This work proposes that pain meets the requirements of being characterized as a secondary quality, as it covers, like a color, a determined extension. The argument seeks to establish a literal pain-color analogy through an inquiry into the intensity and location of the pain. From the classic intensity/location relationship reported by patients with acute appendicitis, three degrees of pain are distinguished: mild, moderate, and severe. The objective is only achieved by examining the Body’s extensional determinations (primary quality) insofar as each (...) of these degrees of pain covers three particular measures. Once these three measures have been explored according to the perforation process (tissue damage), the work ends by identifying pain as a transcendent moment. (shrink)

The author puts forward and defends a new argument for indirect realism called the argument from pain. The argument is akin to a well-known traditional argument to the same end, the argument from hallucination. Like the latter, it contains one premise stating an analogy between veridical perceptions and certain other states and one premise stating that those states are states of acquaintance with sense-data. The crucial difference is that the states that are said to be analogous to veridical perceptions are (...) pain-states instead of hallucinations. This difference makes the argument from pain immune to the standard objections against the argument from hallucination. (shrink)

Philosophical orthodoxy holds that pains are mental states, taking this to reflect the ordinary conception of pain. Despite this, evidence is mounting that English speakers do not tend to conceptualize pains in this way; rather, they tend to treat pains as being bodily states. We hypothesize that this is driven by two primary factors—the phenomenology of feeling pains and the surface grammar of pain reports. There is reason to expect that neither of these factors is culturally specific, however, and thus (...) reason to expect that the empirical findings for English speakers will generalize to other cultures and other languages. In this article we begin to test this hypothesis, reporting the results of two cross-cultural studies comparing judgments about the location of referred pains between two groups—Americans and South Koreans—that we might otherwise expect to differ in how they understand pains. In line with our predictions, we find that both groups tend to conceive of pains as bodily states. (shrink)

Pain is often used as the paradigmatic example of a phenomenal kind with a phenomenal quality common and unique to its instantiations. Philosophers have intensely discussed the relation between the subjective feeling, which unites pains and distinguishes them from other experiences, and the phenomenal properties of sensory, affective, and evaluative character along which pains typically vary. At the center of this discussion is the question whether the phenomenal properties prove necessary and/or sufficient for pain. In the empirical literature, sensory, affective, (...) and evaluative properties have played a decisive role in the investigation of psychophysical correspondence and clinical diagnostics. This paper addresses the outlined philosophical and empirical issues from a new perspective by constructing a multidimensional phenomenal space for pain. First, the paper will construe the phenomenal properties of pains in terms of a property space whose structure reflects phenomenal similarities and dissimilarities by means of spatial distance. Second, philosophical debates on necessary and sufficient properties are reconsidered in terms of whether there is a phenomenal space formed of dimensions along which all and only pains vary. It is concluded that there is no space of this kind and, thus, that pain constitutes a primitive phenomenal kind that cannot be analyzed entirely in terms of its varying phenomenal properties. Third, the paper addresses the utility of continued reference to pain and its phenomenal properties in philosophical and scientific discourses. It is argued that numerous insights into the phenomenal structure of pain can be gained that have thus far received insufficient attention. (shrink)

Pain is an unwanted mental state that is often considered a sufficient ground for moral status. However, current science and philosophy of mind suggest that pains, like other perceptual states, might be nonconscious. This raises the questions of whether the notion of nonconscious pain is coherent and what its moral significance might be. In this paper I argue that the existence of nonconscious pain is conceptually coherent; however as a matter of fact our brains might always represent pains consciously. I (...) then characterize the concept of suffering from a naturalistic perspective, distinguishing it from pain. I offer an account of suffering based on some current theories of consciousness, in which suffering consists in the global broadcasting of representations with overall net negative valence. I argue this can explain most of suffering’s properties, such as its wholeness, significance for welfare, and conscious character. Finally, I contend that suffering, but not pain, provides sufficient grounds for moral status. (shrink)

The standard view in philosophy treats pains as phenomenally conscious mental states. This view has a number of corollaries, including that it is generally taken to rule out the existence of unfelt pains. The primary argument in support of the standard view is that it supposedly corresponds with the commonsense conception of pain. In this paper, we challenge this doctrine about the commonsense conception of pain, and with it the support offered for the standard view, by presenting the results of (...) a series of new empirical studies that indicate that lay people not only tend to believe that unfelt pains are possible, but actually, quite common. (shrink)

Based largely on the so-called problem of “asymmetry in concept application”, philosopher Murat Aydede has argued for a non-perceptual view of pain. Aydede is of course not denying basic neurobiological facts about neurons, action potentials, and the like, but he nonetheless makes a strong philosophical case for pain not being the perception of something extramental. In the present paper, after having stated some of the presuppositions I hold as a physician and pain researcher, and after having shortly described Aydede’s critique (...) of perceptual theories of pain, I make a constructive proposal centred around the concept of pain as the perception of some-one, not some-thing. In doing so, I propose that there often is a problematic duality at work when we think about pain, namely the mental/extramental duality. This pre-reflective mindset creates difficulties when reflecting over pain. Instead, I propose the body/world duality as being more helpful. Two neologisms, cosmoception and egoception, are presented as an alternative to the twin concepts of exteroception and interoception. It is argued that the new concepts have the advantage of not pushing our thought into a mental/extra-mental dichotomy. Hence, when in pain, I get epistemic access to the body that is I, to how I fare in this world. From that perspective, pain is not the perception of something, but of someone–namely, the self. In the final part of the paper, this proposal is discussed in dialogue with a paper from phenomenological thinker Jennifer Bullington. (shrink)

Unresponsive wakefulness syndrome is a disorder of consciousness wherein a patient is awake, but completely non-responsive at the bedside. However, research has shown that a minority of these patients remain aware, and can demonstrate their awareness via functional neuroimaging; these patients are referred to as having ‘cognitive motor dissociation’. Unfortunately, we have little insight into the subjective experiences of these patients, making it difficult to determine how best to promote their well-being. In this paper, I argue that the capacity to (...) experience pain or pleasure is a key component of well-being for these patients. While patients with unresponsive wakefulness syndrome are believed to be incapable of experiencing pain or pleasure, I argue that there is evidence to support the notion that CMD patients likely can experience pain and pleasure. I analyze current neuroscientific research into the mechanisms of pain experience in patients with disorders of consciousness, and provide an explanation for why CMD patients likely can experience physical pain. I then do the same for physical pleasure. I conclude that providing these patients with pleasurable experiences, and avoiding subjecting them to pain, are viable means of promoting their well-being. (shrink)

Philosophers often assume that folk hold pain to be a mental state – to be in pain is to have a certain kind of feeling – and they think this state exhibits the classic Cartesian characteristics of privacy, subjectivity, and incorrigibility. However folk also assign pains (non-brain-based) bodily locations: unlike most other mental states, pains are held to exist in arms, feet, etc. This has led some (e.g. Hill 2005) to talk of the ‘paradox of pain’, whereby the folk notion (...) of pain is inherently conflicted. Recently, several authors have rejected the paradox view, arguing instead that folk hold a univocal, bodily view (i.e. pains are properties of various body parts, not of minds). This paper presents six objections to the bodily view of the folk concept of pain. We then outline a direction for future research – the ‘polyeidic approach’ – whereby the folk notion of pain is held to encompass various divergent (potentially conflicting) strands and we suggest that certain problems surrounding the treatment and communication of pain might be usefully be viewed through the lens of the polyeidic approach. (shrink)

Many ethicists writing about well-being have assumed that claims made about the relationship between pleasure and well-being carry similar implications for the relationship between pain and well-being. I argue that the current neuroscience of pleasure and pain does not support this assumption. In particular, I argue that the experiences of pleasure and pain are mediated by different cognitive systems, that they make different contributions to human behavior in general and to well-being in particular, and that they bear fundamentally different relationships (...) to our motivational systems and hence desires. I further argue that though there is ample evidence that pleasure can be dissociated from appetitive motivation, there is no compelling evidence suggesting that the unpleasantness of pain can be dissociated from the aversive motivational force of pains. I consider several objections to this claim, including Jennifer Corns’ recent arguments that the unpleasantness of pain experience can be dissociated from the motivational signal of pain, before briefly drawing some lessons for ethics. (shrink)

In my thesis, I challenge existing philosophical and scientific accounts of pain to explain certain constitutional, functional and empirical problems. Though difficult, some of these problems will be familiar. Unlike perceptual experiences, pains are strikingly affective and when we are in pain we are primarily concerned with the experience itself rather than mind-independent objects. The obvious explanation, that pain is not a perceptual experience, would be appealing if it were not for the fact that pains vary in quality, intensity and (...) location. These seem to be features of paradigmatic perceptual experiences. The magnitude of another problem, the weakness of the correlation between pain and the stimulus, has been under-played. It is widely observed that those with chronic conditions experience pain in the absence of the stimulus and in circumstances like sport and war severe injuries occur in the absence of pain. I argue that the variable relationship between pain and the stimulus is normal; it is not confined to abnormal cases or circumstances. As no existing account proves explanatorily adequate, I develop a novel position called ‘near-motivationalism’ from a revisionary approach to the conceptual models of pain science. This has the power to solve the problems I set. (shrink)

The standard view of pains among philosophers today holds that their existence consists in being experienced, such that there can be no unfelt pains or pain hallucinations. The typical line of support offered for this view is that it corresponds with the ordinary or commonsense conception of pain. Despite this, a growing body of evidence from experimental philosophers indicates that the ordinary understanding of pain stands in contrast to the standard view among philosophers. In this paper, we will survey this (...) literature and add to it, detailing the results of seven new studies on the ordinary understanding of pain using both corpus analysis and questionnaire methods. (shrink)

Unpleasant sensations possess a unique ability to make certain aversive actions seem reasonable to us. But what is it about these experiences that give them that ability? According to some recent evaluationist accounts, it is their representational content: unpleasant sensations represent a certain event as bad for one. Unfortunately evaluationism seems unable to make sense of our aversive behavior to the sensations themselves, for it appears to entail that taking a painkiller is akin to shooting the messenger, and is every (...) bit as unreasonable. In this paper I distinguish two versions of the shooting-the-messenger challenge: First, how do we account for the badness of unpleasant sensation? And second, how do we account for our access to that badness? I suggest plausible responses to the first question, but I also argue that the seriousness of the second has not been appreciated. I then propose a solution to the second: when we introspect our pains we also turn our emotional distress inwards, enabling them to represent our pains as bad. (shrink)

This article is about the exchanges between Leibniz, Arnauld, Bayle and Lamy on the subject of pain. The inability of Leibniz’s system to account for the phenomenon of pain is a recurring objection of Leibniz’s seventeenth-century Cartesian readers to his hypothesis of pre-established harmony: according to them, the spontaneity of the soul and its representative nature cannot account for the affective component of pain. Strikingly enough, this problem has almost never been addressed in Leibniz studies, or only incidentally, through the (...) more general problem of evil. My purpose in this article is to clarify Leibniz’s psychophysical parallelism by opposing his representationist account of pain to the functionalist account endorsed by Arnauld, Bayle, Lamy and Malebranche. (shrink)

People seem to perceive and locate pains in bodily locations, but also seem to conceive of pains as mental states that can be introspected. However, pains cannot be both bodily and mental, at least according to most conceptions of these two categories: mental states are not the kind of entities that inhabit body parts. How are we to resolve this paradox of pain? In this paper, I put forward what I call the ‘Developmental Challenge’, tackling the second pillar of this (...) paradox, i.e. the introspectionist view of pain according to which genuine pain reports are introspective reports. This view forms an inconsistent triad with two other widely held positions: young children make genuine pain reports, and young children do not make introspective reports. After introducing the paradox and the introspectionist view of pain in part 1, I present the developmental challenge, and defend both and. I conclude that the inconsistent triad can only be resolved by reconsidering the introspectionist view of pain. In discussing three potential factors that lead to the puzzling intricacies of our concept of pain, I argue that the concept of pain might not be paradoxical after all. (shrink)

The scientific and philosophical approach to pain must be supplemented by a hermeneutics studying how racism has complicated the communication of pain. Such an investigation reveals that not only are non-white people seen as credibly speaking their pain, but also pain “science” is one of the ways races have historically been constructed. I illustrate this through a study of Frantz Fanon’s clinical writings, along with eighteenth- and nineteenth-century slave-owners’ medical manuals and related documents. I suggest that, with this history, what (...) philosophers understand as the problem of pain is best framed as the problem of colonial violence. (shrink)