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A common neurobiology for pain and pleasure
Abstract
Pain and pleasure are powerful motivators of behaviour and have historically been considered opposites. Emerging evidence from the pain and reward research fields points to extensive similarities in the anatomical substrates of painful and pleasant sensations. Recent molecular-imaging and animal studies have demonstrated the important role of the opioid and dopamine systems in modulating both pain and pleasure. Understanding the mutually inhibitory effects that pain and reward processing have on each other, and the neural mechanisms that underpin such modulation, is important for alleviating unnecessary suffering and improving well-being.
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“preclinical and clinical studies suggest that these two opposing phenomena operate via an overlapping set of neural systems and neurochemical processes5 that instantiate a “common currency” of emotion in the brain.6”
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Background
Metadata
- Authors
- Leknes, S., & Tracey, I.
- Affiliations
- John Radcliffe Hospital (GB)
- Corresponding author
- Tracey, Irene
- Venue
- Nature Reviews Neuroscience
- Published
- 2008-04
- Volume
- 9
- Issue
- 4
- Pages
- 314-320
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- OpenAlex
- W2050134288
- Semantic Scholar
- 5c7a6d152be4a14216e5ff7dcd87fefc35df55fe
- Cited by
- 784
- References
- 0
- Citations by year
- 2026: 43 · 2025: 33 · 2024: 48 · 2023: 31 · 2022: 61 · 2021: 42 · 2020: 47 · 2019: 49 · 2018: 46 · 2017: 52 · 2016: 52 · 2015: 53 · 2014: 45 · 2013: 59 · 2012: 39
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Medical Research Council
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- pain, pleasure, reward, opioid system, dopaminergic system, molecular imaging, well-being, suffering
- MeSH terms
- Animals, Emotions, Humans, Neurobiology, Pain, Pleasure-Pain Principle
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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