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pubmed-article:16116445pubmed:abstractTextTermination of a painful or unpleasant event can be rewarding. However, whether the brain treats relief in a similar way as it treats natural reward is unclear, and the neural processes that underlie its representation as a motivational goal remain poorly understood. We used fMRI (functional magnetic resonance imaging) to investigate how humans learn to generate expectations of pain relief. Using a pavlovian conditioning procedure, we show that subjects experiencing prolonged experimentally induced pain can be conditioned to predict pain relief. This proceeds in a manner consistent with contemporary reward-learning theory (average reward/loss reinforcement learning), reflected by neural activity in the amygdala and midbrain. Furthermore, these reward-like learning signals are mirrored by opposite aversion-like signals in lateral orbitofrontal cortex and anterior cingulate cortex. This dual coding has parallels to 'opponent process' theories in psychology and promotes a formal account of prediction and expectation during pain.lld:pubmed
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pubmed-article:16116445pubmed:articleTitleOpponent appetitive-aversive neural processes underlie predictive learning of pain relief.lld:pubmed
pubmed-article:16116445pubmed:affiliationWellcome Department of Imaging Neuroscience, 12 Queen Square, London WC1N 3BG, UK. bseymour@fil.ion.ucl.ac.uklld:pubmed
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