Indoor or Outdoor? Generalization of Costly Pain-Related Avoidance Behavior to Conceptually Related Contexts

When pain persists beyond healing time and becomes a “false alarm” of bodily threat, protective strategies, such as avoidance, are no longer adaptive. More specifically, generalization of avoidance based on conceptual knowledge may contribute to chronic pain disability. Using an operant robotic-arm avoidance paradigm, healthy participants (N = 50), could perform more effortful movements in the threat context (eg, pictures of outdoor scenes) to...