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How pain fools everyone: An inference to the best explanation
1School of Biomedical Sciences, University of Queensland, Brisbane 4072, Australia; Centre for Innovation in Pain and Health Research (CIPHeR), University of Queensland, Brisbane 4072, Australia.
Neuroscience and Biobehavioral Reviews
|August 6, 2025
Summary
Commonly, pain is thought to cause behavior. However, this study argues neural activity, not pain itself, causes actions. Pain may serve a non-causal function, marking important neural pathways.
Area of Science:
- Neuroscience
- Philosophy of Mind
- Cognitive Science
Background:
- The common assumption is that subjective feelings like pain directly cause behavior.
- This view is challenged by the lack of a known neural mechanism for pain to directly modulate activity or gate ion channels.
Purpose of the Study:
- To investigate the causal role of subjective pain experiences in behavior.
- To propose an alternative explanation for how pain influences actions, considering its evolutionary persistence.
Main Methods:
- Review of neuroscientific evidence regarding pain and behavior.
- Theoretical analysis of the function of pain within decision-making processes.
Main Results:
- Subjective pain does not appear to have a direct causal role in initiating behavior.
- Neural activity, specifically an internal decoding process of accumulated evidence, is identified as the cause of action.
- Pain's function is re-conceptualized as marking salient neural pathways, serving as a non-causal ground for decisions.
Conclusions:
- Pain is not epiphenomenal or functionless, despite lacking direct causal power over actions.
- Pain's role is to enhance the salience of neural pathways that *do* cause behavior.
- This perspective has significant implications for understanding neuropsychiatry, biopsychosocial models, and AI development.
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