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Chasing Pain: The Search for a Neurobiological Mechanism (Paperback)
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Chasing Pain: The Search for a Neurobiological Mechanism (Paperback)
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Conceptual models of how pain is created influence medical
practice, neuroscientific research, and philosophical ideas about
pain and other neurological functions. Given the broad scope of
pain experiences, realistic models of pain neurobiology must
consider the correlation between pain and tissue damage and how it
is strongly affected by neurological disease, emotionally
compelling circumstances, and by complex cognitive processes.
Recent discoveries have made it clear that both sensory and
affective systems are strongly modulated by activity in other
sensory pathways and by affective and cognitive processes
originating in the brain. As a result, pain should then be
conceived as emerging from the conjoint activity of both sensory
and affective neural systems, each becoming a target for pain
treatment. Historically, pain has been conceived as emerging either
from an undefined pattern of neural activity or from anatomically
and physiologically unique structures in the nervous system.
Observations made during the early and mid- 20th century showed
that pain and pain-like behaviors normally require not only sensory
detectors of noxious events (called nociceptors) but also brain
affective (hedonic) mechanisms that generate emotional experience
and expression. In Chasing Pain, pain specialists and
neuroscientists will find a thoughtful discussion of the
neuroscientific and clinical evidence that has led to contemporary
concepts of pain neurobiology and how pain might emerge from
neuronal activity. Written in a concise and annotated format,
Doctor Kenneth Casey reveals that while contemporary research has
greatly enriched our model of pain neurobiology, several important
and therapeutically challenging clinical conditions remain poorly
understood.
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