Copyright (c) 2013 John L. Jerz

Pain Demands Attention (Eccleston, Crombez, 1999)

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A Cognitive-Affective Model of the Interruptive Function of Pain

Pain interrupts and demands attention. The authors review evidence for how and why this interruption of attention is achieved. The interruptive function of pain depends on the relationship between pain-related characteristics (e.g., the threat value of pain) and the characteristics of the environmental demands (e.g., emotional arousal). A model of the interruptive function of pain is developed that holds that pain is selected for action from within complex affective and motivational environments to urge escape. The implications of this model for research and therapy are outlined with an emphasis on the redefinition of chronic pain as chronic interruption.

Attention is defined as selection for action...
 
Norman and Shallice (1986) recognized that any successful attentional system must always be open to the possibility that at any time current engagement will be interrupted by the imposition of a new superordinate goal to protect an organism from danger or harm..
 
An attentional system must be able to cope with environments that are (a) partly or wholly unpredictable, (b) can change suddenly, and (c) offer multiple, competing, or contradictory goals. As Allport suggests,

The primary purpose of an attentional system must be to ensure the coherence of behavior under these often conflicting constraints. Coherent, goal directed behavior requires processes of selective priority assignment and coordination at many different levels (motivational, cognitive, motor, sensory). Together this set of selective and coordinative processes can be said to make up the effective attentional engagement (or attentional set) of an organism at any moment. (1989, p. 652)

The problem then for any model of attention is that it must account for the two potentially contradictory requirements of an attentional mechanism: "the need for continuity of attentional engagement, against the need for its interruptibility" (Allport, 1989, p. 652)...

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