According to standard philosophical and clinical understandings, pain is an essentially mental phenomenon (typically, a kind of conscious experience). In a challenge to this standard conception, a recent burst of empirical work in experimental philosophy, such as that by Justin Sytsma and Kevin Reuter, purports to show that people ordinarily conceive of pain as an essentially bodily phenomenon—specifically, a quality of bodily disturbance. In response to this bodily view, other recent experimental studies have provided evidence that the ordinary (‘folk’) concept (...) of pain is more complex than previously assumed: rather than tracking only bodily or only mental aspects of pain, the ordinary concept of pain can actually track either of these aspects. The polyeidic (or ‘many ideas’) analysis of the folk concept of pain, as proposed by Emma Borg et al., captures this complexity. Whereas previous empirical support for the polyeidic view has focused on the context-sensitivity of the folk concept of pain, here we discuss individual differences in people’s ‘pain priors’—namely, their standing tendencies to think of pain in relatively mind-centric or body-centric ways. We describe a preliminary empirical study and present a small number of findings, which will be explored further in future work. The results we discuss are part of a larger programme of work which seeks to integrate philosophical pain research into clinical practice. For example, we hypothesise that variations in how patients with chronic pain are thinking about pain could help predict their responses to treatment. (shrink)

Various prominent theories of pain assume that it is pain’s biological function to inform organisms about damage to their bodies. I argue that this is a mistake. First, there is no biological evidence to support the notion that pain was originally selected for its informative capacities, nor that it currently contributes to the fitness of organisms in this specific capacity. Second, neurological evidence indicates that modulating mechanisms in the nociceptive system systematically prevent pain from serving a primarily informative role. These (...) considerations threaten to undermine standard perceptual and representational accounts of pain. (shrink)

Reductive representationalist theories of consciousness are yet to produce a satisfying account of pain’s affective component, the part that makes it painful. The paramount problem here is that that there seems to be no suitable candidate for what affective experience represents. This article suggests that affective experience represents the Darwinian fitness effects of events. I argue that, because of affective experience’s close association with motivation, natural selection will work to bring affect into covariance with the average fitness effects of types (...) of event, and that this covariance makes fitness effects a promising candidate for what affect represents. I also argue that this account is to be preferred to Cutter and Tye’s recent proposal that affect represents harmfulness, and answer an objection that Aydede and Fulkerson recently offered against representational accounts of affect. (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)

Though pain scientists now understand pain to be a complex experience typically composed of sensation, emotion, cognition, and motivational responses, many philosophers maintain that pain is adequately characterized by one privileged aspect of this complexity. Philosophically dominant unitary accounts of pain as a sensation or perception are here evaluated by their ability to explain actual cases—and found wanting. Further, it is argued that no forthcoming unitary characterization of pain is likely to succeed. Instead, I contend that both the motivating intuitions (...) behind unitary accounts and the wide range of pain phenomena are best accommodated by a componential view of pain that does not privilege any single component as necessary or sufficient. (shrink)

This paper disputes the theoretical assumptions of mainstream approaches in philosophy of pain, representationalism and imperativism, and advances an enactive approach as an alternative. It begins by identifying three shared assumptions in the mainstream approaches: the internalist assumption, the brain-body assumption, and the semantic assumption. It then articulates an alternative, enactive approach that considers pain as an embodied response to the situation. This approach entails the hypothesis of the sociocultural embeddedness of pain, which states against the brain-body assumption that the (...) intentional character of pain depends on the agent’s sociocultural background. The paper then proceeds to consider two objections. The first questions the empirical basis of this hypothesis. It is argued based on neuroscientific evidence, however, that there is no empirical reason to suppose that the first-order experience of pain is immune to sociocultural influences. The second objection argues that the mainstream approaches can account for sociocultural influences on pain by drawing on the conceptual distinction between narrow and wide content. In response, the semantic conception of pain underpinning the proposal is challenged. Pain experience can occur in pre-reflective, affectively reflective, or cognitively reflective forms, but the semantic conception at most only applies to the last form. The paper concludes that the enactive approach offers a promising alternative framework in philosophy of pain. (shrink)

Adverbialism, broadly construed, is the thesis that pains (and other sensations) are modes of awareness, and objectualism, broadly construed, is the thesis that pains are objects of awareness. Why are we inclined to say that pains are modes of awareness and yet also inclined to say that they are objects of awareness? Each inclination leads to an account of pain that seems to be incompatible with the other. If adverbialism is correct, it would seem that objectualism is mistaken (and vice (...) versa). And yet each inclination is sufficiently well grounded that neither seems reasonably rejectable. It will not do to present each theory with greater and greater sophistication on the assumption that if it is correct the other must be mistaken. What we must do is give an account of pain that shows how it is possible to retain the central insights of both adverbialism and objectualism. I propose to do that in this paper, mounting a case for the claim that the most plausible view of pain is one that combines adverbialism and objectualism. (shrink)

Resumen La experiencia del dolor suele caracterizarse por su temporalidad, localización, intensidad, por qué tan desagradable se experimenta y la manera particular en el que se siente. Estas últimas son las cualidades sensoriales del dolor. Discuto aquí la tesis representacionista según la cual las CSD se explican por un contenido mental que describe la naturaleza del daño corporal. Desarrollo dos argumentos en contra de la regularidad que tal tesis supone entre las CSD y la naturaleza de la lesión, y presento (...) evidencia a partir del "Cuestionario del dolor de McGill", un instrumento clínico para la comunicación del dolor. Concluyo que la lesión corporal y las cualidades sensoriales del dolor no covarían como supone esta forma de representacionismo.The experience of pain is usually characterized by its location, intensity, temporality, unpleasantness, and sensory qualities. Here I focus on the thesis according to which pain sensory qualities are identical with mental representations of bodily damage. I develop two arguments against this, one based on cases of pain absence and another based on pain variability. In the absence argument, I discuss clinical evidence on episodic analgesia, where individuals experience a painless period of time after being injured. In the variability argument, I discuss the "McGill Pain Questionnaire", evidence in clinical settings which shows how variable the relation between pain and the nature of the injury actually is. I conclude that pain sensory qualities and physical damage do not covary, as the strong representationalism supposes. (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)

I argue that contrary to their own intentions Casser and Schiller should think that their pain-in-mouth argument is invalid. I cast doubt on whether a hole must be in a host of it but show that the crux of Casser and Schiller’s proposal does not depend on this.