experiential dimension of sikhism based on guru nanak.topic experiential dimension
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5.64.4.2.2.(ii) Desire for pain reduction
While expectancy appears to be an important psychological mediator of placebo analgesia, it is unlikely to work alone. Since motivation is known to influence perception, desire (the experiential dimension of wanting something to happen or wanting to avoid something happening) is also likely to be involved in placebo analgesia. In the study just described, the subjects’ level of desire for pain reduction also was manipulated (Price, D. D. et al., 1999). In one group, presenting them the prospect of receiving a large number of painful stimuli successfully increased their desire for pain relief. In a second group, informing them that only a few stimuli would be presented decreased desire. Interestingly, ratings of desire for pain relief were not significantly associated with the magnitudes of placebo analgesia. One possible reason for this lack of association may be because pain was induced via brief heat stimuli in this experimental setting. Desire for pain relief may be more of a factor in clinical pain where the pain is threatening or has an uncertain duration, therefore likely inducing fear or anxiety. Consequently, it is important to investigate the contribution of expectations and desire for pain relief in more clinically relevant settings.
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