Part 1 First two sentences
Part 2 Pain is personal
Part 3a Pain is more than sensation: Backdrop
Part 3b Pain is not receptor stimulation
The next sentence in the abstract is,
"Rather, injury or disease produces neural signals that enter an active nervous system that (in the adult organism) is the substrate of past experience, culture, and a host of other environmental and personal factors."Please see Part 3b for my personal take on that... but it's not just my opinion..
There is ample support in our profession for the whole idea of a human organism being an accretion of experience through time than just me: Butler. Moseley. Thacker. Gifford. Just a few! Hundreds more. Possibly thousands. Don't everybody all shout at once.
On second thought, heck - why not?
Everybody together now!!! What do we want?
Better pain theory taught at the undergrad level!!
When do we want it?
Thirty years ago!!
Gifford L, Pain, the Tissues and the Nervous System: A conceptual model. Physiotherapy Jan1998, 84:1 27-37
Summary: This paper challenges current clinical models and systems for assessing and managing on-going pain states to incorporate a broader biological and therapeutic framework. Included is an acceptance of the current criticisms made towards a purely tissue based/modality based paradigm for pain treatment. The mature organism model proposed is presented as a workable conceptual starting block for incorporating mechanisms of pain into the broad science of stress biology and the biopsychosocial model of pain.
"the sensation of pain is seen as a perceptual component of the stress response whose prime adaptive purpose is to alter our behaviour in order to enhance the processes of recovery and chances of survival."
"continually samples few innate but vital sample-scrutinise-action (consciously and ‘unconsciously’) the outside environment, its own body and relevant past experiences (the brain samples from ‘itself') - and then ‘outputs’, or responds on what it finds to the best advantage for its body and the vital genes it contains."
- somatic motor
- ANS (sympathetic, parasympathetic, enteric)