[BOOK] Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness
J Kabat-Zinn - 1990 - Delacorte Pr

Display rules for anger, sadness, and pain: It depends on who is watching -
J Zeman, J Garber - Child Development, 1996 - JSTOR
... When you get your finger out, it's really red and swollen. You feel pain in
your finger. Procedure ... You feel pain in your finger. Sports ...

Development and validation of the Neuropathic Pain Symptom Inventory -
D Bouhassira, N Attal, J Fermanian, H Alchaar, M … - Pain, 2004 - Elsevier
... This scale included seven categorical responses to measure improvement or aggravation
of pain: ?Since your last visit do you feel that your pain is ___?: (1 ...

Sexual Dysfunction Following Vulvectomy -
MS Green, RW Naumann, M Elliot, JB Hall, RV … - Gynecologic Oncology, 2000 - Elsevier
... Female sexual arousal disorder How often do you desire sex? Do you avoid sex because
of the way your genitals feel? Do you have pain with intercourse? ...

Quality of Life in Chronic Pancreatitis-Results After Duodenum-Preserving Resection of the Head of … -
C Bloechle, JR Izbicki, WT Knoefel, T Kuechler, CE … - Pancreas, 1995 - pancreasjournal.com
... Summary: Studies on chronic pancreatitis have focused predominantly on pain measurement,
morbidity, and mortality. ... The pain score decreased by 95% (p < 0.001). ...

Oral function in subjects with overdentures supported by osseointegrated implants -
T HARALDSON, T JEMT, PERAKE STALBLAD, ULF LEKHOLM - European Journal of Oral Sciences, 1988 - Blackwell Synergy
... Do you grind or clench your teeth during the daytime? Do you grind or clench your
teeth during the night? Do you feel pain anywhere in your face or jaws ...

Pain Affect Encoded in Human Anterior Cingulate But Not Somatosensory Cortex -
P Rainville, GH Duncan, DD Price, B Carrier, MC … - Science, 1997 - sciencemag.org
... is appearing, and what you can do to make your experience of our ... that patients with
frontal lobotomies or cingulotomies sometimes still feel pain but report it ...

The experience of pain and perceptions of quality of life: validation of a conceptual model -
B Ferrell, M Grant, G Padilla, S Vemuri, M Rhiner - Hospice Journal, 1991 - haworthpress.com
... Everyone has a cross; you start to feel sorry for yourself ... I can't think." "If you
are in pain, your psychological self is out of balance and you can't maintain ...

Mad Pain and Martian Pain
D Lewis - Readings in the Philosophy of Psychology, 1980 - books.google.com
... If I am not speaking to your condition, so be it. ... 4 Surely that is un-
controversial. To have pain and to feel pain are one and the same. ...

The Sexual Activity Questionnaire: A measure of women's sexual functioning -
K Thirlaway, L Fallowfield, J Cuzick - Quality of Life Research, 1996 - Springer
... this month? How frequently did you notice dryness of your vagina? Did you
feel pain or discomfort during penetration? In general ...

They're special, those moments of close connection when you become attuned to another person's mood, and it seems you can sense what he or she feels.

This "we're on the same wavelength" phenomenon is known as empathy, part of the emotional glue that helps bind people together.

Now it's being studied with the tools of modern science, sophisticated neuro-imaging scans and physiological tests that track how people's brains and bodies respond during social encounters.

The still-young field of scientific inquiry is called social neuroscience, and it's beginning to demonstrate that empathy has biological underpinnings as well as emotional dimensions.

The latest research comes from Boston, where Massachusetts General Hospital researcher Dr. Carl Marci has been examining empathy in the context of psychotherapy. His research appeared last month in the Journal of Nervous and Mental Disease.

The study is the first to try to measure how patients and psychologists react to each other during a therapy session and how empathy plays out between them.

The major finding validates the depth of connection that can occur: The more in tune patients and therapists appeared to be emotionally, the more closely their physiological responses mirrored each other.

"In other words, when we feel connected to someone, it's because we actually are experiencing something similar," said Marci, who worked with collaborators in New York City and New Hampshire.

"Fundamentally, we're social beings, and our brains are wired to connect."

The physiological measurement used in the study was "skin conductivity," a sensitive indicator of arousal in the sympathetic branch of the autonomic nervous system.

Researchers obtained readings by attaching electrodes to patients' and therapists' fingers and recording their responses to imperceptible electrical currents. Some 20 patient/therapist pairs were studied during a session averaging 45 minutes. All the patients had a diagnosis of depression or anxiety and had worked with the therapists for some time.

This part of the study showed significant "concordance," or similarity, between patients' and therapists' level of arousal about 50 percent of the time. That was highly significant and not due to chance alone, the researchers said.

After the session, researchers asked patients to rate the degree of empathy demonstrated by their therapists, using a standardized questionnaire. The higher the level of perceived empathy, the higher the congruence in the pair's physical responses, researchers discovered.

In the last part of the study, two trained observers watched videotaped segments of therapy sessions when pairs were most and least closely aligned, according to physiological data. The purpose was to identify moments of apparent empathy by observing social and emotional interactions.

This analysis showed that patients and therapists were, indeed, having more positive interactions when their skin conductivity measurements were most similar.

That comes as no surprise to Anne Alonson, a clinical professor of psychiatry at Harvard Medical School who directs the Center for Psychoanalytic Studies at Massachusetts General.

"Everyone knows that emotions locate themselves in the body. What we're finding is, it's not just one person's body: People can join each other in feeling," she said.

Alonson gave the example of a recent session with a man who appeared quite downhearted but seemed not to know it. "He's talking, and I'm realizing that I'm beginning to feel really sad so I say, `I have a sense of sadness in myself, and I wonder if you feel it too.' At which point, he started to cry."

This kind of empathetic connection is fundamental to the therapeutic process, said Dr. Deborah Spitz, associate professor of psychiatry at the University of Chicago. "In working with someone, you need to know where they are, emotionally, in order to be able to help them," she explained. "You have to be able to meet them, and empathy helps you do that."

"I'm not at all surprised that is something we experience in our bodies as well as our brains," Spitz said.

Indeed, human brains appear hard-wired to "perceive and share others' feelings," according to Jean Decety, a professor of psychology who joined the U. of C.'s faculty last year. Decety was quoted in a U. of C. Magazine interview describing his groundbreaking neuro-imaging studies, which demonstrate that brain networks processing personal pain also light up when another person's pain is recognized.

That's compelling evidence of a biologically grounded emotional overlap between self and other, experts suggest.

There are limitations to the new research out of Massachusetts General. The sample size is small, and there were no controls. Patients' perceptions of empathy could be influenced by their underlying mental conditions and treatment status.

Still, Dr. K. Luan Phan, director of the brain imaging and emotions laboratory at the University of Chicago, believes the finding "that you can get a biological marker for a therapeutic relationship" is "very important and very exciting."

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jegraham@tribune.com