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Extending the Neuromatrix

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Abstract

Early in this chapter I introduce Melzack’s concept of the neuromatrix and then extend it beyond the human brain into a wider metaphor for a cultural neuromatrix. I will extract what I believe are the functional principles underpinning this matrix metaphor (such as organisation, modulation, signature ghosts and interoceptive modelling) and apply these in more abstract terms. The chapter then will progress to the more social and cultural dimensions of the pain neuromatrix. Two articulations of the social dimensions to pain will be described. A key element of the cultural neuromatrix are cultural neurosignatures, the refrains that capture pain and fashion it into specific forms and relationships. In the final section I will introduce the idea that pain is a commodity and underpinning its value as a commodity is its capacity to shapeshift. It is this shapeshifting capacity that reveals the derivative logic to commodity pain.

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References

  • Access Economics. (2007). The high price of pain: The economic impact of persistent pain in Australia, November 2007. Report by Access Economics Pty Limited for MBF Foundation in collaboration with University of Sydney Pain Management Research Institute.

    Google Scholar 

  • Anderson, M. D., & Elsea, D. (2015). The meth project and teen meth use: New estimates from the national and state youth risk behavior surveys. Health Economics, 24(12), 1644–1650.

    Article  Google Scholar 

  • Bantick, S. J., Wise, R. G., Ploghaus, A., Clare, S., Smith, S. M., & Tracey, I. (2002). Imaging how attention modulates pain in humans using functional MRI. Brain, 125(2), 310–319.

    Article  Google Scholar 

  • Barker, S. (2015). Pain: Always already a translation (Ph.D. Thesis). University of Sydney. http://www.academia.edu/14971933/Pain_Always_Already_a_Translation.

  • Blackman, L. (2012). Immaterial bodies: Affect, embodiment, mediation. Thousand Oaks, CA: Sage.

    Book  Google Scholar 

  • Bourdieu, P. (1977). Outline of a theory of practice. London: Cambridge University Press.

    Google Scholar 

  • Bourdieu, P. (1984). Distinction. Cambridge: Harvard University Press.

    Google Scholar 

  • Bourgois, P. (2000). Disciplining addictions: The bio-politics of methadone and heroin in the united states. Culture, Medicine and Psychiatry, 24(2), 165–195.

    Article  Google Scholar 

  • Bourke, J. (2014). The story of pain: From prayer to painkillers. Oxford: Oxford University Press.

    Google Scholar 

  • Braidotti, R. (2008). Affirmation, pain and empowerment. Asian Journal of Women’s Studies, 14(3), 7–36.

    Article  Google Scholar 

  • Brzeczko, A. W., Leech, R., & Stark, J. G. (2013). The advent of a new pseudoephedrine product to combat methamphetamine abuse. American Journal of Drug and Alcohol Abuse, 39(5), 284–290.

    Article  Google Scholar 

  • Bullington, J. (2009). Embodiment and chronic pain: Implications for rehabilitation practice. Health Care Analysis, 17(2), 100–109.

    Article  Google Scholar 

  • Butler, D. S., & Moseley, G. L. (2003). Explaining pain. Adelaide: NOIGroup Publications.

    Google Scholar 

  • Catley, M. J., O’Connell, N. E., Berryman, C., Ayhan, F. F., & Moseley, G. L. (2014). Is tactile acuity altered in people with chronic pain? A systematic review and meta-analysis. The Journal of Pain, 15(10), 985–1000.

    Article  Google Scholar 

  • Craig, A. D. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Reviews Neuroscience, 3(8), 655–666.

    Article  Google Scholar 

  • Csordas, T. J. (1997). The sacred self: A cultural phenomenology of charismatic healing. Berkeley: University of California Press.

    Google Scholar 

  • Csordas, T. J. (2002). Body, meaning, healing. Basingstoke: Palgrave Macmillan.

    Book  Google Scholar 

  • Das, V. (1997). Language and Body: Transaction in the construction of pain. In A. Kleinman, V. Das, & M. Lock (Eds.), Social suffering (pp. 67–92). Berkeley: University of California Press.

    Google Scholar 

  • Deleuze, G., & Guattari, F. (1987/1980). A thousand plateaus: Capitalism and schizophrenia (Brian Massumi, Trans.). Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Delvecchio-Good, M. J., Brodwin, P., Good, B. J., & Kleinman, A. (1994). Pain as human experience. An anthropological perspective. Berkeley: University of California Press.

    Google Scholar 

  • DiLernia, D., Serino, S., Cipresso, P., & Riva, G. (2016a). Ghosts in the machine. Interoceptive Modeling for Chronic Pain Treatment Front Neuroscience, 10, 314.

    Google Scholar 

  • DiLernia, D., Serino, S., & Riva, G. (2016b). Pain in the body. Altered interoception in chronic pain conditions: A systematic review. Neuroscience and Biobehavioral Reviews, 71, 328–341.

    Article  Google Scholar 

  • Dragojlovic, A., & Broom, A. (2018). Bodies and suffering: Emotions and relations of care. London: Routledge.

    Google Scholar 

  • Eccleston, C., Williams, A. C., & Morley, S. (2009). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews (CD007407).

    Google Scholar 

  • Eisenberger, N. I. (2012). The pain of social disconnection: Examining the shared neural underpinnings of physical and social pain. Nature Reviews Neuroscience, 13, 421–434.

    Article  Google Scholar 

  • Foucault, M. (1973). The birth of the clinic: An archeaology of medical perception. London: Tavsistock.

    Google Scholar 

  • Frank, A. W. (1995). The wounded storyteller: Body, illness and ethics. Chicago: University of Chicago Press.

    Book  Google Scholar 

  • Fraser, S. (2006). The chronotope of the queue: Methadone maintenance treatment and the production of time, space and subjects. International Journal of Drug Policy, 17(3), 192–202.

    Article  Google Scholar 

  • Fraser, S., Moore, D., & Keane, H. (2014). Habits: Remaking addiction. London: Palgrave Macmillan.

    Book  Google Scholar 

  • Fraser, S., Valentine, K., & Roberts, C. (2009). Living drugs. Science as Culture, 18(2), 123–131.

    Article  Google Scholar 

  • Gomart, E. (2004). Surprised by methadone: In praise of drug substitution treatment in a french clinic. Body and Society, 10(4), 85–110.

    Article  Google Scholar 

  • Gregg, M., & Seigworth, G. J. (Eds.). (2010). The affect theory reader. Durham, NC: Duke University Press.

    Google Scholar 

  • Haggard, P., Iannetti, G. D., & Longo, M. R. (2013). Spatial sensory organization and body representation in pain perception. Current Biology, 23, R164–R176.

    Article  Google Scholar 

  • Harvie, D. S., Broecker, M., Smith, R. T., Meulders, A., Madden, V. J., & Moseley, G. L. (2015). Bogus visual feedback alters onset of movement-evoked pain in people with neck pain. Psychological Science, 26(4), 385–392.

    Article  Google Scholar 

  • Harvie, D. S., Hillier, S., Madden, V. J., Smith, R. T., Broecker, M., Meulders, A., et al. (2016). Neck pain and proprioception revisited using the proprioception incongruence detection test. Physical Therapy, 96(5), 671–678.

    Article  Google Scholar 

  • Harvie, D. S., Smith, R. T., Hunter, E. V., Davis, M. G., Sterling, M., & Moseley, G. L. (2017). Using visuo-kinetic virtual reality to induce illusory spinal movement: the moovi illusion. Peer J., 5, e3023.

    Article  Google Scholar 

  • Head, H., & Holmes, G. (1912). Sensory disturbances from cerebral lesions. Brain, 34, 102–254.

    Article  Google Scholar 

  • Johnson, K. V. A., & Dunbar, R. I. M. (2016). Pain tolerance predicts human social network size. Scientific Reports, 6, 25267.

    Google Scholar 

  • Karos, K. (2018). Hide your Pain? The effects of social threat on pain reports, pain expression and pain-related fear (Doctoral Thesis). Faculty of Psychology and Education Sciences, Katholieke Universiteit Leuven, Leuven, Begium.

    Google Scholar 

  • Kleinman, A. (1988a). Social origins of distress and disease: Depression, neurasthenia, and pain in modern china. New Haven: Yale University Press.

    Google Scholar 

  • Kleinman, A. (1988b). The illness narratives: Suffering healing and the human condition. New York: Basic Books.

    Google Scholar 

  • Kleinman, A., & Kleinman, J. (1997). The appeal of experience: The dismay of images: Cultural appropriations of suffering in our times. In A. Kleinman, V. Das, & M. Lock (Eds.), Social suffering (pp. 1–24). Berkeley: University of California Press.

    Google Scholar 

  • Lazzarato, M. (1997). Immaterial labor. Retrieved from http://www.generation-online.org/c/fcimmateriallabour3.htm.

  • Marshall, A. C., Gentsch, A., Jelinčić, V., & Schütz-Bosbach, S. (2017). Exteroceptive expectations modulate interoceptive processing repetition-suppression effects for visual and heartbeat evoked potentials. Scientific Reports, 6, 16525. https://doi.org/10.1038/s41598-017-16595-9.

    Article  Google Scholar 

  • Massumi, B. (2015). Ontopower: War, powers, and the state of perception. Durham: Duke University Press.

    Book  Google Scholar 

  • Massumi, B. (2017). The principle of unrest: Activist philosophy in the expanded field. London: Open Humanities Press.

    Book  Google Scholar 

  • McKewan, K., & Young, K. (2011). Ballet and pain: Reflections on a risk-dance culture. Qualitative Research in Sport, Exercise and Health, 3(2), 152–173.

    Article  Google Scholar 

  • McLeod, K. (2017). Wellbeing machine: How health emerges from the assemblages of everyday life. Durham: Carolina Academic Press.

    Google Scholar 

  • Melzack, R. (1989). Phantom limbs, the self, and the brain (The D.O. Hebb Memorial Lecture). Canadian Psychologist, 30, 1–16.

    Article  Google Scholar 

  • Melzack, R. (1990). Phantom limbs and the concept of a neuromatrix. Trends in Neurosciences, 13(3), 88–92.

    Article  Google Scholar 

  • Melzack, R. (1999). From the gate to the neuromatrix. Pain, 6, S121–S126.

    Article  Google Scholar 

  • Melzack, R. (2001). Pain and the neuromatrix in the brain. Journal of Dental Education, 65(12), 1378–1382.

    Google Scholar 

  • Melzack, R. (2005). Pain and the neuromatrix in the brain. Journal of Dental Education, 65(12), 1378–1382.

    Google Scholar 

  • Melzack, R., & Loeser, J. D. (1978). Phantom body parts in paraplegics: Evidence for a central ‘pattern generating mechanism’ for pain. Pain, 4, 195–210.

    Article  Google Scholar 

  • Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150, 971–979.

    Article  Google Scholar 

  • Merleau-Ponty, M. (2012/1962). Phenomenology of perception (Donald A Landes, Trans.). New York: Routledge.

    Google Scholar 

  • Montoya, P., Larbig, W., Braun, C., Preissl, H., & Birbaumer, N. (2004). Influence of social support and emotional context on pain processing and magnetic brain responses in fibromyalgia. Arthritis and Rheumatism, 50(12), 4035–4044.

    Article  Google Scholar 

  • Morris, D. B. (1991). The culture of pain. Berkeley: University of California Press.

    Google Scholar 

  • Morris, D. B. (1997). About suffering: Voice, genre and moral community. In A. Kleinman, V. Das, & M. Lock (Eds.), Social suffering (pp. 25–46). Berkeley: University of California Press.

    Google Scholar 

  • Moseley, G. L. (2012). The graded motor imagery handbook. Adelaide: NOIGroup.

    Google Scholar 

  • O’Brien, M. L. (1998). Narcotics Anonymous as a social field: An ethnographic study of the project of self (Thesis/dissertation). Submitted to the Australian Research Centre in Sex, Health & Society, Faculty of Heath Sciences, Latrobe University, Melbourne.

    Google Scholar 

  • Patil, T., Cash, P., & Penney, W. (2018). Consumers’ experience of the Opioid Replacement Therapy Program conducted in the Central Highlands and Grampians Regions of Rural Victoria. Federation University Australia, Faculty of Education and Arts, Ballarat, Victoria.

    Google Scholar 

  • Peters, M. A. (2018). Affective capitalism, higher education and the constitution of the social body althusser, deleuze, and negri on spinoza and marxism. Educational Philosophy and Theory, 51(5), 465–473.

    Article  Google Scholar 

  • Presley, B., Bianchi, B., Coleman, J., Diamond, F., & McNally, G. (2018). Efficiency of extraction and conversion of pseudoephedrine to methamphetamine from tamper-resistant and non-tamper-resistant formulations. Journal of Pharmaceutical and Biomedical Analysis, 15(156), 16–22.

    Article  Google Scholar 

  • Pustilnik, A. C. (2015). Imaging brains, changing minds: How pain neuroimaging can inform the law. Alabama Law Review, 66(5), 1099–1158.

    Google Scholar 

  • Sarig Bahat, H., Croft, K., Carter, C., Hoddinott, A., Sprecher, E., & Releaven, J. (2018). Remote kinematic training for patients with chronic neck pain: A randomised controlled trial. European Spine Journal, 27(6), 1309–1323.

    Article  Google Scholar 

  • Sarig Bahat, H., Takasaki, H., Chen, X., Bet-Or, Y., & Treleaven, Y. (2015). Cervical kinematic training with and without interactive vr training for chronic neck pain—A randomized clinical trial. Manual Therapy, 20(1), 68–78.

    Article  Google Scholar 

  • Sartre, J.-P. (1956). Being and nothingness (H. Barnes, Trans.). New York: Washington Square Press.

    Google Scholar 

  • Scarry, E. (1985). The body in pain: The making and unmaking of the world. Oxford: Oxford University Press.

    Google Scholar 

  • Simons, L. E., Elman, I., & Borsook, D. (2014). Psychological processing in chronic pain: A neural systems approach. Neuroscience and Biobehavioral Reviews, 39, 61–78.

    Article  Google Scholar 

  • Singer, T., Seymour, B., O’Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004). Empathy for pain involves the affective but not sensory components of pain. Science, 303(5661), 1157–1162.

    Article  Google Scholar 

  • Singh, S. (2011). The meaning of pain during the process of embodiment: A case study of trainee modern dancers’ experiences of pain. Sport, Education and Society, 16(4), 451–465.

    Article  Google Scholar 

  • Stewart, K. (2010). Worlding refrains. In M. Gregg & G. Seigworth (Eds.), The affect theory reader (pp. 339–353). London: Duke University Press.

    Google Scholar 

  • Summerson-Carr, E. (2010). Scripting addiction the politics of therapeutic talk and american sobriety. New Jersey: Princeton University Press.

    Book  Google Scholar 

  • Throop, C. J. (2010). Suffering and sentiment: Exploring the vicissitudes of experience and pain in Yap. Berkeley: University of California Press.

    Google Scholar 

  • Toye, F., Seers, K., Allcock, N., Briggs, M., Carr, E., Andrews, J., & Barker, K. (2013). A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain. Health Services and Delivery Research, 1(12).

    Google Scholar 

  • Uddin, L. Q. (2015). Salience processing and insular cortical function and dysfunction. Nature Reviews Neuroscience, 16(1), 55–61.

    Article  Google Scholar 

  • Villemure, C., & Bushnell, M. C. (2009). Mood influences supraspinal pain processing separately from attention. Journal of Neuroscience, 29(3), 705–715.

    Article  Google Scholar 

  • Wiech, K., Vandekerckhove, J., Zaman, J., Tuerlinckx, F., Vlaeyan, J. W., & Tracey, I. (2014). Influence of prior information on pain involves biased perceptual decision-making. Current Biology, 24(15), R679–R681.

    Article  Google Scholar 

  • Wu, L., Luo, Y., & Feng, C. (2016). Neural signatures of social conformity: A coordinate-based activation likelihood estimation meta-analysis of functional brain imaging studies. Neuroscience and BioBehavioural Reviews, 71, 101–111.

    Article  Google Scholar 

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Fitzgerald, J.L. (2020). Extending the Neuromatrix. In: Life in Pain. Springer, Singapore. https://doi.org/10.1007/978-981-10-5640-6_2

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