Summary
This paper is an attempt to report in an abbreviated fashion the present scientific views about pain and associated sensations.
It reviews ancient philosophical definitions of pain and more recent and present-day definitions of scientists.
The histological-anatomical findings concerning pain receptors, pain fibers and fibers carrying other associated sensations, their pathways and the central representation of pain are reported.
Pain measurement by the “dol”, pain threshold and reaction threshold, and the different conditions altering the pain threshold are discussed. The threshold-raising factors are seen as tools for the practitioner with which to combat pain. Some of the most common pains like headache—or pain from the viscera in the thoracic cage and in the abdomen—are specifically reported. Their origins and the present views of those origins on a somatic or psychogenic basis, and some methods of differential diagnosis of these pains are reported.
Similar content being viewed by others
References
Wolff, G. A.: The effect of pain on renal function. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:362, Baltimore, 1943.
Norman, W. W.: Do the reactions of the lower animals against injury indicate pain sensation. Am. J. Physiol. VI:271–284, 1900.
Lewis, T.: Pain. Macmillan. 1942.
Behan, R. J.: Pain D. Appleton. New York and London. 1914.
Wolff, H. G., and Hardy, J. D.: Phys. Rev., 26–176, 1947.
Timme, W.: Discussion on “Pain threshold in man”. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:13, Baltimore, 1943.
Waterston, D.: 1933 a. Observation on sensation. The sensory activities of the skin for touch and temperature. Physiol., 38:251–257.
Tower, S.: Pain: definition and properties of the unit for sensory reception. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:40, Baltimore, 1943.
Gasser, H. S.: Pain producing impulses in peripheral nerves. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:46, Baltimore, 1943.
Zotterman, Y.: Touch, pain and tickling. J. Physiol., 95:1–28, 1939.
Wolf, S., and Hardy, J. D.: Studies on pain, observation on pain due to local cooling and on factors involved in the “cold pressor” effect. Res. Pub. Asso. Nerv. Ment. Dis., XXIII, 123–141, Baltimore, 1943.
Hardy, J. D.; Wolff, H. G., and Godell, H.: The pain threshold in man. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:1–13, Baltimore, 1943.
Robertson, S.; Godell, H., and Wolff, H. G.: Headache. Arch. Neurol. and Psychiat., 57:277–291, 1947.
Ziskin, D. E., and Wald, H.: Observation on electrical pulp testing. J. Dent. Res., 17:79, 1938.
Chapman, W. P.: Measurement of pain sensitivity on normal control subjects and in psychoneurotic patients. Psychosom. Med., 6:252–257, 1944.
Hardy, J. D.; Wolff, H. G., and Godell, H.: Studies on pain: discrimination of differences in intensity of a pain stimulus as a basis of a scale of pain intensity. J. Clin. Invest., XXVI: 6, 1152–1158, 1947.
Hardy, J. D.; Wolff, H. G., and Godell, H.: Studies on pain: an investigation of some quantitative aspects of the dol scale of pain intensity. J. Clin. Invest., XXVII:pp. 380–386, 1948.
Bender, M. B.: Extinction and precipitation of cutaneous sensation Arch. Neurol and Psychiat., LIV:1–9, 1945.
Wechsler, I. S.: Textbook of Clinical Neurology. P. 44. Philadelphia. 1943.
Hardy, J. D.; Wolff, G. H., and Godell, H.: Experimental evidence of the nature of cutaneous hyperalgesia. J. Clin. Invest. XXIX:1, 115–140, 1950.
Walker, A. E.: Mesencephalic tractotomy Arch. Surg. 44:953–962, 1942.
Schwartz, H. G., and O'Leary, J.: Section of the spinothalamic tract at the level of the inferior olive. Arch. Neurol. and Psychiat., 47:293–304, 1942.
Walker, A. E.: Central representation of pain. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:63–83, Baltimore, 1943.
Wolf, H. G., and Godell, H.: The relation of attitude and suggestion to the perception of and reaction to pain. Res. Pub. Asso. Nerv. Ment. Dis., XXIII, 434–446, Baltimore, 1943.
Foerster, O.: Symptomatologie der Erkrankungen des Rückenmarks und Seiner Wurzeln. Bumke-Foerster's Handb. d. Neurol., 5:1, 1936.
Rothman, S.: The nature of itching. Res. Pub. Asso. Nerv. Ment. Dis., XXIII: 110–119, Baltimore, 1943.
Zotterman, Y.: The nervous mechanism of touch and pain. Act. Psychiat. Neurol., 14:91, 1939.
Dengrove, E.: Psychosomatic aspects of dermographia and pruritis. Psychosom. Med., 9:58–61, 1947.
Lewis, T.: Experiments relating to cutaneous hyperalgesia and its spread through somatic nerves. Clin. Sci. 2:373–423.
Sollman, T.: A Manual of Pharmacology. Pp. 273–274. Saunders Philadelphia and Boston. 1936.
Wolff, H. G.; Hardy, J. D., and Godell, H.: Studies on pain. Measurement of the effect of morphine, codeine and other opiates on the pain threshold and an analysis of their relation to the pain experience. J. Clin. Invest. 19:659, 1940.
Simons, D. J.; Day, E.; Godel, H.; and Wolff, H. G.: Experimental studies on headaches: muscles of the scalp and neck as sources of pain. Res. Pub. Asso. Nerv. Ment. Dis., 23, Baltimore, 1943.
Rilley, H.: Discussion on “Muscles of the scalp and neck as sources of pain”. Res. Pub. Asso. Ment. Dis., 23:242, Baltimore, 1943.
Hart, H.: Displacement guilt and pain. Psychoan. Rev., 34:3, 1947.
Maja, J. A.: Psiquismo e desordens somatica. Neurobiologia, 9:269–278, 1946.
Weiss, S., and Davis, D.: The significance of the afferent impulses from the skin in the mechanism of visceral pain. Skin infiltration as a useful therapeutic measure. Am. J. Med. Sci., 1928.
Wolff, H. G.: Headache mechanism—a summary. Res. Pub. Asso. Nerv. Ment. Dis., XXIII:173–184, Baltimore, 1943.
Brenner, C.; Friedman, A. P., and Carter, S.: Psychologic factors in the etiology and treatment of chronic headache. Psychosom. Med., XI:53–56, 1949.
Lennox, W. G., and von Storch, T. J. C.: The individual and familial coincidence of migraine and epilepsy. Tr. Am. Neurol., 64:215–217, 1938.
Palmer, H. D.; Scott, D. B. M., and Elliot, K. A. C.: Note on blood guanidine level in migraine subject. J. Lab. and Clin. Med., 28:735–737, 1943.
Moench, L. G.: Headache. Pp. 187–190. The Year Book Publishers. Chicago. 1947.
Grinker, R. R.: Neurology, third edition P. 261. Thomas. Springfield, Ill., and Baltimore. 1943.
—Ibid.
Rothschild, M. A., and Kissin, M.: Production of the anginal syndrome by induced general anoxemia. Heart J., 8:729, 1933.
Lewis, T.: Pain in muscular ischemia: its relation to anginal pain. Arch. Int. Med., 49:713–727, 1932.
Gorham, L. W.: The tension theory of cardiac pain. Res. Pub. Asso. Nerv. Ment. Dis., 23:337–342, Baltimore, 1943.
Bray, H. A.: Tension theory of pleuritic pain. Am. Rev. Tuberc., 13:14–20, 1926.
Palmer, W. L.: The pain in peptic ulcer. Res. Pub. Asso. Nerv. Ment. Dis., 23: 302–324, Baltimore, 1943.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Matfus, J. Pain. Psych Quar 25, 97–131 (1951). https://doi.org/10.1007/BF01584267
Issue Date:
DOI: https://doi.org/10.1007/BF01584267