Hypnotic analgesia and reflex inhibition

Hawkins, Russell, and Le Page, Keith (1988) Hypnotic analgesia and reflex inhibition. Australian Journal of Clinical and Experimental Hypnosis, 16 (2). pp. 133-139.

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Abstract

The major change in thinking about models of analgesia over the last decade or so may be seen as a shift away from the earlier emphasis on a one-way afferent transmission sequence. Analgesia was effected, according to the older models, by a simple blocking of afferent impulses as some level (as achieved by local anaesthesia). Recent models suggest that there are at least two CNS analgesia control systems, each operating via an active mechanism for the inhibition of nociception which includes reciprocal efferent impulses able to respond to input from lower centres by sending control signals which modify their output. One CNS analgesia system has now been quite well described. This "opiate" analgesia system has proved to be naloxene reversible and seems to be mediated by reciprocal pathways between brain stem structures and the dorsal horn and trigeminal caudalis. This is not likely to be the system responsible for all cases of hypnotic analgesia, since common experience of continued awareness of some elements of a normally painful stimulus, in spite of a freedom of pain, implicates a higher level involvement such as input from the prefrontal cortex.

Item ID: 50959
Item Type: Article (Research - C1)
ISSN: 1839-2563
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Date Deposited: 19 Nov 2017 23:50
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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