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Like¡¡the¡¡other¡¡phenomena¡¡of¡¡life£»¡¡pain¡¡was¡¡undoubtedly¡¡evolved¡¡for¡¡a¡¡particular¡¡purposesurely¡¡for¡¡the¡¡good¡¡of¡¡the¡¡individual¡£¡¡Like¡¡fear¡¡and¡¡worry£»¡¡it¡¡frequently¡¡is¡¡injurious¡£¡¡¡¡What¡¡then¡¡may¡¡be¡¡its¡¡purpose£¿

We¡¡postulate¡¡that¡¡pain¡¡is¡¡a¡¡result¡¡of¡¡contact¡¡ceptor¡¡stimulation¡¡for¡¡the¡¡purpose¡¡of¡¡securing¡¡protective¡¡muscular¡¡activity¡£¡¡This¡¡postulate¡¡applies¡¡to¡¡all¡¡kinds¡¡of¡¡pain£»¡¡whatever¡¡their¡¡cause¡¡whether¡¡physical¡¡injury£»¡¡pyogenic¡¡infection£»¡¡the¡¡obstruction¡¡of¡¡hollow¡¡viscera£»¡¡childbirth£»¡¡etc¡£

All¡¡forms¡¡of¡¡pain¡¡are¡¡associated¡¡with¡¡muscular¡¡action£»¡¡and¡¡as¡¡in¡¡every¡¡other¡¡stimulation¡¡of¡¡the¡¡ceptors£»¡¡each¡¡kind¡¡of¡¡pain¡¡is¡¡specific¡¡to¡¡the¡¡causative¡¡stimuli¡£¡¡¡¡The¡¡child¡¡puts¡¡his¡¡hand¡¡in¡¡the¡¡fire£»¡¡physical¡¡injury¡¡pain¡¡results£»¡¡and¡¡the¡¡appropriate¡¡muscular¡¡response¡¡is¡¡elicited¡£¡¡¡¡If¡¡pressure¡¡is¡¡prolonged¡¡on¡¡some¡¡parts¡¡of¡¡the¡¡body£»¡¡anemia¡¡of¡¡the¡¡parts¡¡may¡¡result£»¡¡with¡¡a¡¡corresponding¡¡discomfort¡¡or¡¡pain£»¡¡requiring¡¡muscular¡¡action¡¡for¡¡relief¡£¡¡When¡¡the¡¡rays¡¡of¡¡the¡¡sun¡¡strike¡¡directly¡¡upon¡¡the¡¡retina£»¡¡light¡¡pain¡¡causes¡¡an¡¡immediate¡¡protective¡¡action£»¡¡so¡¡too¡¡in¡¡the¡¡evacuation¡¡of¡¡the¡¡intestine¡¡and¡¡the¡¡urinary¡¡bladder¡¡as¡¡normal¡¡acts£»¡¡and¡¡in¡¡overcoming¡¡obstruction¡¡of¡¡these¡¡tracts£»¡¡discomfort¡¡or¡¡pain¡¡compel¡¡the¡¡required¡¡muscular¡¡actions¡£¡¡¡¡This¡¡view¡¡of¡¡pain¡¡as¡¡a¡¡stimulation¡¡to¡¡motor¡¡action¡¡explains¡¡why¡¡only¡¡certain¡¡types¡¡of¡¡infection¡¡are¡¡associated¡¡with¡¡pain£»¡¡namely£»¡¡those¡¡types¡¡in¡¡which¡¡the¡¡infection¡¡may¡¡be¡¡spread¡¡by¡¡muscular¡¡action¡¡or¡¡those¡¡in¡¡which¡¡the¡¡fixation¡¡of¡¡parts¡¡by¡¡continued¡¡muscular¡¡rigidity¡¡is¡¡an¡¡advantage¡£¡¡As¡¡a¡¡further¡¡remarkable¡¡proof¡¡of¡¡the¡¡marvelous¡¡adaptation¡¡of¡¡the¡¡body¡¡mechanism¡¡to¡¡meet¡¡varying¡¡environmental¡¡conditions£»¡¡we¡¡find¡¡that¡¡just¡¡as¡¡nociceptors¡¡have¡¡been¡¡implanted¡¡in¡¡only¡¡those¡¡parts¡¡of¡¡the¡¡body¡¡which¡¡have¡¡been¡¡subject¡¡to¡¡nocuous¡¡contacts£»¡¡so¡¡a¡¡type¡¡of¡¡infection¡¡which¡¡causes¡¡muscular¡¡action¡¡in¡¡one¡¡part¡¡of¡¡the¡¡body¡¡may¡¡cause¡¡none¡¡when¡¡it¡¡attacks¡¡another¡£

This¡¡postulate¡¡gives¡¡us¡¡the¡¡key¡¡to¡¡the¡¡pain¡­muscular¡¡phenomena¡¡of¡¡peritonitis£»¡¡pleurisy£»¡¡cystitis£»¡¡cholecystitis£»¡¡etc¡££»¡¡as¡¡well¡¡as¡¡to¡¡the¡¡pain¡­muscular¡¡phenomena¡¡in¡¡obstructions¡¡of¡¡the¡¡hollow¡¡viscera¡£¡¡If¡¡pain¡¡is¡¡a¡¡part¡¡of¡¡a¡¡muscular¡¡response¡¡and¡¡occurs¡¡only¡¡as¡¡a¡¡result¡¡of¡¡contact¡¡ceptor¡¡stimulation¡¡by¡¡physical¡¡injury£»¡¡infection£»¡¡anemia£»¡¡or¡¡obstruction£»¡¡we¡¡may¡¡well¡¡inquire¡¡which¡¡part¡¡of¡¡the¡¡nerve¡¡mechanism¡¡is¡¡the¡¡site¡¡of¡¡the¡¡phenomenon¡¡of¡¡pain¡£¡¡Is¡¡it¡¡the¡¡nerve¡­ending£»¡¡the¡¡nerve¡­trunk£»¡¡or¡¡the¡¡brain£¿¡¡¡¡That¡¡is£»¡¡is¡¡pain¡¡associated¡¡with¡¡the¡¡physical¡¡contact¡¡with¡¡the¡¡nerve¡­ending£»¡¡or¡¡with¡¡the¡¡physical¡¡act¡¡of¡¡transmission¡¡along¡¡the¡¡nerve¡­trunk£»¡¡or¡¡with¡¡the¡¡change¡¡of¡¡brain¡­cell¡¡substance¡¡by¡¡means¡¡of¡¡which¡¡the¡¡motor¡­producing¡¡energy¡¡is¡¡released£¿

We¡¡postulate¡¡that¡¡the¡¡pain¡¡is¡¡associated¡¡with¡¡the¡¡discharge¡¡of¡¡energy¡¡from¡¡the¡¡brain¡­cells¡£¡¡If¡¡this¡¡be¡¡true£»¡¡then¡¡if¡¡every¡¡nociceptor¡¡in¡¡the¡¡body¡¡were¡¡equally¡¡stimulated¡¡in¡¡such¡¡a¡¡manner¡¡that¡¡all¡¡the¡¡stimuli¡¡should¡¡reach¡¡the¡¡brain¡­cells¡¡simultaneously£»¡¡then¡¡the¡¡cells¡¡would¡¡find¡¡themselves¡¡in¡¡equilibrium¡¡and¡¡no¡¡motor¡¡act¡¡would¡¡be¡¡performed¡£¡¡But¡¡if¡¡all¡¡the¡¡pain¡¡nerve¡¡ceptors¡¡but¡¡one¡¡were¡¡equally¡¡stimulated£»¡¡and¡¡this¡¡one¡¡more¡¡strongly¡¡stimulated¡¡than¡¡the¡¡rest£»¡¡then¡¡this¡¡one¡¡would¡¡gain¡¡possession¡¡of¡¡the¡¡final¡¡common¡¡pathwould¡¡cause¡¡a¡¡muscular¡¡action¡¡and¡¡the¡¡sensation¡¡of¡¡pain¡£

It¡¡is¡¡well¡¡known¡¡that¡¡when¡¡a¡¡greater¡¡pain¡¡or¡¡stimulus¡¡is¡¡thrown¡¡into¡¡competition¡¡with¡¡a¡¡lesser¡¡one£»¡¡the¡¡lesser¡¡is¡¡submerged¡£¡¡Of¡¡this¡¡fact¡¡the¡¡school¡­boy¡¡makes¡¡use¡¡when¡¡he¡¡initiates¡¡the¡¡novice¡¡into¡¡the¡¡mystery¡¡of¡¡the¡¡painless¡¡pulling¡¡of¡¡hair¡£¡¡The¡¡simultaneous¡¡but¡¡severe¡¡application¡¡of¡¡the¡¡boot¡¡to¡¡the¡¡blindfolded¡¡victim¡¡takes¡¡complete¡¡but¡¡exclusive¡¡possession¡¡of¡¡the¡¡final¡¡common¡¡path¡¡and¡¡the¡¡hair¡¡is¡¡painlessly¡¡plucked¡¡as¡¡a¡¡result¡¡of¡¡the¡¡triumph¡¡of¡¡the¡¡boot¡¡stimulus¡¡over¡¡the¡¡pull¡¡on¡¡the¡¡hair¡¡in¡¡the¡¡struggle¡¡for¡¡the¡¡final¡¡common¡¡path¡£

Persons¡¡who¡¡have¡¡survived¡¡a¡¡sudden£»¡¡complete¡¡exposure¡¡to¡¡superheated¡¡steam£»¡¡or¡¡whose¡¡bodies¡¡have¡¡been¡¡enwrapped¡¡in¡¡flame£»¡¡testify¡¡that¡¡they¡¡have¡¡felt¡¡no¡¡pain¡£¡¡¡¡As¡¡this¡¡absence¡¡of¡¡pain¡¡may¡¡be¡¡due¡¡to¡¡the¡¡fact¡¡that¡¡the¡¡emotion¡¡of¡¡fear¡¡gained¡¡the¡¡final¡¡common¡¡path£»¡¡to¡¡the¡¡exclusion¡¡of¡¡all¡¡other¡¡stimuli£»¡¡we¡¡are¡¡trying¡¡by¡¡experimentation¡¡to¡¡discover¡¡the¡¡effects¡¡of¡¡simultaneous¡¡painful¡¡stimulation¡¡of¡¡all¡¡parts¡¡of¡¡the¡¡body¡£¡¡The¡¡data¡¡already¡¡in¡¡hand£»¡¡and¡¡the¡¡experiments¡¡now¡¡in¡¡progress£»¡¡in¡¡which¡¡anesthetized¡¡animals¡¡are¡¡subjected¡¡to¡¡powerful¡¡stimuli¡¡applied¡¡to¡¡certain¡¡parts¡¡of¡¡the¡¡body¡¡only£»¡¡or¡¡simultaneously¡¡to¡¡all¡¡parts¡¡of¡¡the¡¡body£»¡¡lead¡¡us¡¡to¡¡believe¡¡that¡¡in¡¡the¡¡former¡¡case¡¡the¡¡brain¡­cells¡¡become¡¡stimulated¡¡or¡¡hyperchromatic£»¡¡while¡¡in¡¡the¡¡latter¡¡case¡¡no¡¡brain¡­cell¡¡changes¡¡occur¡£¡¡¡¡We¡¡believe¡¡that¡¡our¡¡experiments¡¡will¡¡prove¡¡that¡¡an¡¡equal¡¡and¡¡simultaneous¡¡stimulation¡¡of¡¡all¡¡parts¡¡of¡¡the¡¡body¡¡leaves¡¡the¡¡brain¡­cells¡¡in¡¡a¡¡state¡¡of¡¡equilibrium¡£¡¡Our¡¡theory¡¡of¡¡pain¡¡will¡¡then¡¡be¡¡well¡¡sustained£»¡¡not¡¡only¡¡by¡¡common¡¡observation£»¡¡but¡¡by¡¡experimental¡¡proof£»¡¡and¡¡so¡¡the¡¡mechanistic¡¡view¡¡will¡¡be¡¡found¡¡in¡¡complete¡¡harmony¡¡with¡¡another¡¡important¡¡reaction¡£

We¡¡have¡¡stated¡¡that¡¡when¡¡a¡¡number¡¡of¡¡contact¡¡stimuli¡¡act¡¡simultaneously£»¡¡the¡¡strongest¡¡stimulus¡¡will¡¡gain¡¡possession¡¡of¡¡the¡¡final¡¡common¡¡path¡¡the¡¡path¡¡of¡¡action¡£¡¡¡¡When£»¡¡however£»¡¡stimuli¡¡of¡¡the¡¡distance¡¡ceptors¡¡compete¡¡with¡¡stimuli¡¡of¡¡the¡¡contact¡¡ceptors£»¡¡the¡¡contact¡­ceptor¡¡stimuli¡¡often¡¡secure¡¡the¡¡common¡¡path£»¡¡not¡¡because¡¡they¡¡are¡¡stronger¡¡or¡¡more¡¡important£»¡¡but¡¡because¡¡they¡¡are¡¡immediate¡¡and¡¡urgent¡£¡¡In¡¡many¡¡instances£»¡¡however£»¡¡the¡¡distance¡­ceptor¡¡stimuli¡¡are¡¡strong£»¡¡have¡¡the¡¡advantage¡¡of¡¡a¡¡lowered¡¡threshold£»¡¡and¡¡therefore¡¡compete¡¡successfully¡¡with¡¡the¡¡immediate¡¡and¡¡present¡¡stimuli¡¡of¡¡the¡¡contact¡¡ceptors¡£¡¡¡¡In¡¡such¡¡cases¡¡we¡¡have¡¡the¡¡interesting¡¡phenomenon¡¡of¡¡physical¡¡injury¡¡without¡¡resultant¡¡pain¡¡or¡¡muscular¡¡response¡£¡¡The¡¡distance¡­ceptor¡¡stimuli¡¡which¡¡may¡¡thus¡¡triumph¡¡over¡¡even¡¡powerful¡¡contact¡­ceptor¡¡stimuli¡¡are¡¡those¡¡causing¡¡strong¡¡emotionsas¡¡great¡¡anger¡¡in¡¡fighting£»¡¡great¡¡fear¡¡in¡¡a¡¡battle£»¡¡intense¡¡sexual¡¡excitement¡£¡¡Dr¡£¡¡Livingstone¡¡has¡¡testified¡¡to¡¡his¡¡complete¡¡unconsciousness¡¡to¡¡pain¡¡during¡¡his¡¡struggle¡¡with¡¡a¡¡lion£»¡¡although¡¡he¡¡was¡¡torn¡¡by¡¡teeth¡¡and¡¡claws£»¡¡his¡¡fear¡¡overcame¡¡all¡¡other¡¡impressions¡£¡¡By¡¡frequently¡¡repeated¡¡stimulation¡¡the¡¡Dervish¡¡secures¡¡a¡¡low¡¡threshold¡¡to¡¡the¡¡emotions¡¡caused¡¡by¡¡the¡¡thought¡¡of¡¡God¡¡or¡¡the¡¡devil£»¡¡and¡¡his¡¡emotional¡¡excitement¡¡is¡¡increased¡¡by¡¡the¡¡presence¡¡of¡¡others¡¡under¡¡the¡¡same¡¡stimulation£»¡¡emotion£»¡¡therefore£»¡¡secures¡¡the¡¡final¡¡common¡¡path¡¡and¡¡he¡¡is¡¡uncons

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