Prior exposure to extreme pain alters neural response to pain in others

In the extant literature examining the brain mechanisms implicated in pain perception, researchers have theorized that the overlapping responses to pain in the self and in others mark the human capacity for empathy. Here we investigated how prior exposure to extreme pain affects pain perception, by assessing the dynamics of pain processing in veterans who were previously exposed to severe injury. Forty-three participants (28 pain-exposed and 15 controls) underwent whole-head magnetoencephalography (MEG) while viewing photographs of limbs in painful and nonpainful (neutral) conditions. Among controls, an early (0–220 ms) “pain effect” in the posterior cingulate and sensorimotor cortices, and a later (760–900 ms) “pain effect” in the posterior cingulate cortex, superior temporal gyrus/insula, and fusiform gyrus were found, indicated by enhanced alpha suppression to the pain versus nonpain conditions. Importantly, pain-exposed participants exhibited an atypical pain response in the posterior cingulate cortex, indicated by a normative response to pain, but no pain-to-no-pain differentiation. This may suggest that individuals exposed to extreme pain may perceive neutral stimuli as potentially threatening. Our findings demonstrate alterations in pain perception following extreme pain exposure, chart the sequence from automatic to evaluative pain processing, and emphasize the importance of considering past experiences in studying the neural response to others’ states.     

Infants with colic: A study of maternal stress and anxiety

The purpose of this article is to broaden our understanding of colic and to explore the effects of infant colic both on the mother's stress level and on her anxiety about separation from her infant. A “colic” group of 20 mother-infant dyads was compared with a second, control “noncolic” group of equal size. Significant group differences in the amount of time the infants cried, fussed, and were in a quiet/awake state were found. Although no difference in maternal trait anxiety was found, mothers in the colic group reported higher levels of stress associated with their infants' crying behavior. This stress was inversely related to the amount of time the infants slept during a 24-hour period. Mothers in the colic group also expressed significantly greater anxiety about separating from their infants for short periods of time; but the lack of freedom was significantly less of a problem for them than it was for mothers in the noncolic group. We conclude that mothers of difficult infants are more anxious about being separated from their infants, but do not appear to feel “trapped” by their extra maternal duties.     

Infant crying and parent–infant interaction: Theory and measurement

Infant crying is frequently quantified as a primary dependent variable in studies where the goal is to understand and soothe infant crying within the context of the parent–infant relationship. Through a historical review and an examination of studies and measurement techniques, the utility of quantifying infant crying is discussed. Although duration and timing of infant crying may be a practical concern for families and health professionals, the effectiveness of soothing interventions may not be best examined by attempts to measure unit reductions in infant crying. Rather, developing an understanding of infant crying within the context of parent–infant relationships may have more utility. Understanding infant crying in context may provide direction to the selection of soothing interventions and to more appropriate measures of the effectiveness of such interventions. ©1999 Michigan Association for Infant Mental Health.     

Determinants of attachment and mastery motivation in infants born to adolescent mothers

Thirty mothers aged 14–19 and their approximately one-year-old babies participated in this study of the influence of the social support network and stress on infant-mother attachment and on mastery motivation. During the home visit the mothers completed a demographic questionnaire, the Psychosocial Kinship Inventory and the Life Events Stress Scale. In the laboratory the infants' mastery motivation and infant-mother attachment were assessed. A discriminant function analysis indicated that infant-mother attachment was predicted best by the social support network. Multiple regression analyses showed that infant persistence was significantly related to the social network, living with the infant's grandmother and financial aid. The results stress the importance of contextual influences on infant socio-emotional development.     

Pain in the Past and Pleasure in the Future: The Development of Past–Future Preferences for Hedonic Goods

It seems self-evident that people prefer painful experiences to be in the past and pleasurable experiences to lie in the future. Indeed, it has been claimed that, for hedonic goods, this preference is absolute (Sullivan, 2018). Yet very little is known about the extent to which people demonstrate explicit preferences regarding the temporal location of hedonic experiences, about the developmental trajectory of such preferences, and about whether such preferences are impervious to differences in the quantity of envisaged past and future pain or pleasure. We find consistent evidence that, all else being equal, adults and children aged 7 and over prefer pleasure to lie in the future and pain in the past and believe that other people will, too. They also predict that other people will be happier when pleasure is in the future rather than the past but sadder when pain is in the future rather than the past. Younger children have the same temporal preferences as adults for their own painful experiences, but they prefer their pleasure to lie in the past and do not predict that others' levels of happiness or sadness vary dependent on whether experiences lie in the past or the future. However, from the age of 7, temporal preferences were typically abandoned at the earliest opportunity when the quantity of past pain or pleasure was greater than the quantity located in the future. Past–future preferences for hedonic goods emerge early developmentally but are surprisingly flexible.     

Psychological essentialism and the differential attribution of uniquely human emotions to ingroups and outgroups

According to the psychological essentialism perspective, people tend to explain differences between groups by attributing them different essences. Given a pervasive ethnocentrism, this tendency implies that the human essence will be restricted to the ingroup whereas outgroups will receive a lesser degree of humanity. Therefore, it is argued that people attribute more uniquely human characteristics to the ingroup than to the outgroup. The present article focuses on secondary emotions that constitute such characteristics. Study 1 showed that members of high‐ and low‐status groups attribute more positive secondary emotions to the ingroup than to the outgroup. Study 2 verified that the differential attribution extended also to negative secondary emotions. No exemplars of emotions were provided in Study 3. Instead, participants had to estimate the means of two distributions of numbers that supposedly represented characteristics of the ingroup and of the outgroup. The results of this third experiment illustrated the reluctance to attribute secondary emotions to the outgroup. The findings are discussed from the perspective of psychological essentialism. Copyright © 2001 John Wiley & Sons, Ltd.     

Inequalities in health, inequalities in health care: four generations of discussion about justice and cost-effectiveness analysis

The focus of questions of justice in health policy has shifted during the last 20 years, beginning with questions about rights to health care, and then, by the late 1980s, turning to issues of rationing. More recently, attention has focused on alternatives to cost-effectiveness analysis. In addition, health inequalities, and not just inequalities in access to health care, have become the subject of moral analysis. This article examines how such trends have transformed the philosophical landscape and encouraged some in bioethics to seek guidance on normative questions from outside of the contours of traditional philosophical arguments about justice.