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Empathy for Pain Involves the Affective but not Sensory Components of Pain
Tania Singer,1*Ben Seymour,1John O'Doherty,1Holger Kaube,2Raymond J. Dolan,1Chris D. Frith1
Our ability to have an experience of another's pain is characteristicof empathy. Using functional imaging, we assessed brain activitywhile volunteers experienced a painful stimulus and comparedit to that elicited when they observed a signal indicating thattheir loved onepresent in the same roomwas receivinga similar pain stimulus. Bilateral anterior insula (AI), rostralanterior cingulate cortex (ACC), brainstem, and cerebellum wereactivated when subjects received pain and also by a signal thata loved one experienced pain. AIand ACC activation correlatedwith individual empathy scores. Activity in the posterior insula/secondarysomatosensory cortex, the sensorimotor cortex (SI/MI), and thecaudal ACC was specific to receiving pain. Thus, a neural responsein AIand rostral ACC, activated in common for "self" and "other"conditions, suggests that the neural substrate for empathicexperience does not involve the entire "pain matrix." We concludethat only that part of the pain network associated with itsaffective qualities, but not its sensory qualities, mediatesempathy.
1 Wellcome Department of Imaging Neuroscience, Institute of Neurology, University College of London, 12 Queen Square, WC1N 3AR London, UK. 2 Headache Group, Institute of Neurology, University College of London, Queen Square, WC1N 3BG London, UK.
* To whom correspondence should be addressed. E-mail: t.singer{at}fil.ion.ucl.ac.uk
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Gender difference in neural response to psychological stress.
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191, 192-194
|Abstract »|Full Text »|PDF »
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|Abstract »|PDF »
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55, 485-492
|PDF »
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|Abstract »|Full Text »|PDF »
M.-C. Albanese, E. G. Duerden, P. Rainville, and G. H. Duncan (2007)
J. Neurosci.
27, 4612-4620
|Abstract »|Full Text »|PDF »
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K. Ochsner (2007)
Soc Cogn Affect Neurosci
2, 1-2
|Full Text »|PDF »
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V. Gallese, M. N. Eagle, and P. Migone (2007)
J Am Psychoanal Assoc
55, 131-175
|Abstract »|PDF »
The human mirror neuron system: A link between action observation and social skills.
L. M. Oberman, J. A. Pineda, and V. S. Ramachandran (2007)
Soc Cogn Affect Neurosci
2, 62-66
|Abstract »|Full Text »|PDF »
Dissociable Intrinsic Connectivity Networks for Salience Processing and Executive Control.
W. W. Seeley, V. Menon, A. F. Schatzberg, J. Keller, G. H. Glover, H. Kenna, A. L. Reiss, and M. D. Greicius (2007)
J. Neurosci.
27, 2349-2356
|Abstract »|Full Text »|PDF »
Brain Activation during Sight Gags and Language-Dependent Humor.
K. K. Watson, B. J. Matthews, and J. M. Allman (2007)
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17, 314-324
|Abstract »|Full Text »|PDF »
Functional Magnetic Resonance Imaging Investigation of Overlapping Lateral Occipitotemporal Activations Using Multi-Voxel Pattern Analysis.
P. E. Downing, A. J. Wiggett, and M. V. Peelen (2007)
J. Neurosci.
27, 226-233
|Abstract »|Full Text »|PDF »
Altered Pain Processing in Veterans With Posttraumatic Stress Disorder.
E. Geuze, H. G. M. Westenberg, A. Jochims, C. S. de Kloet, M. Bohus, E. Vermetten, and C. Schmahl (2007)
Arch Gen Psychiatry
64, 76-85
|Abstract »|Full Text »|PDF »
The Compassionate Brain: Humans Detect Intensity of Pain from Another's Face.
M. V. Saarela, Y. Hlushchuk, A. C. d. C. Williams, M. Schurmann, E. Kalso, and R. Hari (2007)
Cereb Cortex
17, 230-237
|Abstract »|Full Text »|PDF »
Chronic Pain and the Emotional Brain: Specific Brain Activity Associated with Spontaneous Fluctuations of Intensity of Chronic Back Pain..
M. N. Baliki, D. R. Chialvo, P. Y. Geha, R. M. Levy, R. N. Harden, T. B. Parrish, and A. V. Apkarian (2006)
J. Neurosci.
26, 12165-12173
|Abstract »|Full Text »|PDF »
Emotional modulation of pain: is it the sensation or what we recall?.
F. Godinho, M. Magnin, M. Frot, C. Perchet, and L. Garcia-Larrea (2006)
J. Neurosci.
26, 11454-11461
|Abstract »|Full Text »|PDF »
Dysregulation of endogenous opioid emotion regulation circuitry in major depression in women..
S. E. Kennedy, R. A. Koeppe, E. A. Young, and J.-K. Zubieta (2006)
Arch Gen Psychiatry
63, 1199-1208
|Abstract »|Full Text »|PDF »
Perceiving an opponent's loss: gender-related differences in the medial-frontal negativity.
Enhanced Presynaptic Neurotransmitter Release in the Anterior Cingulate Cortex of Mice with Chronic Pain..
M.-G. Zhao, S. W Ko, L.-J. Wu, H. Toyoda, H. Xu, J. Quan, J. Li, Y. Jia, M. Ren, Z. C. Xu, et al. (2006)
J. Neurosci.
26, 8923-8930
|Abstract »|Full Text »|PDF »