http://web.clas.ufl.edu/users/maydede/introspection.pdf.Google Scholar
Barber, T. X. (1959), “Towards a Theory of Pain by Prefrontal Leucotomy, Opiate, Placebos, and Hypnosis”, Towards a Theory of Pain by Prefrontal Leucotomy, Opiate, Placebos, and Hypnosis 56:430–460.Google Scholar
Bouckoms, A. J. (1994), “Limbic Surgery for Pain”, in Wall, P. D. and Melzack, R. (eds.), Textbook of Pain, 3rd ed. Edinburgh: Churchill Livingston, 1171–1187.Google Scholar
Chalmers, David (1996), The Conscious Mind. Oxford: Oxford University Press.Google Scholar
Chapman, C. R., and Nakamura, Y. (1999), “A Passion of the Soul: An Introduction to Pain for Consciousness Researchers”, A Passion of the Soul: An Introduction to Pain for Consciousness Researchers 8:391–422.Google ScholarPubMed
Dennett, D. C. (1978), “Why You Can’t Make a Computer that Feels Pain”, in Dennett, D. C., Brainstorms. Cambridge, Mass.: MIT Press.Google Scholar
Devinsky, O., Morrell, M. J., and Vogt, B. A. (1995), “Contributions of Anterior Cingulate Cortex to Behavior”, Contributions of Anterior Cingulate Cortex to Behavior 118:279–306.Google Scholar
Dretske, F. (1995), Naturalizing the Mind. Cambridge, Mass.: MIT Press.Google Scholar
Dretske, F. (1999), “The Mind’s Awareness of Itself”, The Mind’s Awareness of Itself 95:103–124.Google Scholar
Fields, H. L. (1999), “Pain: An Unpleasant Topic”, Pain: An Unpleasant Topic 6 (suppl.): 61–69.CrossRefGoogle ScholarPubMed
Flotz, E. L., and White, E. W. (1962), “The Role of Rostral Cingulumonotomy in ‘Pain’ Relief”, The Role of Rostral Cingulumonotomy in ‘Pain’ Relief 6:353–373.Google Scholar
Freeman, W., and Wattz, J. W. (1946), “Pain of Organic Disease Relieved by Prefrontal Lobotomy”, Pain of Organic Disease Relieved by Prefrontal Lobotomy 39:44–47.Google Scholar
Freeman, W., and Wattz, J. W. (1950), Psychosurgery: In the Treatment of Mental Disorders and Intractable Pain, 2nd ed. Springfield, Ill.: Charles C. Thomas.Google Scholar
Gracely, R. H., Dubner, R., and McGrath, P. A. (1979), “Narcotic Analgesia: Fentanyl Reduces the Intensity but Not the Unpleasantness of Painful Tooth Pulp Sensations”, Narcotic Analgesia: Fentanyl Reduces the Intensity but Not the Unpleasantness of Painful Tooth Pulp Sensations 203:1261–1263.Google Scholar
Güzeldere, G., and Sufka, K. (2001), “Conscious Experience and the Explanatory Gap: Pain—A Case Study”, paper presented at the Southern Society for Philosophy and Psychology meeting, New Orleans, 2001.Google Scholar
Hardcastle, Valerie Gray (1999), The Myth of Pain. Cambridge, Mass.: MIT Press.CrossRefGoogle Scholar
Hardy, J. D., Wolff, H. J., and Goodell, H. (1952), Pain Sensations and Reactions. Baltimore, Md.: Williams and Wilkins.Google Scholar
Hurt, R. W., and Ballantyne, H. T. (1974), “Stereotactic Anterior Cingulate Lesions for Persistent Pain: A Report on 68 Cases”, Stereotactic Anterior Cingulate Lesions for Persistent Pain: A Report on 68 Cases 21:334–351.Google ScholarPubMed
IASP (1986), “Pain Terms: A List with Definitions and Notes on Usage” recommended by the International Association for the Study of Pain (IASP), Pain 3 (suppl.): 216–221.Google Scholar
Jackson, Frank (1983), “Epiphenomenal Qualia”, Epiphenomenal Qualia 32:127–136.Google Scholar
James, William (1895), “The Physical Basis of Emotion”, The Physical Basis of Emotion 1895(1): 516–529.Google Scholar
Kripke, S. (1980), Naming and Necessity. Cambridge, Mass.: Harvard University Press.Google Scholar
Melzack, R. (1961), “The Perception of Pain”, The Perception of Pain 204(2): 41–49.Google ScholarPubMed
Melzack, R., and Casey, K. L. (1968), “Sensory, Motivational, and Central Control Determinants of Pain: A New Conceptual Model”, in Kenshalo, D. (ed.), The Skin Senses. Springfield, Ill.: Thomas, 223–243.Google Scholar
Melzack, R., and Wall, P. D. (1989), The Challenge of Pain. Harmondsworth: Penguin.Google Scholar
Nagel, Thomas (1974), “What Is It Like to Be a Bat?”, What Is It Like to Be a Bat? 83:435–450.Google Scholar
Petitot, J., Varela, F., Pachoud, B., and Roy, J-M. (1999), Naturalizing Phenomenology: Issues in Contemporary Phenomenology and Cognitive Science. Stanford: Stanford University Press.Google Scholar
Pitcher, G. (1970), “Pain Perception”, Pain Perception 79:368–393.Google Scholar
Pitcher, G. (1971), A Theory of Perception. Princeton, N.J.: Princeton University Press.Google Scholar
Ploner, M., Freund, H.-J., and Schnitzler, A. (1999), “Pain Affect without Pain Sensation in a Patient with a Postcentral Lesion”, Pain Affect without Pain Sensation in a Patient with a Postcentral Lesion 81:211–214.Google Scholar
Price, D. D. (1988), Psychological and Neural Mechanisms of Pain. New York: Raven Press.Google Scholar
Price, D. D. (1999), Psychological Mechanisms of Pain and Analgesia. Progress in Pain Research and Management, Vol. 15. Seattle: IASP Press.Google Scholar
Price, D. D. (2000), “Psychological and Neural Mechanisms of the Affective Dimension of Pain”, Psychological and Neural Mechanisms of the Affective Dimension of Pain 288(9): 1769–1772.Google ScholarPubMed
Rainville, P., Duncan, G. H., Price, D. D., Carrier, B., and Bushnell, M. C. (1997), “Pain Affect Encoded in Human Anterior Cingulate but Not Somatosensory Cortex”, Pain Affect Encoded in Human Anterior Cingulate but Not Somatosensory Cortex 277(5328): 968–971.Google Scholar
Rainville, P., Carrier, B., Hofbauer, R. K., Bushnell, M. C., and Duncan, G. H. (1999), “Dissociation of Sensory and Affective Dimensions of Pain Using Hypnotic Modulation”, Dissociation of Sensory and Affective Dimensions of Pain Using Hypnotic Modulation 82 (2): 159–171..Google ScholarPubMed
Rubins, J. L., and Friedman, E. D. (1948), “Asymbolia for Pain”, Asymbolia for Pain 60:554–573.Google Scholar
Savage, Wade (1970), The Measurement of Sensation: A Critique of Perceptual Psychophysics. Berkeley, Calif.: University of California Press.CrossRefGoogle Scholar
Searle, John (1992), The Rediscovery of the Mind. Cambridge, Mass.: MIT Press.CrossRefGoogle Scholar
Trigg, Roger (1970), Pain and Emotion. Oxford: Clarendon Press.Google Scholar
Tye, M. (1995), Ten Problems of Consciousness. Cambridge, Mass.: MIT Press.CrossRefGoogle Scholar
Tye, M. (1997), “A Representational Theory of Pains and Their Phenomenal Character”, in Block, N., Flanagan, O. and Güzeldere, G. (eds.), The Nature of Consciousness: Philosophical Debates. Cambridge, Mass.: MIT Press, 329–340.Google Scholar
Weinstein, E. A., Kahn, R. L., and Slate, W. H. (1995), “Withdrawal, Inattention, and Pain Asymbolia”, Withdrawal, Inattention, and Pain Asymbolia 74: 235.Google Scholar
White, James C., and Sweet, W. H. (1969), Pain and the Neurosurgeon: A Forty-Year of Experience. Springfield, Ill.: Charles C. Thomas.Google Scholar