Page 78 - Javanan Magazine Issue # 1904
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PSYCHOLOGICAL
                             PSYCHOLOGICAL                                                                                             ISSUE No. 1902
                                                                                                                                        ISSUE No. 1856
                               PERSPECTIVES
                               PERSPECTIVES                                                                                             JAVANAN

                                                                                                                                        JAVANAN
                               Dr. Alan A.
                              Modarressi                            LOGICAL PERSPECTIVES
                                Clinical and               A SOCIOCULTURAL AND MIND AND BODY OUTLOOK
                             Neuro-Psychologyst
                                                           In this column, we examine the mental health issues in the context
                                                         of social, culture, and physiological concerns of the Iranian community


                     ccording to PsychPost, in a    IS PAIN FELT MORE INTENSELY IN YOUR LANGUAGE
                     groundbreaking study pub-
               Alished in Social Cognitive and        A New Study Reveals How Pain Hurts More in One language Than Another
               Affective Neuroscience, scientists
               have found evidence that bilingual
               individuals perceive pain differently   response to external events but has a   stronger in the language that matched   language in which a bilingual person
               depending on the language they are   strong subjective component. It’s eas-  the participant’s stronger cultural ori-  experiences/processes a physically
               using. The study, involving Spanish-  ier to see how having different feel-  entation.  This suggests that cultural   painful event can affect not only the
               English bilingual adults, found that   ing words in one language vs another
               participants rated pain more intensely   might influence our emotions, but to   identity can modulate the way lan-  level of pain they report but also the
                                                                                  guage impacts our sensory experi-
                                                                                                                    way that physical sensation is pro-
               when using Spanish compared to    have language alter the way our bod-
               English, suggesting a profound con-  ies and minds respond to a physically   ences, including pain.  cessed in the brain. Specifically, the
                                                                                    They looked at a few different brain
                                                                                                                    sensory qualities of the experience
               nection between language, culture,   painful experience would really show
               and sensory experience.           the power of language in perceptual   systems that they thought might ex-  are highlighted to different degrees
                 Previous research has long hinted at   processing.               plain differences in pain across lan-  in different languages. However, it’s
               the intricate ways in which our cultur-  The core of the study involved a   guages and they were surprised that   not simply ‘more pain in Spanish for
               al  and  linguistic  backgrounds  shape   series of pain assessments conducted   the somatosensory processing areas   everyone. Rather, it seems to be that
               our experiences and perceptions. The   in both English and Spanish sessions.   (those regions that directly process   the pain is felt more strongly when it
               concept of ‘linguistic relativity’ sug-  Participants were  exposed  to  heat   tactile/feeling sensations) showed   is processed in the language that the
               gests that the language we use can   stimuli, a universally recognized form   the largest language effects and had   person feels a stronger cultural con-
               influence our thought processes and   of physical discomfort, and asked to   the largest effect on the pain reports   nection to.”
               perceptions. Studies in cultural psy-  rate the intensity of the pain they ex-  people ultimately gave.   This means 1) that the effect of pain
               chology have shown that bilingual   perienced. These ratings were made   Initially, they had expected that   in a different language doesn’t neces-
               individuals often ‘switch’ between   on a scale from 0 to 10, providing a   people might just be paying more at-  sarily have the same effect on every-
               cultural mindsets based on the lan-  quantifiable measure of their pain per-  tention to the pain in one language vs   one (if I feel similarly connected to
               guage they are using, a phenomenon   ception. This approach was designed   the other, and while we saw some evi-  both cultures, the  language doesn’t
               known as ‘cultural frame switching’.   to tease out any differences in pain   dence for that, but it showed that dif-  seems to affect my pain reporting
               This intriguing interplay of language   perception that might arise from the   ferences in the sensory experience of   much) and 2) some people (those
               and culture has been observed to af-  language context in which the experi-  the pain across languages are driving   identifying more strongly with US-
               fect various psychological and neural   ence was framed.           changes in pain ratings, particularly   American culture) appear to experi-
               processes.                         But the study went beyond just   for individuals who identify more   ence stimuli as more painful in Eng-
                 Pain is known to be influenced by   these subjective ratings. The research-  strongly with the Hispanic side of   lish  while  more  Hispanic-identified
               various psychological and social fac-  ers  employed  functional  Magnetic   their culture.          bilinguals show signs of more intense
               tors. Recognizing the importance of   Resonance Imaging (fMRI) as they   Overall, their study shows that the   pain in Spanish.
               understanding pain in a multicultural   processed the pain stimuli. This cut-
               context, especially given the health-  ting-edge imaging technique allowed
               care disparities faced by Hispanic   the team to observe and record brain
               communities in the United States, re-  activity  in  real-time,  particularly  fo-
               searchers at the University of Miami   cusing on areas known to be involved
               set out to explore how bilingual indi-  in processing pain and language.
               viduals experience pain in different   Findings of the Study-Participants
               language contexts.                consistently rated the pain as more
                 “My personal interest in this topic   intense when they were in the Span-
               first emerged through learning Span-  ish language sessions compared to
               ish (and later Portuguese) as a foreign   the English ones. This language effect
               language,” said study author Morgan   was not just limited to subjective rat-
               Gianola, a T32 Postdoctoral Scholar   ings; it was also reflected in the brain’s
               for Behavioral Medicine Research in   activity. The fMRI scans revealed that
               Cardiovascular Diseases. “There are   certain brain regions associated with
               numerous ways in which different   pain processing showed increased ac-
               languages  encode  similar  situations   tivity during the Spanish sessions.
               and experiences in very distinct ways,   Moreover, the researchers discov-
               and from a subjective perspective   ered that the brain’s responses in areas
               they have different ‘feelings’ to them.  associated with sensory and affective
                 “I was interested in showing ex-  processing of pain mediated the effect
               perimentally that this might actually   of language on pain intensity ratings.
               be the case. The potential link to pain   Interestingly, a participant’s cultural
               was particularly exciting as pain is   orientation – whether they identified
               highly clinically relevant (most ma-  more with Hispanic or US-American
               jor medical complaints involve pain   culture – played a significant role in
               in some way) and is often thought   how language influenced their pain
               about in terms of being an ‘objective’   perception.  The pain response was

                        DANESH FOROUGHI, PH.D.                                           Alan Modarressi, PhD, QME
                        Licensed Clinical Psychologist, PSY13680                                Licensed Clinical Psychologist
                Licensed Marriage, Family & Child Psychotherapist, MFC23455                       Qualified Medical Evaluator
                    Certified National Board of Addiction Examiners #4974                       Certified Psychophsychologist
                              Tel: (310) 940-3642                                   Diplomat, American Academy of Pain Management
                   15720 Ventura Blvd., Second Fl. #224 Encino CA 91436             (818) 501-6080            (562) 861-7226

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