ch 15 part 2: pain Flashcards
pain
an unpleasant sensory and emotional experience
what are the 3 types of pain
inflammatory, neuropathic, and nociceptive pain
inflammatory pain
pain caused by damage to tissue or inflammation of joints or by tumor cells
neuropathic pain
pain caused by lesions or other damages to the nervous system (ex: carpal tunnel)
nociceptive pain
pain caused by activation of receptors in the skin called nociceptors
nociceptors
fiber that responds to stimuli that are damaging to the skin
direct pathway model of pain
1st explanation of pain
idea that pain occurs when nociceptor receptors in the skin are stimulated and send their signals to the brain (doesn’t account for the fact that pain can be affected by other factors in addition to stimulation of the skin)
phantom limbs
a person’s continued perception of a limb even tho the limb has been amputated
gate control model (GCM)
the accepted model of pain perception. perception of pain is controlled by a neural circuit that takes into account the relative amount of activity in nociceptors, mechanoreceptors and central signals
transmission cells
according to the GCM, the cell that receives + and - inputs from cells in the dorsal horn. T cell activity determines the perception of pain; more t cells = more pain
what top-down processes affect pain perception
expectation, attention, and emotion
how does expectation affect pain perception
- positive expectations = lower pain rating and vice versa
- placebos and placebo effect
placebo
substance a person believes will relieve symptoms but contain no chemicals to do so
placebo effect
decrease in pain from a substance that has no pharmacological effect
nocebo effect
negative placebo effect, characterized by a negative response to negative expectation