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      Does the IASP definition of pain need updating?

      review-article
      Pain Reports
      Wolters Kluwer
      IASP definition of pain, Taxonomy

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          Abstract

          The current IASP definition of pain has come under renewed criticisms recently. There is a new momentum for its revision as reflected by the fact that IASP has now a Presidential Task Force dedicated to look into whether there is enough warrant to update the definition. I critically review all the major criticisms of the current definition in detail, and raise new difficulties rarely discussed before. I show that none of the major criticisms has enough warrant to force us to substantially revise the current definition. Combined with the discussion of the new difficulties, there is nonetheless a need to restate the definition using slightly different terminology that will make the original intent of the current definition clearer and more precise. A restatement of the definition is proposed and its potential is discussed in light of some empirical questions that remain.

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          Most cited references36

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          A common neurobiology for pain and pleasure.

          Pain and pleasure are powerful motivators of behaviour and have historically been considered opposites. Emerging evidence from the pain and reward research fields points to extensive similarities in the anatomical substrates of painful and pleasant sensations. Recent molecular-imaging and animal studies have demonstrated the important role of the opioid and dopamine systems in modulating both pain and pleasure. Understanding the mutually inhibitory effects that pain and reward processing have on each other, and the neural mechanisms that underpin such modulation, is important for alleviating unnecessary suffering and improving well-being.
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            • Record: found
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            Updating the definition of pain.

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              Is Open Access

              Reconsidering the International Association for the Study of Pain definition of pain

              We argue for revision of the definition of pain to “a mutually recognizable somatic experience that reflects a person's apprehension of threat to their bodily or existential integrity.”
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                Author and article information

                Journal
                Pain Rep
                Pain Rep
                PAIREP
                Painreports
                Pain Reports
                Wolters Kluwer (Philadelphia, PA )
                2471-2531
                Sep-Oct 2019
                13 August 2019
                : 4
                : 5
                : e777
                Affiliations
                Department of Philosophy, University of British Columbia, Vancouver, BC, Canada
                Author notes
                Corresponding author. Address: Department of Philosophy, University of British Columbia, Vancouver, BC, V6T 1Z1, Canada. Tel.:+1 604 822‐3292. E-mail address: maydede@ 123456mail.ubc.ca (M. Aydede).
                Article
                PAINREPORTS-D-19-0062 00008
                10.1097/PR9.0000000000000777
                6882577
                b49ff3e3-e103-420a-a791-48727b72428e
                Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 April 2019
                : 13 May 2019
                : 29 June 2019
                Categories
                12
                General Section
                Review
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                iasp definition of pain,taxonomy
                iasp definition of pain, taxonomy

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