Why Does Social Exclusion Hurt? The Relationship Between Social and Physical Pain.
Abstract
The authors forward the hypothesis that social exclusion is experienced as painful because reactions to rejection are mediated by aspects of the physical pain system. The authors begin by presenting the theory that overlap between social and physical pain was an evolutionary development to aid social animals in responding to threats to inclusion. The authors then review evidence showing that humans demonstrate convergence between the 2 types of pain in thought, emotion, and behavior, and demonstrate, primarily through nonhuman animal research, that social and physical pain share common physiological mechanisms. Finally, the authors explore the implications of social pain theory for rejection-elicited aggression and physical pain disorders.
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A network of brain regions that support the affective but not the sensory components of physical pain underlies both social rejection and physical pain.
“The consensus that has emerged is that a network of brain regions that support the aversive quality of physical pain (the ' affective ' component), principally the dorsal anterior cingulate (dACC) and anterior insula (AI), also underlie the feeling of social rejection.”
From Social rejection shares somatosensory representations with physical pain (2011) · cites this paper as [1]
Current theorizing suggests that the brain systems underlying social rejection developed by coopting brain circuits that support the affective component of physical pain.
“Current theorizing suggests that the brain systems that underlie social rejection developed by coopting brain circuits that support the affective component of physical pain (1, 2, 9).”
From Social rejection shares somatosensory representations with physical pain (2011) · cites this paper as [1]
Cultures around the world use the same language-words like 'hurt' and 'pain'-to describe both social rejection and physical pain.
“However, cultures around the world use the same language -words like ' hurt ' and ' pain '-to describe both experiences (1), raising the question: How similar are social rejection and physical pain?”
From Social rejection shares somatosensory representations with physical pain (2011) · cites this paper as [1]
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- Authors
- MacDonald, G., & Leary, M. R.
- Affiliations
- The University of Queensland (AU)
- Wake Forest University (US)
- Venue
- Psychological Bulletin
- Published
- 2005-03
- Volume
- 131
- Issue
- 2
- Pages
- 202-223
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2170436315
- Semantic Scholar
- 0e711c40ec38b531215de3ed80a26fe08eb7d0f6
- Cited by
- 1,712
- References
- 272
- Citations by year
- 2026: 71 · 2025: 106 · 2024: 103 · 2023: 92 · 2022: 102 · 2021: 96 · 2020: 89 · 2019: 87 · 2018: 81 · 2017: 92 · 2016: 79 · 2015: 91 · 2014: 122 · 2013: 103 · 2012: 83
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Keywords
- social exclusion, social pain, bodily pain, rejection, evolutionary psychology, aggression, pain disorders
- MeSH terms
- Gyrus Cinguli, Humans, Narcotics, Oxytocin, Pain, Psychological Theory, Social Alienation
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