To express or suppress may be function of others' distress

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Abstract
We argue that pain behaviour cannot be wholly accounted for within the operant model of Fordyce (1976). Many pain behaviours, including facial expression, are not socially reinforced but are evolutionarily predetermined. We urge researchers to take into consideration other learning accounts. Building on the idea that pain sufferers learn to suppress the expression of pain, we begin the development of a framework for a relational understanding of pain complaint.

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