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Q: Psychosomatic Pain Empathy ( Answered 5 out of 5 stars,   3 Comments )
Question  
Subject: Psychosomatic Pain Empathy
Category: Health > Conditions and Diseases
Asked by: glamazares-ga
List Price: $10.00
Posted: 11 May 2004 15:24 PDT
Expires: 10 Jun 2004 15:24 PDT
Question ID: 344848
A strange thing happens to me. When someone, without my expecting it,
shows me or tells me about a physical wound or pain they have suffered
(a burn, a cut or scrape, a fall, an unwelcome piercing), something in
my pelvis/gut tightens involuntarily and I feel a momentary pang of
pain. It releases immediately. It's almost like being tickled: it only
happens when I'm not expecting it. I have no problems with the sight
of blood or tending wounds or looking at other gross stuff when I'm
expecting to do that. It has to be psychosomatic. I'm just wondering
whether there's a name for it and whether it's been described in
scientific or medical literature anywhere.

Clarification of Question by glamazares-ga on 12 May 2004 18:10 PDT
I'm definitely not talking about any "psycic" experience, and, though
those articles are interesting, what I feel is my own pain, not
someone else's. What I am feeling is also a physical sensation in my
body, rather than just a perception of pain. I think what I experience
must be akin to people who feel faint or weak at the sight of blood.
Is there a name for that effect in psychology or medicine?
Answer  
Subject: Re: Psychosomatic Pain Empathy
Answered By: sublime1-ga on 13 May 2004 15:41 PDT
Rated:5 out of 5 stars
 
glamazares...

After considerable research, I have come across terms which
fit the phenomena you describe. You have clarified that you
are not experiencing Sympathy Pain, based on an Empathetic
response to another's pain. You have also noted that you
are not affected by the sight of blood or wounds when you
are expecting to encounter them. By the way, the term for
the condition of those who faint at the sight of blood is
Syncope, or Vasovagal Syncope, which is a medical term for
fainting, or swooning, from the National Center for Emergency
Medicine Informatics site:
http://www.ncemi.org/cse/cse0101.htm


The term for a reaction to an unexpected stimulus is a
Startle Reflex, which, in and of itself, is normal.
However, an increase in this sensitivity can be a sign
of stress and burnout, as listed among the symptoms of
these conditions in this very comprehensive page on the
subject by Jerome Murray, Ph.D., on BetterYou.com:
"Tendency to become easily startled by inconsequential
 stimuli."
Much more on the page:
http://www.betteryou.com/symptoms.htm


But the Startle Reflex alone does not describe the 
unpleasant reaction you experience. This is described
by the term Disgust Sensitivity. This is a relatively
new area of study, but there is a fair volume of work
on the subject.

Disgust, in and of itself, is a survival mechanism,
as noted in this article titled:
'Disgust is good for you, shows study', on the 
New Scientist website:

"'Disgust is a form of evasive action to protect us
 against signs of threat, such as disease,' says Val
 Curtis, who led the research. 'Women need to have a
 higher level of sensitivity to infection or disease,
 because they are the main carers of infants. And, as
 reproductive ability declines with age, so does disgust.'"
http://www.newscientist.com/news/news.jsp?id=ns99994563

The study of Disgust Sensitivity has taken the emotion
of disgust to new levels of scientific inquiry, which
is having an impact on the understanding of phobias
and mental illnesses like Obsessive-Compulsive Disorder,
with the realization that fear is not the only, or even
necessarily the predominant emotion of these conditions.

An excellent overview of this topic is an article
on MindPub.com, entitled 'Disgust and Fear are Closely
Related', by Vijai P. Sharma, Ph.D:

"...in fear, our heart rate, breathing rate, blood
 pressure and skin temperature go up, saliva dries
 up, muscles tense up along with other physical changes
 that help us in the action of running. But in disgust,
 the opposite happens. For example, instead of an
 increase, heart rate, blood pressure and skin
 temperature register a decrease. Saliva, instead
 of drying up, is over produced."

[...]

"In the mental health field, excessive fear for such
 things as blood, injection, injury, spiders, insects,
 etc. is referred to as "specific phobias." Phobia is
 another name for fear. However, phobia is not an
 accurate term for this condition. A more accurate term,
 at least in the majority of cases, may be disgust of
 such things as blood, injection, injury, insects, etc."
Much more on the page:
http://www.mindpub.com/art365.htm

A more scientific treatise, titled:
'Intersection of disgust and fear: Normative and pathological
 views'
by Sheila R. Woody and Bethany Teachman of Yale University

"Disgust.  The word 'dis-gust' literally means bad taste.
  Consistent with this literal translation, many theorists
 have focused on food rejection and threat of oral
 incorporation as the central premise around which the
 disgust response is organized.  Darwin (1965) defined
 disgust as 'something revolting, primarily in relation
 to the sense of taste, as actually perceived or vividly
 imagined; and secondarily to anything that causes a
 similar feeling, through the sense of smell, touch,
 and even eyesight' (p. 253).  Other theorists have
 focused directly on the putative self-protective
 feature of disgust (Douglas, 1966; Tomkins, 1963) and
 on its connotation of debasement and corruption of
 purity (Angyal, 1941; Freud, 1926; Miller, 1997).
 Characterizing disgust as a defensive response raises
 a natural parallel with fear, and some researchers have
 proposed that disgust mediates fear of certain animals,
 through a protective disease avoidance function
 (Webb & Davey, 1992)."
Much more in the document file:
http://projectimplicit.net/nosek/bethany/Disgust&Fear.doc


Naturally, there are varying degrees of both phobias
and disgust sensitivity, and in both of these can be
moderated when the stimuli are expected. A paper has
been written, called:

'Voluntary emotion regulation among individuals high
 and low in disgust', by Andrew R. Yartz, Kenneth P.
 Lane, Andrew M. Baschnagel, & Larry W. Hawk, Jr. of
 The University at Buffalo, SUNY

This article is listed on the following cached page
of an educational institution I cannot identify other
than the URL address of http://unix.wlu.edu/ since
the site is not working:
http://66.102.7.104/search?q=cache:GH136vDQchgJ:unix.wlu.edu/~spr/past_mtng/2002/02posters1.pdf+%22disgust+sensitivity%22+unexpected

The cached pdf file of the Curriculum Vitae of one
of the authors, Andrew Robert Yartz, also notes that
he did his Ph.D. dissertation on the subject of 
'Individual differences in disgust sensitivity and
 voluntary emotion regulation: Subjective, physiological,
 and behavioral responses to disgust and pleasant stimuli.'
http://66.102.7.104/search?q=cache:9VoFXRvK0kwJ:www.uvm.edu/~psycahrl/ayvita.pdf+%22disgust+sensitivity%22+%22Voluntary+emotion+regulation%22

Unfortunately, the paper itself is not available.


From the University of Virginia's Disgust Scale Homepage:

"The Disgust Scale is a self-report personality scale that
 was developed by Jonathan Haidt, Clark McCauley, and Paul
 Rozin as a general tool for the study of disgust. It is
 used to measure individual differences in sensitivity to
 disgust, and to examine the relationships among different
 kinds of disgust."
http://www.people.virginia.edu/~jdh6n/disgustscale.html

There are links on the page for:

The original 32-item Disgust Scale, from 1994:
http://www.people.virginia.edu/~jdh6n/disgust.scale.original.doc

The second 32-item Disgust Scale, from 2001:
http://www.people.virginia.edu/~jdh6n/disgust.scale.2.doc

The 8-item version of the second scale, from 2002:
http://www.people.virginia.edu/~jdh6n/disgust.scale.2.short.form.doc

And a webpage devoted to an article by the authors of 
the scale, entitled:
'Individual Differences in Sensitivity to Disgust:
 A scale sampling seven domains of disgust elicitors.'
http://www.people.virginia.edu/~jdh6n/dscalepap.html

Another article by the same authors, as well as
Lance Dunlop and Michelle Ashmore, entitled:

'Individual Differences in Disgust Sensitivity: Comparisons and
 Evaluations of Paper-and-Pencil versus Behavioral Measures'
http://www.people.virginia.edu/~jdh6n/haidt.disgust-validation-ideal.pdf


One of the domains in which disgust sensitivity is
measured is 'body envelope violations', which describes
a sensitity to imagining or having the skin punctured.
This and other domains are discussed in an article called:

'The role of disgust sensitivity in blood-injury fears'
by Anne Schienle, Rudolf Stark & Dieter Vaitl, as
published in the International Journal of Psychophysiology,
1998, 30, 105, and available in this pdf file on the 
homepage of one of the authors, Dr. Anne Schienle:
http://134.176.77.94/hp2/docs/Abst_Disgust.pdf

Or, you can view it in your browser in Google's cache:
http://216.239.57.104/search?q=cache:f2ZfBv-3mCYJ:134.176.77.94/hp2/docs/Abst_Disgust.pdf+%22disgust+sensitivity%22


I was pleased to learn this new terminology along with
you. Although I have worked in the field of mental health
for 20+ years, I had not heard of it until I researched
your question.

Please do not rate this answer until you are satisfied that  
the answer cannot be improved upon by way of a dialog  
established through the "Request for Clarification" process. 

sublime1-ga


Additional information may be found from further exploration
of the links provided above, as well as those resulting from
the Google searches outlined below.


Searches done, via Google:

vasovagal syncope
://www.google.com/search?q=vasovagal+syncope

term "pit of the stomach" ~injuries OR ~wounds
://www.google.com/search?q=term+%22pit+of+the+stomach%22+%7Einjuries+OR+%7Ewounds

term reaction "sight of blood"
://www.google.com/search?q=term+reaction+%22sight+of+blood%22

"disgust sensitivity"
://www.google.com/search?q=%22disgust+sensitivity%22

"disgust sensitivity" "Voluntary emotion regulation"
://www.google.com/search?q=%22disgust+sensitivity%22+%22Voluntary+emotion+regulation%22

"disgust sensitivity" unexpected
://www.google.com/search?q=%22disgust+sensitivity%22+unexpected

"affective startle modulation"
://www.google.com/search?q=%22affective+startle+modulation%22

"Startle reflex" "disgust sensitivity"
://www.google.com/search?q=%22Startle+reflex%22+%22disgust+sensitivity%22

Request for Answer Clarification by glamazares-ga on 14 May 2004 06:39 PDT
Wow! This represents a fantastic amount of research and I'm grateful.
What a great gig you have!

Just one point of clarification, which you may pursue or not, based on
your interest: what you've already done is already worth what I bid
and more.

I'd like to hear more about what you described as Sympathy Pain, based
on Empathetic respons to another's pain. What I meant to rule out by
saying I was not having any 'empathic' reaction is any insinuation of
a psychic or ESP 'sharing' of pain; that's definitely not what I'm
talking about.

Though all these articles are absolutely fascinating, I think the
'disgust' trail might be going in the wrong direction. Several reasons
I think that: 1) I don't experience what I'm feeling as revulsion or
have a desire to pull away or feel a little ill or queasy, which seem
to be normal correlates with a 'disgust' response, nor do I have the
characteristic 'sneering' facial expression of disgust with the upper
lip drawn up. 2) The response I have can happen when someone is simply
describing something that happened to them that was painful ('I
slammed my finger in the door.'--a classic time when it happens). I
have no need to see or even imagine actual 'body-envelope-compromise'
in order to get this effect. In fact, I have no trouble with needles
or getting blood drawn or watching others get their blood drawn.

Also, and this is rather indelicate, I know, but I offer it in a
purely scientific spirit. I am male and, when I have this response,
one of the symptoms is that my testes draw up momentarily--in fact,
that may be the source of the pain I experience. I'm not even sure,
anatomically, what muscles or other reflexes are responsible for that
kind of response. Though I'm familiar with this response to stimuli
such as temperature changes or arousal, I've never heard of it as a
momentary 'shock' response.

Again, if you'd like to pursue this clarification because you're
interested, but I'm very impressed with the amount of work already put
into this. Thank you!

Clarification of Answer by sublime1-ga on 14 May 2004 13:29 PDT
glamazares...

I stayed away from the 'sympathy pain' and 'empathy' issue
because, although you clarified that you didn't think your
experience was 'psychic' in any way, the comment by czh-ga
explores a recent study which clarifies the basis for an
empathetic response based on brain activity which is not
based on a 'psychic' connection, except, perhaps that the
subjects of the study were couples whose psyches have 
become integrated to the extent that longtime familiarity
brings.

I assumed you had read the articles in her comment, so
I assumed you weren't interested in more of the same.
That study was a particularly valuable one in the study
of the scientific bases for empathy, so there are many
citations and discussions of it:

From Corante Tech News:
http://www.corante.com/brainwaves/archives/cat_emoticeuticals.html

From Science Daily:
http://www.sciencedaily.com/releases/2004/02/040220080820.htm

From Dr. David B. Adams - Questions of the Week on 
Psychological.com (scroll to about the middle of the
page, to the question "How does sympathy differ from
empathy?":
http://psychological.com/qow104-304.htm


Other articles about the scientific study of empathy
and sympathy:

'Search For Sympathy Uncovers Patterns Of Brain Activity'
on Science Daily:
http://www.sciencedaily.com/releases/2002/12/021203075009.htm

'Empathy may not be uniquely human quality' on 
NewScientist.com:
http://www.newscientist.com/news/news.jsp?id=ns99994901

'Do Humans Alone 'Feel Your Pain'?' on 
The Chronicle Review:
http://chronicle.com/free/v48/i09/09b00701.htm


And, finally, a complex scientific treatise titled:
'Empathy: Its ultimate and proximate bases'
by Stephanie D. Preston and Frans B. M. de Waal
Department of Psychology, University of California at Berkeley
Living Links, Yerkes Primate Center and Psychology Department,
Emory University, Atlanta:
http://cogprints.ecs.soton.ac.uk/archive/00001042/00/preston_de_waal.html


I certainly agree that empathy, or a sympathetic reaction
better explains what you are experiencing. I simply thought
you had rejected this idea.

sublime1-ga


Additional searches done, via Google:

research empathy sympathy pain affective brain
://www.google.com/search?q=research+empathy+sympathy+pain+affective+brain
glamazares-ga rated this answer:5 out of 5 stars
Very well done.

Comments  
Subject: Re: Psychosomatic Pain Empathy
From: sublime1-ga on 11 May 2004 19:14 PDT
 
glamazares...

I understand your inclination to stay within the realm of the
scientific, however, you might want to consider the possibility
that you are an empath. This page has something about that:
http://healing.about.com/cs/empathic/a/uc_empathtraits.htm

As far as the scientific perspective, there have been many
discoveries in the field of quantum physics which have not
yet been absorbed by the modern healing arts. The newest
discoveries suggest that things are not as solid and linear
as they seem. An excellent movie about this is now out in
certain parts of the country. It's called 'What the *Bleep*
Do We Know?':
http://www.whatthebleep.biz/home/

sublime1-ga
Subject: Re: Psychosomatic Pain Empathy
From: czh-ga on 11 May 2004 19:58 PDT
 
Hello glamazares-ga,

Reading your question I recalled reading about some recent pain
research on empathy and pain. It seems that in some people observing
someone else's pain activates the same regions of the brain as if the
person was actually experiencing the pain.

http://www.eurekalert.org/pub_releases/2004-02/ucl-efp021904.php
19-Feb-2004, University College London 
Empathy for pain activates pain-sensitive regions of the brain, says UCL study

Knowing our partner is in pain automatically triggers affective pain
processing regions of our brains, according to new research by
University College London (UCL) scientists. The study, published in
the 20th February edition of the journal Science, asked whether
empathizing with the pain of others involves the re-activation of the
entire pain network underlying the processing of pain in our selves.
The results suggest that empathy for pain of others only involves the
affective, but not sensory component of our pain experience.

http://msnbc.msn.com/id/4313263/
How your brain handles love and pain
Scanners reveal mechanisms behind empathy and placebo effect

I'm not posting this as the answer because I'm not sure it fits the
description of what you're experiencing but I thought the recent study
might be helpful to your further explorations.

~ czh ~
Subject: Re: Psychosomatic Pain Empathy
From: psychopoet-ga on 17 Jul 2004 17:36 PDT
 
WOW

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