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Rene Descartes’ explanation of pain has long been acknowledged in medicine. He proposed that pain is a purely physical phenomenon — that tissue injury makes specific nerves send a signal to the brain, causing the mind to notice pain. The phenomenon, he said, is like pulling on a rope to ring a bell in the brain. It is hard to overstate how deeply fixed this account has become. In medicine, doctors see pain in Descartes’ terms as a physical process, a sign of tissue injury. The limitations of this explanation, however, have been apparent for some time, since people with obvious injuries sometimes report feeling no pain at all. Later, researchers proposed that Descartes’ model be replaced with what they called the gate control theory of pain. They argued that before pain signals reach the brain, they must first go through a gating mechanism in the spinal cord 脊髓. In some cases, this imaginary gate could simply stop pain signals from getting to the brain. Their most amazing suggestion was that what controlled the gate were not just signals from sensory nerves but also emotions and other “output” from the brain. They were saying that pulling on the rope may not necessarily make the bell ring. The bell itself the mind could stop it. This theory led to a great deal of research into how such factors as mood, gender, and beliefs influence the experience of pain. In a British study, for example, researchers measured pain threshold and tolerance levels in 53 ballet dancers and 53 university students by using a common measurement: after putting your hand in body-temperature water for two minutes to establish a baseline condition, you put your hand in a bowl of ice water and start a clock running. You mark the time when it begins to hurt: that is your pain threshold. Then you mark the time when it hurts too much to keep your hand in the water: that is your pain tolerance. The test is always stopped at 120 seconds, to prevent injury. The results were striking. On average female students reported pain at 16 seconds and pulled their hands out of the ice water at 37 seconds. Female dancers were almost three times as long on both counts. Men in both groups had a higher threshold and tolerance for pain, but the difference between male dancers and male non-dancers was nearly as large. What explains that difference? Probably it has something to do with the psychology of ballet dancers --- a group known for self-discipline, physical fitness, and competitiveness, as well as by a high rate of chronic 慢性 injury. Their driven personalities and competitive culture evidently accustom them to pain. Other studies along these lines have shown that outgoing people have greater pain tolerance and that, with training, one can reduce one’s sensitivity to pain. There is also striking evidence that very simple kinds of mental suggestion can have powerful effects on pain. In one study of 500 patients undergoing dental procedures, those who were given a placebo injection 安慰剂 and promised that it would relieve their pain had the least discomfort --- not only less than the patients who got a placebo and were told nothing but also less than the patients who got actual drug without any promise that it would work. Today it is abundantly evident that the brain is actively involved in the experience of pain and is no more bells on a string. Today every medical textbook teaches the gate control theory as fact. There’s a problem with it, though. It explains people who have injuries but feel no pain, but it doesn’t explain the reverse, which is far more common --- the millions of people who experience chronic pain, such as back pain, with no signs of injury whatsoever. So where does the pain come from? The rope and clapper are gone, but the bell is still ringing.71. The primary purpose of the passage is to ________. A. describe a modern theory about pain B. support a traditional view on pain with new data C. promote a particular attitude towards pain D. suggest a creative treatment for pain72. Which statement best describes Descartes theory of pain presented in paragraph 1? A. The brain can shut pain off at will. B. The brain plays no part in the body’s experience of pain. C. Pain can be caused in many different ways. D. Pain is an automatic response to bodily injury.73. The author implies that the reason why the gate control was “amazing” was that it _______. A. offered an extremely new and original explanation B. was just opposite to people’s everyday experiences C. was grounded in a ridiculous logic D. was so sensible that it should have been proposed centuries before74. The author refers to “chronic back pain” as an example of something that is _______. A. costly, because it troubles millions of people B. puzzling, because it sometimes has no obvious cause C. disappointing, because it does not improve with treatment D. worrying, because it lies beyond the reach of medicine75. From the passage we know that ________. A. all the theories about pain are not correct B. some data from the researches on pain is wrong C. there has been no perfect theory about pain so far D. one’s mood can’t affect the pain one feels

              Rene Descartes’ explanation of pain has long been acknowledged in medicine. He proposed that pain is a purely physical phenomenon — that tissue injury makes specific nerves send a signal to the brain, causing the mind to notice pain. The phenomenon, he said, is like pulling on a rope to ring a bell in the brain. It is hard to overstate how deeply fixed this account has become. In medicine, doctors see pain in Descartes’ terms as a physical process, a sign of tissue injury.

              The limitations of this explanation, however, have been apparent for some time, since people with obvious injuries sometimes report feeling no pain at all. Later, researchers proposed that Descartes’ model be replaced with what they called the gate control theory of pain. They argued that before pain signals reach the brain, they must first go through a gating mechanism in the spinal cord 脊髓. In some cases, this imaginary gate could simply stop pain signals from getting to the brain.

              Their most amazing suggestion was that what controlled the gate were not just signals from sensory nerves but also emotions and other “output” from the brain. They were saying that pulling on the rope may not necessarily make the bell ring. The bell itself the mind could stop it. This theory led to a great deal of research into how such factors as mood, gender, and beliefs influence the experience of pain. In a British study, for example, researchers measured pain threshold and tolerance levels in 53 ballet dancers and 53 university students by using a common measurement: after putting your hand in body-temperature water for two minutes to establish a baseline condition, you put your hand in a bowl of ice water and start a clock running. You mark the time when it begins to hurt: that is your pain threshold. Then you mark the time when it hurts too much to keep your hand in the water: that is your pain tolerance. The test is always stopped at 120 seconds, to prevent injury.

              The results were striking. On average female students reported pain at 16 seconds and pulled their hands out of the ice water at 37 seconds. Female dancers were almost three times as long on both counts. Men in both groups had a higher threshold and tolerance for pain, but the difference between male dancers and male non-dancers was nearly as large. What explains that difference? Probably it has something to do with the psychology of ballet dancers --- a group known for self-discipline, physical fitness, and competitiveness, as well as by a high rate of chronic 慢性 injury. Their driven personalities and competitive culture evidently accustom them to pain. Other studies along these lines have shown that outgoing people have greater pain tolerance and that, with training, one can reduce one’s sensitivity to pain.

              There is also striking evidence that very simple kinds of mental suggestion can have powerful effects on pain. In one study of 500 patients undergoing dental procedures, those who were given a placebo injection 安慰剂 and promised that it would relieve their pain had the least discomfort --- not only less than the patients who got a placebo and were told nothing but also less than the patients who got actual drug without any promise that it would work.

              Today it is abundantly evident that the brain is actively involved in the experience of pain and is no more bells on a string. Today every medical textbook teaches the gate control theory as fact. There’s a problem with it, though. It explains people who have injuries but feel no pain, but it doesn’t explain the reverse, which is far more common --- the millions of people who experience chronic pain, such as back pain, with no signs of injury whatsoever. So where does the pain come from? The rope and clapper are gone, but the bell is still ringing.

71. The primary purpose of the passage is to ________.

              A. describe a modern theory about pain

              B. support a traditional view on pain with new data

              C. promote a particular attitude towards pain

              D. suggest a creative treatment for pain

72. Which statement best describes Descartes theory of pain presented in paragraph 1?

              A. The brain can shut pain off at will.

              B. The brain plays no part in the body’s experience of pain.

              C. Pain can be caused in many different ways.

              D. Pain is an automatic response to bodily injury.

73. The author implies that the reason why the gate control was “amazing” was that it _______.

              A. offered an extremely new and original explanation

              B. was just opposite to people’s everyday experiences

              C. was grounded in a ridiculous logic

              D. was so sensible that it should have been proposed centuries before

74. The author refers to “chronic back pain” as an example of something that is _______.

              A. costly, because it troubles millions of people

              B. puzzling, because it sometimes has no obvious cause

              C. disappointing, because it does not improve with treatment

              D. worrying, because it lies beyond the reach of medicine

75. From the passage we know that ________.

              A. all the theories about pain are not correct

              B. some data from the researches on pain is wrong

              C. there has been no perfect theory about pain so far

              D. one’s mood can’t affect the pain one feels

题目解答

答案

知识点:其他类型阅读

ADABC


解析

整体文章分析

本文围绕“疼痛理论”展开,从笛卡尔的传统物理疼痛理论,到现代的闸门控制理论,再到其局限性,旨在说明疼痛研究的发展及现有理论的不足。

题目解析

71. 主旨大意题

文章首先介绍笛卡尔的疼痛理论(物理现象),然后引出闸门控制理论(大脑和情绪等因素影响疼痛),最后指出闸门控制理论仍无法解释慢性疼痛(无损伤却疼痛)。整体目的是描述现代疼痛理论(闸门控制理论)及其发展,A. describe a modern theory about pain 正确。

72. 细节理解题

第一段明确:笛卡尔认为疼痛是纯粹的物理现象——组织损伤使特定神经向大脑发送信号,导致大脑注意到疼痛(“tissue injury makes specific nerves send a signal to the brain, causing the mind to notice pain”)。这是对身体损伤的自动反应,D. Pain is an automatic response to bodily injury 正确。

73. 推理判断题

第二段提到闸门控制理论“最惊人的建议”是:控制闸门的不仅是感觉神经信号,还有情绪和大脑的其他“输出”(“what controlled the gate were not just signals from sensory nerves but also emotions and other ‘output’ from the brain”)。这与笛卡尔的“纯物理信号”理论完全不同,是全新的解释,A. offered an extremely new and original explanation 正确。

74. 细节理解题

最后一段指出闸门控制理论的局限:无法解释“相反情况”——数百万无损伤却经历慢性疼痛的人(“it doesn’t explain the reverse... the millions of people who experience chronic pain... with no signs of injury whatsoever”)。慢性背痛是这种“无明显原因的疼痛”的例子,B. puzzling, because it sometimes has no obvious cause 正确。

75. 推理判断题

文章结尾强调:闸门控制理论能解释“有损伤但无痛”,却无法解释“无损伤但慢性疼痛”(“the rope and clapper are gone, but the bell is still ringing”)。说明目前没有完美的疼痛理论,C. there has been no perfect theory about pain so far 正确。

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