Why does separation distress hurt? Comment on MacDonald and Leary (2005)

Abstract

Evidence is substantial that separation-distress circuitry in animal models is related intimately to opioid-sensitive pain regulatory systems of the brain. The evidence that basic pain-affect mechanisms are integral to the feelings of defensive fear anxiety and aggression is modest. Although anger and anxiety can be reduced by opiates, the effects are not as robust and specific as those observed with the low doses that quell separation distress. The role of "social pain" may be larger for the affective underpinnings of jealousy, shame, and guilt (all variants of social exclusion and abandonment) than for fear and aggression. Interdisciplinary insights might be facilitated by more forthright analyses of how affective states are created within the brain. This will require better dialogue between behavioral neuroscientists and the rest of psychology interested in foundational psychoevolutionary issues.