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2014, Australasian Journal of Philosophy
At first sight, pain seems intimately related to bodily care. Intuitively, one might say that one wants to avoid pain because one cares about one's body. Individuals who do not experience pain as unpleasant and to be avoided, like patients with pain asymbolia, seem not to care about their body. This view has been recently defended by Bain (2014) and Klein (forthcoming). In their view, one needs to care about one's body for pain to have motivational force. But does one need to care about one's body qua one's own? Or does one merely need to care about the body that happens to be one's own? In this paper, I will consider various interpretations of the notion of bodily care in light of a series of pathological cases in which patients report pain in a body part that they do not experience as of their own. These cases are problematic if one adopts a first-personal interpretation of bodily care, according to which pain requires one to care about what is represented as one's own body. The objection can run as follows. If the patients experience the body part as alien, then they should not care about it. Therefore, they should be similar to patients with pain asymbolia. But they are not. Hence, bodily care is not necessary to pain. To resist this conclusion, one can try to revise the interpretation of the notion of bodily care and offer alternative interpretations that are not first-personal. However, I will show that that those alternatives also fail to account for these borderline cases of pain.
This is a working paper, as you can see from the notes to myself in the text. The next phase of developing these thoughts is to work further on the paradoxical conclusion of this version. This may turn out to be a book chapter.
Journal of Consciousness Studies, 2011
Pain, crucially, is unpleasant and motivational. It can be awful; and it drives us to action, e.g. to take our weight off a sprained ankle. But what is the relationship between pain and those two features? And in virtue of what does pain have them? Addressing these questions, Colin Klein and Richard J. Hall have recently developed the idea that pains are, at least partly, experiential commands—to stop placing your weight on your ankle, for example. In this paper, I reject their accounts. Against Klein, I use dissociation cases to argue that possession of ‘imperative content’ cannot wholly constitute pain. Against them both, I further claim that possession of such content cannot even constitute pain’s unpleasant, motivational aspect. For, even if it were possible to specify the relevant imperative content—which is far from clear—the idea of a command cannot bear the explanatory weight Klein and Hall place on it.
The aim of this article is to explore nuances within the field of bodily self-awareness. My starting-point is phenomenological. I focus on how the subject experiences her or his body, i.e. how the body stands forth to the subject. I build on the phenomenologist Drew Leder’s distinction between bodily dis-appearance and dysappearance. In bodily dis-appearance, I am only prereflectively aware of my body. My body is not a thematic object of my experience. Bodily dys-appearance takes place when the body appears to me as ‘‘ill’’ or ‘‘bad.’’ This is often the case when I experience pain or illness. Here, I will examine three versions of bodily dys-appearance. Whereas many phenomenological studies have explored cases of bodily dys-appearance, few studies have focused on the opposite of bodily dys-appearance, i.e. on bodily modes of being where the body appears to the subject as something good, easy or well. This is done in this article. When the body stands forth as good, easy or well to the subject, I suggest that the body eu-appears to this person. The analysis of eu-appearance shows that the subject can attend to her or his body as something positive and that this attention need not result in discomfort or alienation. Euappearance can take place in physical exercise, in sexual pleasure and in some cases of wanted pregnancies. I also discuss, briefly, the case of masochism.
2011
Various paradoxes coalesce around pain, "one of the most controversial areas in neuroscience… rife with philosophical problems" (Aydede and Guzeldere 2002: S266). For example, while pain is conventionally seen as aversive and unwanted, biologically speaking, pain is indispensable. Pain warns of injury or organ malfunction, and helps heal a wound by motivating the individual to tend to and protect the site. Many textbooks on pain begin by describing the extremely unhappy lives of those rare individuals born with a congenital inability to feel pain. Pain medicine plays with this contradiction: one book is titled Pain: The Gift Nobody Wants (Brand and Yancey 1993), and one article's title is "When good pain turns bad" . Both an aspect of mind (experience) and brain (produced by neurological structures and processes), pain illustrates some of the problems associated with mind-body dualism. Murat Aydede and Guven Guzeldere note that the "fundamental tension between what can be quantified as the 'objective' measure of pain as characterized in terms of tissue damage and the 'subjective' criterion of when to categorize a given experience as pain is in fact prevalent in pain research" (2002: S267). Medical science's traditional definition of pain as sensation provides an example. Francis Keefe and Christopher France's definition, "a sensory event warning of tissue damage or illness" (Keefe and France 1999: 137) nicely elides the nature of that warning; while pain is certainly a sensation, its bedrock meaning -and what distinguishes it from nonpainful sensations -is aversiveness, which, being an emotion, does not fit within biomedicine's underlying biologistic foundational premises (see Kleinman 1995: 27-34). Another example: although emotions are always embodied (this is precisely what distinguishes them from cognitions), because we tend to see emotions as an aspect of "the mind," the body's fundamental role in emotions is often obscured, phrases like "heartbroken" notwithstanding.
2012
What is pain, what does it mean that the subject has a relationship with it, and how does this affect his identity and existence? My definition of pain is derived from that proposed by scientists such as Melzack and Wall, and Freud. Pain is a dynamic, multilayered, diverse collection of experiences which impact and influence the subject throughout life. Pain is a kind of conglomerate of past, traumatic, neurobiological, psychological and emotional imprints-pain as in suffering or being in pain. The aim of this thesis is to argue that it is not pain, as such, but the relationship of the subject to (his/her) pain which is most significant to his/her processes of life. In examining the combination of two theories of pain, namely, Freud's psychosexual theory of development and Melzack's theory of the Neuromatrix, my thesis endeavours to evidence my theory by using case study methodology. The similarities in the theories which are a hundred years apart have sparked my interest to propose that there is the distinct possibility for the existence of what I have named a Psychomatrix-patterns of pain (loss-abandonment, grief, rejection, desire) imprinted from infancy within an innate matrix that are specifically translated by their own 'psychological and emotional neural loops' and therefore, similar to the neuromatrix concept. As pain is triggered these 'loops' become more ingrained as information is analysed and coded to create a continuous (subjective) experience of suffering or being in pain. This is also true for positive emotions, such as love and joy, however I suggest that pain is the primary, and most significant emotion that needs to be understood in order to understand the others which are triggered by the same neuralpsychological and physicalpathways as incidental emotions of the quality of existence. A vast spectrum of (on-going) research has identified the impact of cultural, religious, social and political factors on pain and pain management. I suggest that all of these figure in the conglomerate. Using a psychoanalytical frame of reference this is a theoretical and conceptual thesis. My final conclusion is that pain becomes an object that compels the subject to respond accordingly and consequently, from birth to death, defining his/her identity and existence.
This chapter defends an axiological theory of pain according to which pains are bodily episodes that are bad in some way. Section 1 introduces two standard assumptions about pain that the axiological theory constitutively rejects: (i) that pains are essentially tied to consciousness and (ii) that pains are not essentially tied to badness. Section 2 presents the axiological theory by contrast to these and provides a preliminary defense of it. Section 3 introduces the paradox of pain and argues that since the axiological theory takes the location of pain at face value, it needs to grapple with the privacy, self-intimacy and incorrigibility of pain. Sections 4, 5 and 6 explain how the axiological theory may deal with each of these.
Review of Philosophy and Psychology
One use of the noun ‘pain’ is exemplified in sentences like ‘There is a pain in my foot’. According to the Experiential Theory, ‘pain’ in this context refers to an experience located in the mind or brain. According to the Bodily Theory, it refers to an extra-cranial bodily occurrence located in a body part. In this paper, I defend the Bodily Theory. Specifically, I argue that pains are proximal activations of nociceptors that cause experiences of pain. This view is preferable to the Experiential Theory, because it accords better with common sense and offers a better interpretation or semantics of ordinary pain reports.
Philosophical Quarterly, 2003
The pain case can appear to undermine the radically intentionalist view that the phenomenal character of any experience is entirely constituted by its representational content. That appearance is illusory, I argue. After categorising versions of pain intentionalism along two dimensions, I argue that an “objectivist” and “non-mentalist” version is the most promising, provided it can withstand two objections: concerning what we say when in pain, and the distinctiveness of the pain case. I rebut these objections, in a way that’s available to both opponents and adherents of the view that experiential content is entirely conceptual. In doing so I illuminate peculiarities of somatosensory perception that should interest even those who take a different view of pain experiences.
The Philosophy of Suffering, eds. D. Bain, M. Brady and J. Corns, 2019
The popular view on which unpleasant pain consists of two dissociable components, and on which there may be pains that wholly lack affect, is the product of a theoretical deference to consciousness. The same is true of the thesis that suffering is exclusively a conscious phenomenon. Pain researchers defer to consciousness, but in my view they do not properly heed its message regarding pain, painfulness, and suffering. I will argue that consciousness actually gives us a double-edged message about these phenomena. Introspection reveals pain and painfulness to be essentially kinds of qualia, or qualitative character, (§1)—a thesis I defend from the ‘heterogeneity problem’ (§2). But introspection also prompts a conception of pain and painfulness on which these are capable in principle of unconscious existence (§3, §5). This implies, in turn, that suffering may well occur unconsciously (§§4-5), something I argue for in part by criticising rival models of suffering (§4). Taking consciousness seriously as an epistemic source for the natures of pain, painfulness, and suffering, thus has the surprising result that consciousness is removed from the metaphysics of pain, painfulness, and suffering.
Filozofia, 2024
The aim of this article is to show how the inseparability of its objective and subjective dimensions renders pain such a complex phenomenon that it poses a challenge for both the biomedical sciences and philosophy. Neurophysiology has ascertained the variability of the relationship between damage and pain, showing that it is the result of interaction between the sensory and affective-emotional constituents of the human being. However, the process of defining the clinical concept of suffering appears comprehensively laborious and ongoing. Philosophy, while declaring the impossibility of identifying the essence of pain, makes a valuable contribution to the discovery of the singularity of the experience, thanks to the phenomenology of the homo patiens. Finally, we examine the debate on the possibility and the different ways of narrating and appraising suffering, a need with obvious ethical implications, perceived more and more within the field of care, also given the chronicity of many medical conditions.
finks.de
Can we find necessary and sufficient conditions for a state to be a pain state? Are there preconditions for a mental state to be subsumed under the expression "pain"? That is, does pain have a nature or is "pain" ambiguous in its usage? In this paper, I defend that our normal language expression "pain" together with its translations lacks necessary use conditions. As use conditions constrains the reference class, I argue that our usage of "pain" does not refer to a natural kind, but mixes a loose bunch of phenomena together -leading to ambiguity. As this leads to problems for scientific and clinical discourse, a method of explication is suggested, based on a combination of analysing first-person phenomenological reports and approaches of natural science. Lastly, I give an outlook to the ethical implications of this ambiguity that lead to a reformulation of the goal of pain science: Not alleviation of all pain states ought to be our goal, but only manipulation of conscious and negatively emotionally charged pains.
Pain Forum, 1999
Humana.Mente: Journal of Philosophical Studies, 2018
In this paper the complex phenomenon of pain is discussed and analysed along different theoretical paths: cognitivism, hermeneutics, phenomenology. The neuro-cognitive approach is exemplified through Paul and Patricia Churchland's writings; then H.-G. Gadamer's hermeneutical approach is evaluated. While apparently opposite, they share a common assumption, namely that the body is basically to be conceived of as not really different from the Cartesian Res extensa. Some problems thus arise: in particular, the aspect of reflexivity implied in any experience of pain is overlooked. Accordingly, an adequate approach to feeling pain must take the phenomenological path. This means to discuss Husserl's but also Scheler's and Heidegger's contributions, in order to bring to the fore the complexity of the phenomenon of pain, which shows a particular and paradoxical structure: exposing the subject feeling pain to its own internal exteriority.
Forthcoming in The Philosophy of Pain, edited by D. Bain, M. Brady, and J. Corns. London: Routledge
Over recent decades, pain has received increasing attention as – with ever greater sophistication and rigour – theorists have tried to answer the deep and difficult questions it poses. What is pain’s nature? What is its point? In what sense is it bad? The papers collected in this volume are a contribution to that effort ...
Constructivist Foundations, 2022
Stapleton M. (2022) Pain as the performative body. Constructivist Foundations 17(2): 156–158. https://constructivist.info/17/2/156 Commentary on Smrdu M. (2022) Kaleidoscope of pain: What and how do you see through it. Constructivist Foundations 17(2): 136–147. https://constructivist.info/17/2/136 I unpack Smrdu’s kaleidoscope metaphor, putting it into dialogue with enactive work on the performative body in order to cash out how it can capture the qualitative differences of the experience of chronic pain.
Continental Philosophy Review, 2015
This article develops a phenomenological exploration of chronic pain from a first-person perspective that can serve to enrich the medical third-person perspective on pain. The experience of chronic pain is found to be a feeling in which we become alienated from the workings of our own bodies. The bodily-based mood of alienation is extended, however, in penetrating the whole world of the chronic pain sufferer, making her entire life unhomelike. Furthermore, the pain mood not only opens up the world as having an alien quality, it also makes the world more lonesome and poor by forcing the sufferer to attend to the workings of her own body. To suffer pain is to find oneself in a situation of passivity in relation to the hurtful experiences one is undergoing. In making the body and the world more unhomelike places to be in, pain also tends to rob a person of her language. Severe pain is hard to describe because it pushes the person towards the borderlines of imaginable experience and because it makes it hard to see any meaning and purpose in the situation one has been forced into. The analysis of chronic pain in the article is guided by the attempts made by Maurice Merleau-Ponty, Jean-Paul Sartre and Martin Heidegger to understand the nature of human embodiment and existence, and also by descriptions of chronic pain found in the Swedish author Lars Gustafsson’s novel The Death of a Beekeeper.
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